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

JOURNAL TITLE: Indian Journal of Critical Care Medicine

Author
1. Vikas Manchanda
2. Chand Wattal
3. Jaswinder Kaur Oberoi
4. Sonal Saxena
5. Vivek Nangia
6. B.K. Rao
7. Sanghamitra Datta
8. Iqbal Kaur
9. Sharmila Sen Gupta
10. Debashish Dhar
11. Sarman Singh
12. Vinod Singh
13. Supradip Ghosh
14. Ashok Rattan
15. Neeraj Goel
ISSN
0972-5229
DOI
10.4103/ijccm.IJCCM_365_16
Volume
21
Issue
3
Publishing Year
2017
Pages
6
Author Affiliations
    1. All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India, E-mail- ssingh56@hotmail.com
    2. Laboratory Medicine, All India Institute of Medical Sciences, New Delhi, India
    3. All India Institute of Medical Sciences Ansari Nagar, New Delhi, India
    4. Indian Institute of Science Education and Research, Bhopal, Madhya Pradesh, India
    5. All India Institute of Medical Sciences, New Delhi, India
    1. Fortis Clinical Research Ltd, Advisor, Religare SRL, Fortis, Escorts, Delhi and NCR
    2. Caribbean Epidemiology Centre (CAREC), PAHO/WHO, Port Of Spain, Trinidad, E-mail: rattanas@carec.paho.org
    3. Mahatma Gandhi Medical College, Jaipur, Rajasthan, India
    1. Sir Ganga Ram Hospital, New Delhi, India
    2. Max Hospital, New Delhi, India
    3. Auroprobe Laboratories, C-229, Defence Colony, New Delhi, India, E-mail: auro@auroprobelab.com, drneerajgoel@hotmail.com
    1. Batra Hospital, New Delhi
    2. Batra Hospital and Medical Research Center, New Delhi
    3. Fortis Lung Center, Fortis Flt Lt Rajan Dhall Hospital, New Delhi, India
    4. Fortis Hospital, Vasant Kunj, New Delhi; Fortis Escorts Heart Institute and Research Center, Okhla Road, New Delhi, India
    5. Critical Care and Sleep Medicine, Max Hospital, Saket, New Delhi, India
    6. Max Hospital, New Delhi, India
    1. Chacha Nehru Bal Chikitsalaya, Delhi, India
    2. Maulana Azad Medical College and Infection Control Officer, Lok Nayak Hospital, New Delhi, India
    3. Maulana Azad Medical College, New Delhi, India
    1. Fortis-Escorts Hospital, Faridabad, Haryana, India
    2. Fortis–Escorts Hospitals, Faridabad, Haryana, India
    3. Fortis Escorts Hospital, Faridabad, Haryana, India
    1. Sir Ganga Ram Hospital, New Delhi, India
    1. Sir Ganga Ram Hospital, New Delhi, India
    2. ICU ECMO Program, Sir Ganga Ram Hospital, New Delhi, India
    3. Institute of Critical Care Medicine, Sir Ganga Ram Hospital, New Delhi, India
    1. Indian Association of Medical Microbiologists - Delhi Chapter, New Delhi, India
    1. Indian Association of Medical Microbiologists - Delhi Chapter, New Delhi, India
    1. Indian Association of Medical Microbiologists - Delhi Chapter, New Delhi, India
    1. Indian Society of Critical Care Medicine, New Delhi, India
    1. Indian Association of Medical Microbiologists - Delhi Chapter, New Delhi, India
    1. Indian Association of Medical Microbiologists - Delhi Chapter, New Delhi, India
    1. Indian Association of Medical Microbiologists - Delhi Chapter, New Delhi, India
  • Article keywords
    Antimicrobial stewardship, clinical microbiologists, critical care, Intensive Care Unit, synergy

    Abstract

    Background: 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. Aims: 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. Materials and Methods: 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. Results: 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. Conclusions: A close coordination between clinical microbiology and critical care medicine opens up avenues to improve antimicrobial prescription practices.

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