Chapter 5:
Antibiotic Stewardship
What Every Health Care Executive Should Know:
The Cost of Antibiotic Resistance
Paul Cook, M.D.
Is antibiotic misuse promoting the spread of MDROs and increasing costs at your hospital?
Dr. Anderson admitted an elderly nursing home patient to your hospital with pneumonia. He ordered blood cultures and an antibiotic (moxifloxacin), which the patient began three hours after admission. In spite of the antibiotic, the patient’s condition worsened. The microbiology reports were returned the next day and showed that the blood cultures were growing Pseudomonas aeruginosa resistant to moxifloxacin but susceptible to imipenem.
Dr. Anderson changed the antibiotic to imipenem as soon as the test results became available. The patient was transferred to the intensive care unit (ICU) where she worsened and required mechanical
ventilation. She spent two weeks in the ICU before being transferred to the internal medicine service.
Learn More About Chapter 5 – Click Here
If you haven't registered please sign up now