Executive Summary: Implementing an Antibiotic Stewardship Program: Guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America

Barlam, Tamar F.; Cosgrove, Sara E.; Abbo, Lilian M.; MacDougall, Conan; Schuetz, Audrey N.; Septimus, Edward; Srinivasan, Arjun; Dellit, Timothy H.; Falck‐Ytter, Yngve; Fishman, Neil O.; Hamilton, Cindy W.; Jenkins, Timothy C; Lipsett, Pamela A.; Malani, Preeti N.; May, Larissa; Moran, Gregory J.; Neuhauser, Melinda M.; Newland, Jason G.; Ohl, Christopher; Samore, Matthew H.; Seo, Susan K.; Trivedi, Kavita K.

doi:10.1093/cid/ciw217

Cited by 317 publications

(193 citation statements)

References 4 publications

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“…Eighty-eight percent felt very or extremely satisfied with the education they received on antibiotic stewardship during medical school. We agree with Barlam and colleagues that didactic education cannot be used as a stand-alone intervention in antimicrobial stewardship programs [1], but argue that a multimodal and longitudinal approach could increase impact.…”

supporting

confidence: 69%

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Is It Time for a Coordinated and Longitudinal Approach to Antibiotic Stewardship Education?

et al. 2016

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supporting

confidence: 69%

“…TO THE EDITOR-Barlam and colleagues recently published a comprehensive and evidence-based primer on implementing an antibiotic stewardship program [1]. We read with particular interest the section describing the limited role of education as an intervention to reduce inappropriate antibiotic use.…”

mentioning

confidence: 99%

Is It Time for a Coordinated and Longitudinal Approach to Antibiotic Stewardship Education?

et al. 2016

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“…The beneficial effect of a stewardship programme on infection treatment by means of antibiotic stewardship has been established. Antibiotic stewardship is defined as Bcoordinated interventions designed to improve and measure the appropriate use of (antibiotic) agents by promoting the selection of the optimal (antibiotic) drug regimen, including dosing, duration of therapy and route of administration^ [131]. Surgeons, ID physicians and pharmacists are the core members of this programme, but microbiologists and the implementation of administrative and information technology can also be of great importance [11,132,133].…”

Section: Discussionmentioning

confidence: 99%

Prevention of fracture-related infection: a multidisciplinary care package

Metsemakers

Onsea

Neutjens

et al. 2017

International Orthopaedics (SICOT)

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Fracture-related infection (FRI) remains a challenging complication. It may result in permanent functional loss or even amputation in otherwise healthy patients. For these reasons, it is important to focus attention on prevention. In treatment algorithms for FRI, antibiotic stewardship programmes have already proved their use by means of a multidisciplinary collaboration between microbiologists, surgeons, pharmacists, infectious disease physicians and nursing staff. A similar approach, however, has not been described for infection prevention. As a first step towards achieving a multidisciplinary care package for infection prevention, this review summarises the most recent guidelines published by the World Health Organization (WHO) and US National Institutes of Health Centers for Disease Control and Prevention (CDC), primarily focusing on the musculoskeletal trauma patient. The implementation of these guidelines, together with close collaboration between infection control physicians, surgeons, anaesthesiologists and nursing staff, can potentially have a beneficial effect on the rate of FRI after musculoskeletal trauma surgery. It must be stated that most evidence presented here in support of these guidelines was not obtained from musculoskeletal trauma research. Although most preventive measures described in these studies can be generalised to the musculoskeletal trauma patient, there are still important differences with nontrauma patients that require further attention. Future research should therefore focus more on this very defined patient population and more specifically on FRI prevention.

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“…Antimicrobial stewardship programs (ASP) are designed to optimize the selection of antimicrobial regimens, including dose, duration and route [6]. Benefits of implementing an ASP include improvement in antimicrobial susceptibility rates and reduced mortality, adverse events and costs.…”

Section: Introductionmentioning

confidence: 99%

“…In the hospital setting, an infectious disease specialist or a pharmacist is part of the ASP team. If assistance from these individuals is not possible in the dialysis setting, then a staff member in the unit should be identified who will undergo formal training [6]. Many societies, including SHEA and IDSA, provide educational courses towards this goal.…”

Section: Introductionmentioning

confidence: 99%

Implementing an antimicrobial stewardship program in out-patient dialysis units

Cunha

D’Agata

2016

Current Opinion in Nephrology and Hypertension

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Purpose of review Rates of multidrug-resistant organisms (MDRO), including methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci and multidrug-resistant gram-negative bacteria continue to rise among the population of chronic hemodialysis. Antimicrobial exposure is the main risk factor for MDRO emergence and dissemination. Up to 30% of antimicrobial doses administered in out-patient dialysis units may not be indicated. Antimicrobial stewardship programs (ASP) improve antimicrobial prescribing patterns. The purpose of this review is to highlight the key elements and interventions of ASP. Recent Findings The Infectious Disease Society of America and the Society of Healthcare Epidemiology of America have provided evidence-based guidelines for the development and implementation of an ASP. Many of their recommendations can be adapted to the out-patient dialysis setting. Summary Developing and implementing an ASP by following key elements and interventions in the out-patient dialysis setting can lead to reduced mortality, adverse events, costs and improvement in antimicrobial susceptibility rates.

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Executive Summary: Implementing an Antibiotic Stewardship Program: Guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America

Cited by 317 publications

References 4 publications

Is It Time for a Coordinated and Longitudinal Approach to Antibiotic Stewardship Education?

Is It Time for a Coordinated and Longitudinal Approach to Antibiotic Stewardship Education?

Prevention of fracture-related infection: a multidisciplinary care package

Implementing an antimicrobial stewardship program in out-patient dialysis units

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