Antibiotic use in the intensive care unit: The old and the new

Philip S. Barie, Mayur Narayan, Victor M. Aquino Jose, Marc J. Shapiro

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

Antibiotics are lifesaving drugs; however, inappropriate use of these medications can lead to significant complications, especially the emergence of resistant organisms. Familiarity with their pharmacokinetics, pharmacodynamics, and volumes of distributions is of the utmost importance in their safe and effective administration. Similarly, indications for their use, proper dosing, dosages, and routes of elimination must be taken into account during their administration. This chapter covers in great detail the principles of antimicrobial therapy including prophylaxis, empiric administration of antibiotics, as well as the duration of therapy. Proper and continuous efforts to identify pathologic bacteria and the ability to differentiate colonizing bacteria is of the utmost importance.

Original languageEnglish (US)
Title of host publicationCurrent Therapy of Trauma and Surgical Critical Care
PublisherElsevier
Pages803-814.e1
ISBN (Electronic)9780323697873
DOIs
StatePublished - Jan 1 2023
Externally publishedYes

Keywords

  • Antibiotics
  • bioavailability
  • dosages
  • drug resistance
  • duration of administration
  • indications
  • organ failure
  • pharmacodynamics
  • pharmacokinetics
  • prophylaxis
  • protein binding
  • routes of administration

ASJC Scopus subject areas

  • General Medicine

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