Impact of a restrictive antibiotic policy on the acquisition of extended-spectrum beta-lactamase-producing Enterobacteriaceae in an endemic region: a before-and-after, propensity-matched cohort study in a Caribbean intensive care unit.
Christophe Le TerrierMarco VinettiPaul BonjeanRégine RichardBruno JarrigeBertrand PonsBenjamin MadeuxPascale PiednoirFanny ArdissonElain ElieFrédéric MartinoMarc ValetteEdouard OllierSébastien BreurecMichel CarlesGuillaume ThiéryPublished in: Critical care (London, England) (2021)
Implementation of a program including a restrictive antibiotic strategy is feasible and is associated with less ESBL-E acquisition in the ICU without any worsening of patient outcome.