Optimisation of antimicrobial use is the overriding goal of any antimicrobial stewardship programme (ASP). Ultimately, it is about finding the balance between effective use and overuse – equating to managing proper selection, duration, dose, and route of administration. This process should aim to enhance clinical outcomes by improving the efficacy of identified drugs and lowering the risk of unintentional consequences associated with antimicrobial use. In tandem with improved patient care, the programme should result in cost efficiencies associated with decreased use of antimicrobials, minimised ADEs and appropriate length of stay (LOS). To successfully achieve these aims, an ASP should include methods for:
- · Tracking and reducing antimicrobial resistance.
- · Encouraging appropriate treatment patterns.
- · Collaboration between physicians, pharmacy, laboratory personnel and infection preventionists with best patient outcome in mind.
- · Ongoing and formalised education of staff and providers.
Reference:
Guidelinesfor Developing an Institutional Programme to Enhance Antimicrobial Stewardship.
Clinical Infectious Diseases 2007; 44: 159-77
Posted by Tim Sandle
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