Policy Statement: Antibiotic stewardship in pediatrics

AAP Committee on Infectious Diseases and Pediatric Infectious Diseases Society

Research output: Contribution to journalArticlepeer-review

Abstract

Antibiotic overuse contributes to antibiotic resistance, which is a threat to public health. Antibiotic stewardship is a practice dedicated to prescribing antibiotics only when necessary and, when antibiotics are considered necessary, promoting the use of the appropriate agent(s), dose, duration, and route of therapy to optimize clinical outcomes while minimizing the unintended consequences of antibiotic use. Because there are differences in common infectious conditions, drug-specific considerations, and the evidence surrounding treatment recommendations (eg, first-line therapy and duration of therapy) between children and adults, this statement provides specific guidance for the pediatric population. This policy statement discusses the rationale for inpatient and outpatient antibiotic stewardship programs (ASPs); essential personnel, infrastructure, and activities required; approaches to evaluating their effectiveness; and gaps in knowledge that require further investigation. Key guidance for both inpatient and outpatient ASPs are provided.

Original languageEnglish (US)
Pages (from-to)641-649
Number of pages9
JournalJournal of the Pediatric Infectious Diseases Society
Volume10
Issue number5
DOIs
StatePublished - May 1 2021

Keywords

  • antibiotic resistance
  • antimicrobial stewardship
  • pediatrics

ASJC Scopus subject areas

  • Medicine(all)

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