The "Choosing Wisely" initiative in infectious diseases.
Identifieur interne : 000061 ( Main/Corpus ); précédent : 000060; suivant : 000062The "Choosing Wisely" initiative in infectious diseases.
Auteurs : Clara Lehmann ; Reinhard Berner ; Johannes R. Bogner ; Oliver A. Cornely ; Katja De With ; Susanne Herold ; Winfried V. Kern ; Sebastian Lemmen ; Mathias W. Pletz ; Bernhard Ruf ; Bernd Salzberger ; Hans Jürgen Stellbrink ; Norbert Suttorp ; Andrew J. Ullmann ; Gerd F Tkenheuer ; Norma JungSource :
- Infection [ 1439-0973 ] ; 2017.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Communicable Diseases.
- statistics & numerical data : Unnecessary Procedures.
- therapy : Communicable Diseases.
- Delivery of Health Care, Germany, Global Health, Health Promotion, Humans, Public Health.
Abstract
OBJECTIVE
"Choosing Wisely" is a growing international campaign aiming at practice changes to improve patient health and safety by both, conduct of essential and avoidance of unnecessary diagnostic, preventive and therapeutic procedures. The goal is to create an easily recognizable and distributable list ("Choosing Wisely items") that addresses common over- and underuse in the management of infectious diseases.
METHODS
The German Society of Infectious Diseases (DGI) participates in the campaign "Klug Entscheiden" by the German Society of Internal Medicine. Committee members of the (DGI) listed potential 'Choosing Wisely items'. Topics were subjected to systematic evidence review and top ten items were selected for appropriateness. Five positive and negative recommendations were approved via individual member vote.
RESULTS
The final recommendations are: (1) Imperatively start antimicrobial treatment and remove the focus in Staphylococcus aureus bloodstream infection. (2) Critically ill patients with signs of infection need early appropriate antibiotic therapy. (3) Annual influenza vaccination should be given to individuals with age >60 years, patients with specific co-morbidities and to contact persons who may spread influenza to others. (4) All children should receive measles vaccine. (5) Prefer oral formulations of highly bioavailable antimicrobials whenever possible. (6) Avoid prescribing antibiotics for uncomplicated upper respiratory tract infections. (7) Do not treat asymptomatic bacteriuria with antibiotics. (8) Do not treat Candida detected in respiratory or gastrointestinal tract specimens. (9) Do not prolong prophylactic administration of antibiotics in patients after they have left the operating room. (10) Do not treat an elevated C-reactive protein (CRP) or procalcitonin with antibiotics for patients without signs of infection.
CONCLUSIONS
Physicians will reduce potential harm to patients and increase the value of health care when implementing these recommendations.
DOI: 10.1007/s15010-017-0997-0
PubMed: 28290130
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pubmed:28290130Le document en format XML
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<author><name sortKey="Lehmann, Clara" sort="Lehmann, Clara" uniqKey="Lehmann C" first="Clara" last="Lehmann">Clara Lehmann</name>
<affiliation><nlm:affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany. clara.lehmann@uni-koeln.de.</nlm:affiliation>
</affiliation>
<affiliation><nlm:affiliation>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany. clara.lehmann@uni-koeln.de.</nlm:affiliation>
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<author><name sortKey="Berner, Reinhard" sort="Berner, Reinhard" uniqKey="Berner R" first="Reinhard" last="Berner">Reinhard Berner</name>
<affiliation><nlm:affiliation>Department of Pediatrics, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.</nlm:affiliation>
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<author><name sortKey="Bogner, Johannes R" sort="Bogner, Johannes R" uniqKey="Bogner J" first="Johannes R" last="Bogner">Johannes R. Bogner</name>
<affiliation><nlm:affiliation>Department of Infectious Diseases, Med Klinik IV, University Hospital Munich, Munich, Germany.</nlm:affiliation>
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<author><name sortKey="Cornely, Oliver A" sort="Cornely, Oliver A" uniqKey="Cornely O" first="Oliver A" last="Cornely">Oliver A. Cornely</name>
<affiliation><nlm:affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany.</nlm:affiliation>
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<affiliation><nlm:affiliation>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany.</nlm:affiliation>
</affiliation>
<affiliation><nlm:affiliation>Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Clinical Trials Centre Cologne (ZKS Köln), University of Cologne, Cologne, Germany.</nlm:affiliation>
</affiliation>
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<author><name sortKey="De With, Katja" sort="De With, Katja" uniqKey="De With K" first="Katja" last="De With">Katja De With</name>
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</affiliation>
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<author><name sortKey="Herold, Susanne" sort="Herold, Susanne" uniqKey="Herold S" first="Susanne" last="Herold">Susanne Herold</name>
<affiliation><nlm:affiliation>Department of Internal Medicine II, University of Giessen and Marburg Lung Center (UGMLC), Giessen, Germany.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Kern, Winfried V" sort="Kern, Winfried V" uniqKey="Kern W" first="Winfried V" last="Kern">Winfried V. Kern</name>
<affiliation><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Albert-Ludwigs-University Hospital and Medical Center, Freiburg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Lemmen, Sebastian" sort="Lemmen, Sebastian" uniqKey="Lemmen S" first="Sebastian" last="Lemmen">Sebastian Lemmen</name>
<affiliation><nlm:affiliation>Division of Infection Control and Infectious Diseases, University Hospital RWTH Aachen, Aachen, Germany.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Pletz, Mathias W" sort="Pletz, Mathias W" uniqKey="Pletz M" first="Mathias W" last="Pletz">Mathias W. Pletz</name>
<affiliation><nlm:affiliation>Center for Infectious Diseases and Infection Control, Jena University Hospital, Jena, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ruf, Bernhard" sort="Ruf, Bernhard" uniqKey="Ruf B" first="Bernhard" last="Ruf">Bernhard Ruf</name>
<affiliation><nlm:affiliation>Division of Infectious Diseases and Tropical Medicine, Klinikum Sankt Georg, Leipzig, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Salzberger, Bernd" sort="Salzberger, Bernd" uniqKey="Salzberger B" first="Bernd" last="Salzberger">Bernd Salzberger</name>
<affiliation><nlm:affiliation>Department of Internal Medicine I, University Hospital Regensburg, Regensburg, Germany.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Stellbrink, Hans Jurgen" sort="Stellbrink, Hans Jurgen" uniqKey="Stellbrink H" first="Hans Jürgen" last="Stellbrink">Hans Jürgen Stellbrink</name>
<affiliation><nlm:affiliation>Infectiology Center Hamburg (ICH), Hamburg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Suttorp, Norbert" sort="Suttorp, Norbert" uniqKey="Suttorp N" first="Norbert" last="Suttorp">Norbert Suttorp</name>
<affiliation><nlm:affiliation>Department of Internal Medicine/Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin, Berlin, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ullmann, Andrew J" sort="Ullmann, Andrew J" uniqKey="Ullmann A" first="Andrew J" last="Ullmann">Andrew J. Ullmann</name>
<affiliation><nlm:affiliation>Division of Infectious Diseases, Department of Internal Medicine II, Universitätsklinikum, Julius Maximilian's University, Würzburg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="F Tkenheuer, Gerd" sort="F Tkenheuer, Gerd" uniqKey="F Tkenheuer G" first="Gerd" last="F Tkenheuer">Gerd F Tkenheuer</name>
<affiliation><nlm:affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany.</nlm:affiliation>
</affiliation>
<affiliation><nlm:affiliation>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Jung, Norma" sort="Jung, Norma" uniqKey="Jung N" first="Norma" last="Jung">Norma Jung</name>
<affiliation><nlm:affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany.</nlm:affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">The "Choosing Wisely" initiative in infectious diseases.</title>
<author><name sortKey="Lehmann, Clara" sort="Lehmann, Clara" uniqKey="Lehmann C" first="Clara" last="Lehmann">Clara Lehmann</name>
<affiliation><nlm:affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany. clara.lehmann@uni-koeln.de.</nlm:affiliation>
</affiliation>
<affiliation><nlm:affiliation>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany. clara.lehmann@uni-koeln.de.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Berner, Reinhard" sort="Berner, Reinhard" uniqKey="Berner R" first="Reinhard" last="Berner">Reinhard Berner</name>
<affiliation><nlm:affiliation>Department of Pediatrics, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Bogner, Johannes R" sort="Bogner, Johannes R" uniqKey="Bogner J" first="Johannes R" last="Bogner">Johannes R. Bogner</name>
<affiliation><nlm:affiliation>Department of Infectious Diseases, Med Klinik IV, University Hospital Munich, Munich, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Cornely, Oliver A" sort="Cornely, Oliver A" uniqKey="Cornely O" first="Oliver A" last="Cornely">Oliver A. Cornely</name>
<affiliation><nlm:affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany.</nlm:affiliation>
</affiliation>
<affiliation><nlm:affiliation>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany.</nlm:affiliation>
</affiliation>
<affiliation><nlm:affiliation>Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Clinical Trials Centre Cologne (ZKS Köln), University of Cologne, Cologne, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="De With, Katja" sort="De With, Katja" uniqKey="De With K" first="Katja" last="De With">Katja De With</name>
<affiliation><nlm:affiliation>Clinical Infectious Diseases and Antibiotic Stewardship Unit, Carl Carus University Hospital, Dresden, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Herold, Susanne" sort="Herold, Susanne" uniqKey="Herold S" first="Susanne" last="Herold">Susanne Herold</name>
<affiliation><nlm:affiliation>Department of Internal Medicine II, University of Giessen and Marburg Lung Center (UGMLC), Giessen, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Kern, Winfried V" sort="Kern, Winfried V" uniqKey="Kern W" first="Winfried V" last="Kern">Winfried V. Kern</name>
<affiliation><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Albert-Ludwigs-University Hospital and Medical Center, Freiburg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Lemmen, Sebastian" sort="Lemmen, Sebastian" uniqKey="Lemmen S" first="Sebastian" last="Lemmen">Sebastian Lemmen</name>
<affiliation><nlm:affiliation>Division of Infection Control and Infectious Diseases, University Hospital RWTH Aachen, Aachen, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Pletz, Mathias W" sort="Pletz, Mathias W" uniqKey="Pletz M" first="Mathias W" last="Pletz">Mathias W. Pletz</name>
<affiliation><nlm:affiliation>Center for Infectious Diseases and Infection Control, Jena University Hospital, Jena, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ruf, Bernhard" sort="Ruf, Bernhard" uniqKey="Ruf B" first="Bernhard" last="Ruf">Bernhard Ruf</name>
<affiliation><nlm:affiliation>Division of Infectious Diseases and Tropical Medicine, Klinikum Sankt Georg, Leipzig, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Salzberger, Bernd" sort="Salzberger, Bernd" uniqKey="Salzberger B" first="Bernd" last="Salzberger">Bernd Salzberger</name>
<affiliation><nlm:affiliation>Department of Internal Medicine I, University Hospital Regensburg, Regensburg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Stellbrink, Hans Jurgen" sort="Stellbrink, Hans Jurgen" uniqKey="Stellbrink H" first="Hans Jürgen" last="Stellbrink">Hans Jürgen Stellbrink</name>
<affiliation><nlm:affiliation>Infectiology Center Hamburg (ICH), Hamburg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Suttorp, Norbert" sort="Suttorp, Norbert" uniqKey="Suttorp N" first="Norbert" last="Suttorp">Norbert Suttorp</name>
<affiliation><nlm:affiliation>Department of Internal Medicine/Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin, Berlin, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ullmann, Andrew J" sort="Ullmann, Andrew J" uniqKey="Ullmann A" first="Andrew J" last="Ullmann">Andrew J. Ullmann</name>
<affiliation><nlm:affiliation>Division of Infectious Diseases, Department of Internal Medicine II, Universitätsklinikum, Julius Maximilian's University, Würzburg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="F Tkenheuer, Gerd" sort="F Tkenheuer, Gerd" uniqKey="F Tkenheuer G" first="Gerd" last="F Tkenheuer">Gerd F Tkenheuer</name>
<affiliation><nlm:affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany.</nlm:affiliation>
</affiliation>
<affiliation><nlm:affiliation>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Jung, Norma" sort="Jung, Norma" uniqKey="Jung N" first="Norma" last="Jung">Norma Jung</name>
<affiliation><nlm:affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany.</nlm:affiliation>
</affiliation>
</author>
</analytic>
<series><title level="j">Infection</title>
<idno type="eISSN">1439-0973</idno>
<imprint><date when="2017" type="published">2017</date>
</imprint>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Communicable Diseases (diagnosis)</term>
<term>Communicable Diseases (therapy)</term>
<term>Delivery of Health Care (MeSH)</term>
<term>Germany (MeSH)</term>
<term>Global Health (MeSH)</term>
<term>Health Promotion (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Public Health (MeSH)</term>
<term>Unnecessary Procedures (statistics & numerical data)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Communicable Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Unnecessary Procedures</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Communicable Diseases</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Delivery of Health Care</term>
<term>Germany</term>
<term>Global Health</term>
<term>Health Promotion</term>
<term>Humans</term>
<term>Public Health</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>"Choosing Wisely" is a growing international campaign aiming at practice changes to improve patient health and safety by both, conduct of essential and avoidance of unnecessary diagnostic, preventive and therapeutic procedures. The goal is to create an easily recognizable and distributable list ("Choosing Wisely items") that addresses common over- and underuse in the management of infectious diseases.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>The German Society of Infectious Diseases (DGI) participates in the campaign "Klug Entscheiden" by the German Society of Internal Medicine. Committee members of the (DGI) listed potential 'Choosing Wisely items'. Topics were subjected to systematic evidence review and top ten items were selected for appropriateness. Five positive and negative recommendations were approved via individual member vote.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>The final recommendations are: (1) Imperatively start antimicrobial treatment and remove the focus in Staphylococcus aureus bloodstream infection. (2) Critically ill patients with signs of infection need early appropriate antibiotic therapy. (3) Annual influenza vaccination should be given to individuals with age >60 years, patients with specific co-morbidities and to contact persons who may spread influenza to others. (4) All children should receive measles vaccine. (5) Prefer oral formulations of highly bioavailable antimicrobials whenever possible. (6) Avoid prescribing antibiotics for uncomplicated upper respiratory tract infections. (7) Do not treat asymptomatic bacteriuria with antibiotics. (8) Do not treat Candida detected in respiratory or gastrointestinal tract specimens. (9) Do not prolong prophylactic administration of antibiotics in patients after they have left the operating room. (10) Do not treat an elevated C-reactive protein (CRP) or procalcitonin with antibiotics for patients without signs of infection.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Physicians will reduce potential harm to patients and increase the value of health care when implementing these recommendations.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28290130</PMID>
<DateCompleted><Year>2017</Year>
<Month>12</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised><Year>2018</Year>
<Month>12</Month>
<Day>02</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1439-0973</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>45</Volume>
<Issue>3</Issue>
<PubDate><Year>2017</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Infection</Title>
<ISOAbbreviation>Infection</ISOAbbreviation>
</Journal>
<ArticleTitle>The "Choosing Wisely" initiative in infectious diseases.</ArticleTitle>
<Pagination><MedlinePgn>263-268</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s15010-017-0997-0</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">"Choosing Wisely" is a growing international campaign aiming at practice changes to improve patient health and safety by both, conduct of essential and avoidance of unnecessary diagnostic, preventive and therapeutic procedures. The goal is to create an easily recognizable and distributable list ("Choosing Wisely items") that addresses common over- and underuse in the management of infectious diseases.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The German Society of Infectious Diseases (DGI) participates in the campaign "Klug Entscheiden" by the German Society of Internal Medicine. Committee members of the (DGI) listed potential 'Choosing Wisely items'. Topics were subjected to systematic evidence review and top ten items were selected for appropriateness. Five positive and negative recommendations were approved via individual member vote.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The final recommendations are: (1) Imperatively start antimicrobial treatment and remove the focus in Staphylococcus aureus bloodstream infection. (2) Critically ill patients with signs of infection need early appropriate antibiotic therapy. (3) Annual influenza vaccination should be given to individuals with age >60 years, patients with specific co-morbidities and to contact persons who may spread influenza to others. (4) All children should receive measles vaccine. (5) Prefer oral formulations of highly bioavailable antimicrobials whenever possible. (6) Avoid prescribing antibiotics for uncomplicated upper respiratory tract infections. (7) Do not treat asymptomatic bacteriuria with antibiotics. (8) Do not treat Candida detected in respiratory or gastrointestinal tract specimens. (9) Do not prolong prophylactic administration of antibiotics in patients after they have left the operating room. (10) Do not treat an elevated C-reactive protein (CRP) or procalcitonin with antibiotics for patients without signs of infection.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Physicians will reduce potential harm to patients and increase the value of health care when implementing these recommendations.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lehmann</LastName>
<ForeName>Clara</ForeName>
<Initials>C</Initials>
<Identifier Source="ORCID">http://orcid.org/0000-0002-7042-1578</Identifier>
<AffiliationInfo><Affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany. clara.lehmann@uni-koeln.de.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany. clara.lehmann@uni-koeln.de.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Berner</LastName>
<ForeName>Reinhard</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bogner</LastName>
<ForeName>Johannes R</ForeName>
<Initials>JR</Initials>
<AffiliationInfo><Affiliation>Department of Infectious Diseases, Med Klinik IV, University Hospital Munich, Munich, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Cornely</LastName>
<ForeName>Oliver A</ForeName>
<Initials>OA</Initials>
<AffiliationInfo><Affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Clinical Trials Centre Cologne (ZKS Köln), University of Cologne, Cologne, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>de With</LastName>
<ForeName>Katja</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Clinical Infectious Diseases and Antibiotic Stewardship Unit, Carl Carus University Hospital, Dresden, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Herold</LastName>
<ForeName>Susanne</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Internal Medicine II, University of Giessen and Marburg Lung Center (UGMLC), Giessen, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kern</LastName>
<ForeName>Winfried V</ForeName>
<Initials>WV</Initials>
<AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Albert-Ludwigs-University Hospital and Medical Center, Freiburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lemmen</LastName>
<ForeName>Sebastian</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Division of Infection Control and Infectious Diseases, University Hospital RWTH Aachen, Aachen, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pletz</LastName>
<ForeName>Mathias W</ForeName>
<Initials>MW</Initials>
<AffiliationInfo><Affiliation>Center for Infectious Diseases and Infection Control, Jena University Hospital, Jena, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ruf</LastName>
<ForeName>Bernhard</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Division of Infectious Diseases and Tropical Medicine, Klinikum Sankt Georg, Leipzig, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Salzberger</LastName>
<ForeName>Bernd</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Department of Internal Medicine I, University Hospital Regensburg, Regensburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Stellbrink</LastName>
<ForeName>Hans Jürgen</ForeName>
<Initials>HJ</Initials>
<AffiliationInfo><Affiliation>Infectiology Center Hamburg (ICH), Hamburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Suttorp</LastName>
<ForeName>Norbert</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Department of Internal Medicine/Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin, Berlin, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ullmann</LastName>
<ForeName>Andrew J</ForeName>
<Initials>AJ</Initials>
<AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Internal Medicine II, Universitätsklinikum, Julius Maximilian's University, Würzburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fätkenheuer</LastName>
<ForeName>Gerd</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Jung</LastName>
<ForeName>Norma</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany.</Affiliation>
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