STEWARDSHIP ANTIMICROBICA NEL NEONATO E NEL PICCOLO LATTANTE Perché e come praticarla

Antimicrobial resistances are increasing worldwide, due to the misuse of antibiotic therapies in humans as well as in animals. It is expected that within a few decades, multi-resistant pathogens will become the leading cause of death worldwide. The misuse of antibiotics in the neonatal period depends on the lack of predictive diagnostic tests and the peculiarity of symptoms of sepsis, that frequently are vague and unspecific at the time of presentation. Policies to prevent the emergence of antimicrobial resistances rely on a judicious use of antibiotics, on protocols and additional measures shared from health care providers. This document summarizes recent indications issued in Emilia-Romagna Region (Italy) after reviewing the literature.