Module 3: Antimicrobial Stewardship Clinical Applications

non-renewable

Antibiotics are a SHARED, ___________ resource.

20-40%

What % of antibiotics are unnecessary?

-resistance

-additional infections

-adverse drug reactions

-economic issues

What are the consequence of antibiotic misuse and overuse?

limited

There have been sever antibiotics approved in the past few years, but a _________ number of new antibiotic classes.

Antimicrobial Stewardship Programs

ASP

ASP

-a coherent set of actions which promote using antimicrobials responsibly

-perform coordinated interventions that are designed to improve and measure appropriate use of antimicrobials

joint commission and CMS

Who surveys ASP on a national level?

-Infectious disease physicians

-Infectious disease or non-specialized clinical pharmacists

-Microbiologists

-Infection preventionists

-Hospital epidemiologists

-Informatics

-Hospital administrators

-Other antimicrobial stewardship committee members

Who is involved in antimicrobial stewardship?

Pre-emptice antimicrobial stewardship interventions

-Formulary management

-Restriction and prior approval

-Antibiogram

-Institutional guidelines and order sets

-Education

-Documentation requirements

-Warnings or electronic order limits

patient specific antimicrobial stewardship interventions

-Audit with feedback

-Targeted diagnostic interventions

-Review of diagnostic results (blood cultures)

-IV to PO conversion

-Patient review/discussion

(Handshake Stewardship)