Point-of-prescription interventions to improve antimicrobial stewardship.

TitlePoint-of-prescription interventions to improve antimicrobial stewardship.
Publication TypeJournal Article
Year of Publication2015
AuthorsHamilton KW, Gerber JS, Moehring R, Anderson DJ, Calderwood MS, Han JH, Mehta JM, Pollack LA, Zaoutis TE, Srinivasan A, Camins BC, Schwartz DN, Lautenbach E
Corporate AuthorsCenters for Disease Control and Prevention Epicenters Program
JournalClin Infect Dis
Volume60
Issue8
Pagination1252-8
Date Published04/2015
ISSN1537-6591
Abstract

Antimicrobial stewardship is pivotal to improving patient outcomes, reducing adverse events, decreasing healthcare costs, and preventing further emergence of antimicrobial resistance. In an era in which antimicrobial resistance is increasing, judicious antimicrobial use is the responsibility of every healthcare provider. Antimicrobial stewardship programs (ASPs) have made headway in improving antimicrobial prescribing using such "top-down" methods as formulary restriction and prospective audit with feedback; however, engagement of prescribers has not been fully explored. Strategies that include frontline prescribers and other unit-based healthcare providers have the potential to expand stewardship, both to augment existing centralized ASPs and to provide alternative approaches to perform stewardship at healthcare facilities with limited resources. This review discusses interventions focusing on antimicrobial prescribing at the point of prescription as well as a pilot project to engage unit-based healthcare providers in antimicrobial stewardship.

DOI10.1093/cid/civ018
Alternate JournalClin. Infect. Dis.
PubMed ID25595748
PubMed Central IDPMC4415059
Grant ListFOA CK11-001 / CK / NCEZID CDC HHS / United States
K23 AI095357 / AI / NIAID NIH HHS / United States