Antimicrobial stewardship interventions: thinking inside and outside the box

Keith W Hamilton; Neil O Fishman

doi:10.1016/j.idc.2014.01.003

Antimicrobial stewardship interventions: thinking inside and outside the box

Infect Dis Clin North Am. 2014 Jun;28(2):301-13. doi: 10.1016/j.idc.2014.01.003.

Authors

Keith W Hamilton¹, Neil O Fishman²

Affiliations

¹ Healthcare Epidemiology, Infection Prevention and Control, Hospital of the University of Pennsylvania, Suite 101 Penn Tower, One Convention Avenue, Philadelphia, PA 19104, USA. Electronic address: Keith.Hamilton@uphs.upenn.edu.
² Healthcare Epidemiology, Infection Prevention and Control, Hospital of the University of Pennsylvania, Suite 101 Penn Tower, One Convention Avenue, Philadelphia, PA 19104, USA.

PMID: 24857395
DOI: 10.1016/j.idc.2014.01.003

Abstract

At present, less than half of all acute health care facilities have antimicrobial stewardship programs. By targeting areas that are vulnerable to inappropriate antimicrobial use and by using novel strategies to increase the reach of stewardship interventions, providers can make antimicrobial stewardship a universal practice in all health care settings. This review discusses how stewardship can make large impacts in areas where it has traditionally been absent in facilities both with and without formal antimicrobial stewardship programs.

Keywords: Antimicrobial stewardship; End of life; Multidisciplinary rounds; Penicillin skin testing; Transitions in care; Ward rounds.

Publication types

Review

MeSH terms

Anti-Infective Agents / therapeutic use*
Continuity of Patient Care / standards
Drug Hypersensitivity / diagnosis
Drug Hypersensitivity / prevention & control
Drug Resistance, Microbial*
Drug Utilization / standards
Hospitals
Humans
Inappropriate Prescribing / prevention & control*
Practice Guidelines as Topic / standards

Substances

Anti-Infective Agents