Authors
  Mayuri Niranjan Muskare,  Kalpana Sakharam Kangade,  Neha Gajanan Kotekar,  Vishal Abhimanyu Pawar,  Dr. Ashok Bhimrao Giri
Keywords
Antibiotic, Empirical therapy , Intensive Care Unit (ICU) , Combination therapy , Empirical therapy , Sepsis
Abstract
The administration of antibiotics is a crucial component of treating severe infections in critically ill patients within the ICU. Combination therapy is frequently employed in clinical practice to enhance the likelihood of effectively eradicating the infection and to mitigate the development of antibiotic resistance. Commonly utilized antibiotic combinations encompass carbapenem + tazobactam, cefotaxime + vancomycin, and meropenem + colistin. Combination therapy finds applications in a diverse range of infections, including sepsis, pneumonia, urinary tract infections (UTIs), skin and soft tissue infections, intra-abdominal infections, and central line-associated bloodstream infections. Nevertheless, it is imperative to acknowledge that combination therapy carries inherent risks, and the selection of antibiotics should be undertaken in close consultation with healthcare professionals.
The practice of combination antibiotic therapy is prevalent in the Indian subcontinent. It's worth noting that combination therapy has its drawbacks, and its unwarranted utilization can exacerbate the already critical issue of antibiotic resistance, which has global implications. The pervasive emergence of multidrug-resistant (MDR) bacterial pathogens presents a formidable challenge of worldwide significance. MDR infections present formidable treatment challenges and are frequently associated with high mortality rates. While it's not uncommon to employ multiple antibiotics to combat such infections, it's important to recognize that scientific evidence does not consistently advocate the use of combination therapy in most cases.
The administration of antibiotics is a crucial component of treating severe infections in critically ill patients within the ICU. Combination therapy is frequently employed in clinical practice to enhance the likelihood of effectively eradicating the infection and to mitigate the development of antibiotic resistance. Commonly utilized antibiotic combinations encompass carbapenem + tazobactam, cefotaxime + vancomycin, and meropenem + colistin. Combination therapy finds applications in a diverse range of infections, including sepsis, pneumonia, urinary tract infections (UTIs), skin and soft tissue infections, intra-abdominal infections, and central line-associated bloodstream infections. Nevertheless, it is imperative to acknowledge that combination therapy carries inherent risks, and the selection of antibiotics should be undertaken in close consultation with healthcare professionals.
The practice of combination antibiotic therapy is prevalent in the Indian subcontinent. It's worth noting that combination therapy has its drawbacks, and its unwarranted utilization can exacerbate the already critical issue of antibiotic resistance, which has global implications. The pervasive emergence of multidrug-resistant (MDR) bacterial pathogens presents a formidable challenge of worldwide significance. MDR infections present formidable treatment challenges and are frequently associated with high mortality rates. While it's not uncommon to employ multiple antibiotics to combat such infections, it's important to recognize that scientific evidence does not consistently advocate the use of combination therapy in most cases.
The administration of antibiotics is a crucial component of treating severe infections in critically ill patients within the ICU. Combination therapy is frequently employed in clinical practice to enhance the likelihood of effectively eradicating the infection and to mitigate the development of antibiotic resistance. Commonly utilized antibiotic combinations encompass carbapenem + tazobactam, cefotaxime + vancomycin, and meropenem + colistin. Combination therapy finds applications in a diverse range of infections, including sepsis, pneumonia, urinary tract infections (UTIs), skin and soft tissue infections, intra-abdominal infections, and central line-associated bloodstream infections. Nevertheless, it is imperative to acknowledge that combination therapy carries inherent risks, and the selection of antibiotics should be undertaken in close consultation with healthcare professionals.
The practice of combination antibiotic therapy is prevalent in the Indian subcontinent. It's worth noting that combination therapy has its drawbacks, and its unwarranted utilization can exacerbate the already critical issue of antibiotic resistance, which has global implications. The pervasive emergence of multidrug-resistant (MDR) bacterial pathogens presents a formidable challenge of worldwide significance. MDR infections present formidable treatment challenges and are frequently associated with high mortality rates. While it's not uncommon to employ multiple antibiotics to combat such infections, it's important to recognize that scientific evidence does not consistently advocate the use of combination therapy in most cases.
IJCRT's Publication Details
Unique Identification Number - IJCRT2311086
Paper ID - 245966
Page Number(s) - a691-a704
Pubished in - Volume 11 | Issue 11 | November 2023
DOI (Digital Object Identifier) -   
Publisher Name - IJCRT | www.ijcrt.org | ISSN : 2320-2882
E-ISSN Number - 2320-2882
Cite this article
  Mayuri Niranjan Muskare,  Kalpana Sakharam Kangade,  Neha Gajanan Kotekar,  Vishal Abhimanyu Pawar,  Dr. Ashok Bhimrao Giri,   
"Optimizing Antibiotic Combination Therapy in Critically Ill ICU Patients: A Comprehensive Review", International Journal of Creative Research Thoughts (IJCRT), ISSN:2320-2882, Volume.11, Issue 11, pp.a691-a704, November 2023, Available at :
http://www.ijcrt.org/papers/IJCRT2311086.pdf