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Antibiotic Stewardship in Hospital-Acquired PneumoniaAntibiotic Use in Hospital-Acquired Pneumonia

Jordi Rello, MD, PhD
Author and Funding Information

From the Critical Care Department, Vall d’Hebron Institute of Research, CIBERES, Universitat Autònoma de Barcelona.

Correspondence to: Jordi Rello, MD, PhD, Passeig Vall d’Hebron 119-129, UCI Anexe AG, 5ª planta, 08035 Barcelona, Spain; e-mail: jrello@crips.es


Financial/nonfinancial disclosures: The author has reported to CHEST the following conflicts of interest: Dr Rello serves on the speakers’ bureau and as a consultant for Pfizer, Inc; Astellas Pharma Inc; and Merck & Co, Inc, and has received unrestricted grant support from Pfizer, Inc.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;143(5):1195-1196. doi:10.1378/chest.12-2729
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The widespread use of antibiotics has been paralleled by the development of resistance in bacteria. It is, thus, necessary for us to use antibiotics wisely and appropriately. Getting therapy right the first time has been crucial in improving outcomes in severe infections, reducing all-cause 30-day mortality and hospital length of stay. Knowing your local organisms and susceptibilities is crucial to getting it right the first time.1 This will largely determine your antibiotic choices. In turn, overuse of antibiotics will drive more resistance.

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