Implementing Sustainable Meropenem Stewardship in Pediatric Care: Experience from a Public Hospital in a Middle-Income Country
We evaluated a decade-long pediatric antimicrobial stewardship intervention targeting meropenem at a public hospital in Colombia. Structured preauthorization, prospective audit, and strengthened infection-control practices reduced meropenem use by >80% without compensatory increases in other broad-spectrum agents. Microbiologic trends remained stable, supporting the program's sustainability in a middle-income setting.
Authors
- Juan Gonzalo Mesa-Monsalve
- Carolina Jiménez Alvarez
- José L. Arias (ORCID: https://orcid.org/0000-0002-3437-3791)
- Alejandro Díaz (ORCID: https://orcid.org/0000-0003-0525-9276)
- Adriana Milena Echavarría
Institutions
- Hospital Universitario de San Vicente Fundación (CO)
- Instituto de Cancerología Las Américas (CO)
- Municipality of Medellín (CO)
- Hospital Pablo Tobon Uribe (CO)
Publication Details
- Journal
- Journal of the Pediatric Infectious Diseases Society
- Published
- 2025-12-25
- DOI
- https://doi.org/10.1093/jpids/piaf116
- Primary Topic
- Antibiotic Use and Resistance
- Type
- article
- Field-Weighted Citation Impact
- 0.00