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/ciw118

Cited by 2,242 publications

(2,181 citation statements)

References 215 publications

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“…Given the team approach that guidelines for ASPs recommend, 6,7,9 antimicrobial stewardship is an ideal area for interprofessional education (IPE). Practitioners from multiple professions converge in the care of these patients and contribute unique points of view.…”

Section: Promote Interprofessional Antimicrobial Stewardship Educationmentioning

confidence: 99%

“…5 Multiple professional organizations have issued recommendations for the widespread adoption of ASPs with pharmacists as essential members of an interprofessional team, including the Infectious Diseases Society of America 6,7 , the Society for Healthcare Epidemiology of America 6,7 , the Society of Infectious Diseases Pharmacists 7 , and the American Society of Health-systems Pharmacists 7,8 . In addition, the Centers for Disease Control and Prevention (CDC) included the need for "drug expertise" provided by a "pharmacy leader" as a one of the core elements in their "Core Elements of Hospital Antimicrobial Stewardship Programs" guidance.…”

mentioning

confidence: 99%

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Preventing the Post-Antibiotic Era by Training Future Pharmacists as Antimicrobial Stewards

Gallagher

Justo

Chahine

et al. 2018

American Journal of Pharmaceutical Education

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Section: Promote Interprofessional Antimicrobial Stewardship Educationmentioning

confidence: 99%

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confidence: 99%

Preventing the Post-Antibiotic Era by Training Future Pharmacists as Antimicrobial Stewards

Gallagher

Justo

Chahine

et al. 2018

American Journal of Pharmaceutical Education

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“…[5][6][7][8][9][10][11][12][13] Organizations have published guidelines aimed at improving antibiotic prescription practices of healthcare providers and, based on these guidelines, some children's hospitals have successfully implemented antimicrobial stewardship programs (ASPs). [14][15][16][17][18][19][20] Information on the design and implementation of NICU-specific ASPs, however, remains extremely limited. In 2012, Patel and Saiman 21 modified aspects of the Get Smart for Healthcare campaign 17 and created a blueprint for such a program.…”

mentioning

confidence: 99%

Implementation of an Antimicrobial Stewardship Program in a Neonatal Intensive Care Unit

Nzegwu

Rychalsky

Nallu

et al. 2017

Infect. Control Hosp. Epidemiol.

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objective. To evaluate antimicrobial utilization and prescription practices in a neonatal intensive care unit (NICU) after implementation of an antimicrobial stewardship program (ASP).design. Quasi-experimental, interrupted time-series study.setting. A 54-bed, level IV NICU in a regional academic and tertiary referral center.patients and participants. All neonates prescribed antimicrobials from January 1, 2011, to June 30, 2016, were eligible for inclusion.intervention. Implementation of a NICU-specific ASP beginning July 2012.methods. We convened a multidisciplinary team and developed guidelines for common infections, with a focus on prescriber audit and feedback. We conducted an interrupted time-series analysis to evaluate the effects of our ASP. Our primary outcome measure was days of antibiotic therapy (DOT) per 1,000 patient days for all and for select antimicrobials. Secondary outcomes included provider-specific antimicrobial prescription events for suspected late-onset sepsis (blood or cerebrospinal fluid infection at >72 hours of life) and guideline compliance.results. Antibiotic utilization decreased by 14.7 DOT per 1,000 patient days during the stewardship period, although this decrease was not statistically significant (P = .669). Use of ampicillin, the most commonly antimicrobial prescribed in our NICU, decreased significantly, declining by 22.5 DOT per 1,000 patient days (P = .037). Late-onset sepsis evaluation and prescription events per 100 NICU days of clinical service decreased significantly (P < .0001), with an average reduction of 2.65 evaluations per year per provider. Clinical guidelines were adhered to 98.75% of the time.conclusions. Implementation of a NICU-specific antimicrobial stewardship program is feasible and can improve antibiotic prescribing practices.

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“…Antimicrobial Stewardship merupakan hasil kesepakatan dari Infectious Diseases Society of America (IDSA), Society for Healthcare Epidemiology of America (SHEA), dan Pediatric Infectious Diseases Society (PIDS) mengacu kepada intervensi terkoordinasi yang dirancang untuk memperbaiki dan mengukur ketepatan penggunaan dari agen antibiotik dengan mendorong pada pemilihan regimen antibiotik secara optimal seperti dosis, durasi terapi, dan rute pemberian [5].…”

Section: Pendahuluanunclassified

Audit Secara Prospektif terhadap Antimicrobial Stewardship Program pada Pasien Kanker Payudara di RSUP Dr. M. Djamil Padang

et al. 2017

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Pembedahan yang digunakan sebagai bagian dari pengobatan kanker payudara memiliki potensi risiko infeksi karena pengaruh flora normal pada tubuh dan udara di lingkungan rawat inap. Keefektifan suatu antibiotik dipengaruhi oleh resistensi bakteri terhadap antibiotik. Tujuan penelitian ini untuk mengetahui pola bakteri, pola sensitifitas antibiotik dan pola penggunaan antibiotik pada pasien kanker payudara di bangsal bedah RSUP Dr. M. Djamil Padang pada bulan April - September 2017. Penelitian ini dilakukan secara prospektif menggunakan metode observasi yang bersifat deskriptif. Pola bakteri pada pasien ditemukan Staphylococcus aureus dan Klebsiella sp. sedangkan pada udara ditemukan bakteri Staphylococcus aureus, Staphylococcus epidermidis dan Klebsiella sp. Berdasarkan pola sensitifitas bakteri terhadap antibiotik selama bulan April-Mei 2017 maka yang tergolong baik (>80%) adalah amoksisilin/asam klavulanat dan meropenem sementara pada bulan Agustus-September 2017 adalah meropenem. Pola sensitifitas bakteri udara selama bulan April-Mei 2017 tidak ditemukan yang tergolong baik sedangkan pada bulan Agustus-September 2017 adalah gentamisin, siprofloksasin dan meropenem. Dari total pasien sebanyak 32 orang, yang memenuhi kriteria inklusi hanya 7 orang pasien. Pola penggunaan antibiotik terbanyak pada pasien adalah seftriakson dengan jumlah 7(77,8%) dan terjadi perubahan pola sensitifitas antibiotik seftriakson pada bulan April - Mei 2017 yaitu sensitif (66,7%) menjadi (33,3%) pada bulan Agustus-September 2017. Evaluasi kerasionalan penggunaan antibiotik, diperoleh 6(66,7%) tepat obat, 9(100%) tepat dosis, 7(77,8%) tepat lama pemberian 9(100%) tepat rute,7(100%) tepat pasien dan 4(45,1%) tepat indikasi serta potensi interaksi obat sebanyak 1(14,3%) yaitu potensi minor.

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

Cited by 2,242 publications

References 215 publications

Preventing the Post-Antibiotic Era by Training Future Pharmacists as Antimicrobial Stewards

Preventing the Post-Antibiotic Era by Training Future Pharmacists as Antimicrobial Stewards

Implementation of an Antimicrobial Stewardship Program in a Neonatal Intensive Care Unit

Audit Secara Prospektif terhadap Antimicrobial Stewardship Program pada Pasien Kanker Payudara di RSUP Dr. M. Djamil Padang

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