The necessary and purpose of antimicrobial stewardship in surgery, emergency department or intensive care unit

Abstract

The spread of drug–resistant bacteria has become a problem worldwide. In Japan, the National Action Plan on Antimicrobial Resistance (AMR) 2016〜2020 including the performance indicators about the reduction of the resistance rate and the amount of antibacterial drugs was created in 2016. In surgery, emergency department or intensive care unit, several multidrug resistant pathogens have become a problem, however, a large number of antibacterial drugs are used for prevention of postoperative infections and severe infections such as sepsis. The enhancement of activities centered on the infection control team and antimicrobial stewardship team is required for antimicrobial stewardship.