Impact of a Clinical Pharmacist on Antibiotic Prescribing

Abstract

Within the past two decades, hospital pharmacists have become increasingly involved in providing consultation to physicians for drug management. Antibiotic use has become a complex and rapidly expanding discipline, complicated by the introduction of multiple new antimicrobial agents, each with unique features, and the pressures of prospective payment schemes. This study demonstrated that a team including a pharmacist had a positive impact on medical residents' utilization of antibiotics.

Clinical and economic outcomes of pharmaceutical services related to antibiotic use: a literature review

“…In five studies, appropriateness was improved for only part of the measured parameters [21,27,45,55,61]. In the other 11 studies, appropriateness was significantly improved after or with the intervention [22,24,29,36,37,43,44,46,47,50,51]. TDM interventions had significant impact on appropriateness.…”

Clinical and economic outcomes of pharmacist-managed aminoglycoside or vancomycin therapy

“…The benefits of pharmacists and clinical pharmacy services in individual practice sites have been well documented, as have the benefits of pharmacists' involvement in the management of patients receiving aminoglycoside or vancomycin, including therapeutic outcomes; decreased costs, hospitalizations, and complications; and other outcomes. [39][40][41][42][43][44][45][46] However, no studies have been published evaluating the effect of pharmacist-managed aminoglycoside or vancomycin across multiple hospitals or large patient populations. Studies involving large numbers of patients are critical for several reasons.…”

Evolution of the Role of the Transplant Pharmacist on the Multidisciplinary Transplant Team

“…This first introduced the transplant pharmacist as an individual with specific expertise in transplant pharmacology who actively participated in the medical management of organ transplant recipients and provided direct patient medication counseling (1). Studies outlining direct medical and economic impact of pharmacists participating on patient care teams across multiple disciplines over the past two to three decades have advanced the role of the pharmacist on the organ transplant team (2–15).…”