Convergence of Minds: For Better Patient Outcome in Intensive Care Unit Infections

There is emergence of resistance to the last-line antibiotics such as carbapenems in Intensive Care Units (ICUs), leaving little effective therapeutic options. Since there are no more newer antibiotics in the armamentarium in the near future, it has become imperative that we harness the interdiscipl...

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Bibliographic Details
Published in:Indian journal of critical care medicine 2017-03, Vol.21 (3), p.154-159
Main Authors: Wattal, Chand, Javeri, Yash, Goel, Neeraj, Dhar, Debashish, Saxena, Sonal, Singh, Sarman, Oberoi, Jaswinder Kaur, Rao, B K, Mathur, Purva, Manchanda, Vikas, Nangia, Vivek, Kapil, Arti, Rattan, Ashok, Ghosh, Supradip, Singh, Omender, Singh, Vinod, Kaur, Iqbal, Datta, Sanghamitra, Gupta, Sharmila Sen
Format: Article
Language:English
Subjects:
Analysis
Antibiotics
Care and treatment
Conflicts of interest
Convergence
Critical care
Cross infection
Diagnostic tests
Epidemiology
Hospitals
Infectious diseases
Intensive care
Intensive care units
Laboratories
Management
Medicine
Microbial drug resistance
Mortality
Nosocomial infections
Patient outcomes
Patients
Quality
Round Table
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Summary:There is emergence of resistance to the last-line antibiotics such as carbapenems in Intensive Care Units (ICUs), leaving little effective therapeutic options. Since there are no more newer antibiotics in the armamentarium in the near future, it has become imperative that we harness the interdisciplinary knowledge for the best clinical outcome of the patient. The aim of the conference was to utilize the synergies between the clinical microbiologists and critical care specialists for better patient care and clinical outcome. A combined continuing medical education program (CME) under the aegis of the Indian Association of Medical Microbiologists - Delhi Chapter and the Indian Society of Critical Care Medicine, Delhi and national capital region was organized to share their expertise on the various topics covering epidemiology, diagnosis, management, and prevention of hospital-acquired infections in ICUs. It was agreed that synergy between the clinical microbiologists and critical care medicine is required in understanding the scope of laboratory tests, investigative pathway testing, hospital epidemiology, and optimum use of antibiotics. A consensus on the use of rapid diagnostics such as point-of-care tests, matrix-assisted laser desorption ionization-time of flight mass spectrometry, and molecular tests for the early diagnosis of infectious disease was made. It was agreed that stewardship activities along with hospital infection control practices should be further strengthened for better utilization of the antibiotics. Through this CME, we identified the barriers and actionables for appropriate antimicrobial usage in Indian ICUs. A close coordination between clinical microbiology and critical care medicine opens up avenues to improve antimicrobial prescription practices.
ISSN:0972-5229
1998-359X
DOI:10.4103/ijccm.IJCCM_365_16