Outpatient antibiotic stewardship: Interventions and opportunities

J Am Pharm Assoc (2003). Jul-Aug 2017;57(4):464-473. doi: 10.1016/j.japh.2017.03.014. Epub 2017 May 16.

Abstract

Improving the use of antibiotics across the continuum of care is a national priority. Data outlining the misuse of antibiotics in the outpatient setting justify the expansion of antibiotic stewardship programs (ASPs) into this health care setting; however, best practices for outpatient antibiotic stewardship (AS) are not yet defined. In a companion article, we focused on recommendations to overcome challenges related to the implementation of an outpatient ASP (e.g., building the AS team and defining program metrics). In this document, we outline AS interventions that have demonstrated success and highlight opportunities to enhance AS in the outpatient arena. This article summarizes examples of point-of-care testing, policies and interventions, and education strategies to improve antibiotic use that can be used in the outpatient setting.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Antimicrobial Stewardship / methods
  • Humans
  • Outpatients
  • Point-of-Care Testing

Substances

  • Anti-Bacterial Agents