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Pharmacist antimicrobial stewardship

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https://www.readbyqxmd.com/read/29792036/meeting-the-challenge-for-effective-antimicrobial-stewardship-programs-in-regional-rural-and-remote-hospitals-what-can-we-learn-from-the-published-literature
#1
Jaclyn Bishop, David Cm Kong, Thomas R Schulz, Karin A Thursky, Kirsty L Buising
INTRODUCTION: Antimicrobial resistance (AMR) has been recognised as an urgent health priority, both nationally and internationally. Australian hospitals are required to have an antimicrobial stewardship (AMS) program, yet the necessary resources may not be available in regional, rural or remote hospitals. This review will describe models for AMS programs that have been introduced in regional, rural or remote hospitals internationally and showcase achievements and key considerations that may guide Australian hospitals in establishing or sustaining AMS programs in the regional, rural or remote hospital setting...
May 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29744261/antimicrobial-stewardship-without-infectious-disease-physician-for-patients-with-candidemia-a-before-and-after-study
#2
Minoru Murakami, Hirokazu Komatsu, Masahide Sugiyama, Yuhei Ichikawa, Kyoko Ide, Rumi Tsuchiya, Kenji Kunieda, Akiko Magishi, Gaku Akiyama, Fumihide Miura, Kunihiko Okada, Masaya Ikezoe
Background: Little is known about the effects of antimicrobial stewardship team (AST) without infectious disease physician (IDP) on clinical outcome in patients with candidemia. Methods: We conducted a before and after study involving patients with hospital-acquired candidemia at a tertiary hospital without IDPs. The AST consisted of physicians, pharmacists, nurse, microbiologist, and administrative staff. A candidemia care bundle was developed based on the Infectious Disease Society of America (IDSA) guideline...
May 2018: Journal of General and Family Medicine
https://www.readbyqxmd.com/read/29733352/adaptation-of-a-hospital-electronic-referral-system-for-antimicrobial-stewardship-prospective-audit-and-feedback-rounds
#3
Matthew D M Rawlins, Edward Raby, Frank M Sanfilippo, Rae Douglass, Jonathan Chambers, Duncan McLellan, John R Dyer
Objective: To evaluate the impact of the adaptation of an existing electronic referral application for use in antimicrobial stewardship prospective audit and feedback rounds (antimicrobial rounds). Design: Retrospective, single-centre observational study between March 2015 and February 2016. Setting: A new quaternary referral centre. Study Participants: Adults referred for antimicrobial rounds outside of the intensive care and haematology units...
May 4, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29730141/characteristics-of-antimicrobial-stewardship-programmes-in-rural-east-texas-hospitals
#4
Jonathan C Cho, Rebecca L Dunn, Frank Yu, Grace A Loredo, Bradley Brazill
INTRODUCTION: Antimicrobial stewardship programs (ASPs) serve as the primary method to prevent and manage the development of antimicrobial resistance. Rural settings may lack the recommended personnel and resources needed to provide antimicrobial stewardship services. METHODS: An electronic survey was distributed via e-mail to pharmacy directors or antimicrobial stewardship programme directors of licensed hospitals within the Public Health Region 4/5N of East Texas...
May 3, 2018: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29720908/implementation-and-impact-of-an-antimicrobial-stewardship-program-at-a-non-freestanding-children-s-hospital
#5
J Michael Klatte, Kathleen Kopcza, Alexander Knee, Evan R Horton, Erica Housman, Donna J Fisher
OBJECTIVES: Pediatric Antimicrobial Stewardship Programs (ASP) have been associated with improvements in antibiotic utilization and patient outcomes; however, ASP studies originating from non-freestanding children's hospitals are lacking. In this study, we present the implementation and impact of a multidisciplinary ASP that employs a collaborative physician and pharmacist driven thrice-weekly prospective audit-with-feedback approach at a non-freestanding children's hospital. METHODS: Implementation was assessed via descriptive design...
March 2018: Journal of Pediatric Pharmacology and Therapeutics: JPPT: the Official Journal of PPAG
https://www.readbyqxmd.com/read/29718437/antibiotic-resistance-in-travellers-diarrhoeal-disease-an-external-perspective
#6
Geeta Hitch, Naomi Fleming
Background: There are many recommendations on the use of antibiotics for prophylaxis and treatment of travellers' diarrhoea (TD). As pharmacists with a special interest in antimicrobial stewardship, we examine and offer our perspective on advice that is recommended to travellers in terms of prevention, treatment and management of TD with a focus on antibiotic use and resistance. Methods: Publications on TD were identified through PubMed, Google Scholar and Cochrane Library databases searches using search terms 'travellers diarrhoea', 'travellers diarrhoea', 'travellers' diarrhoea' 'guidelines', 'expert opinion', 'expert reviews', 'South Asia' and 'South East Asia' (S and SE Asia), 'antibiotics', 'resistance genes', 'travel advice', 'pharmacists', 'guidelines', 'prevention' and 'treatment'...
May 1, 2018: Journal of Travel Medicine
https://www.readbyqxmd.com/read/29661158/effect-of-an-intervention-targeting-inappropriate-continued-empirical-parenteral-vancomycin-use-a-quasi-experimental-study-in-a-region-of-high-mrsa-prevalence
#7
Pyoeng Gyun Choe, Hei Lim Koo, Doran Yoon, Ji Yun Bae, Eunyoung Lee, Joo-Hee Hwang, Kyoung-Ho Song, Wan Beom Park, Ji Hwan Bang, Eu Suk Kim, Hong Bin Kim, Sang Won Park, Myoung-Don Oh, Nam Joong Kim
BACKGROUND: Despite vancomycin use is a major risk factor for the emergence of vancomycin resistance, it is frequently inappropriately prescribed, especially as empirical treatment. We evaluated the effect of an antimicrobial stewardship intervention targeting for inappropriate continued empirical vancomycin use. METHODS: This was a quasi-experimental study comparing vancomycin use in a 6-month pre-intervention and 6-month intervention period. If empirical vancomycin was continued for more than 96 h without documentation of beta-lactam-resistant gram-positive microorganisms, it was considered inappropriate continued empirical vancomycin use...
April 16, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29547995/diagnostic-stewardship-opportunity-for-a-laboratory-infectious-diseases-partnership
#8
Robin Patel, Ferric C Fang
Recent advances in microbial diagnostics are providing clinicians with information about microbes causing infections and their resistance to antimicrobial agents more rapidly than ever before. Diagnostic stewardship refers to the appropriate use of laboratory testing to guide patient management, including treatment, in order to optimize clinical outcomes and limit the spread of antimicrobial resistance. Fulfilling the promise of diagnostic stewardship requires a seamless partnership between clinical laboratories, pharmacists, and infectious diseases clinicians, so that appropriate tests are ordered and diagnostic information is translated into appropriate management in real time...
March 14, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29510453/addressing-social-influences-reduces-antibiotic-duration-in-complicated-abdominal-infection-a-mixed-methods-study
#9
Jennifer Broom, Chin Li Tee, Alex Broom, Mark D Kelly, Tahira Scott, David A Grieve
BACKGROUND: Antimicrobial therapy for intra-abdominal infections is often inappropriately prolonged. An intervention addressing factors influencing the duration of intravenous antibiotic use was undertaken. This study reports the antibiotic prescribing patterns before and after the intervention and a qualitative analysis of the experience of the intervention. METHODS: Quantitative: A retrospective audit of patients with complicated intra-abdominal infection before and after a multifaceted persuasive intervention was performed...
March 6, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29466261/engaging-nurses-in-optimizing-antimicrobial-use-in-icus-a-qualitative-study
#10
Lianne Jeffs, Madelyn P Law, Michelle Zahradnik, Marilyn Steinberg, Maria Maione, Linda Jorgoni, Chaim M Bell, Andrew M Morris
Antimicrobial stewardship programs (ASPs) have predominately involved infectious diseases physicians and pharmacists with little attention to the nurses. To achieve optimal success of ASPs, engagement of nurses to actively participate in initiatives, strategies, and solutions to combat antibiotic resistance across the health care spectrum is required. In this context, the experiences of local ASP teams engaging nurses in appropriate antimicrobial use were explored to inform future strategies to enhance their involvement in ASPs...
April 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29462430/education-and-management-of-antimicrobials-amongst-nurses-in-africa-a-situation-analysis-an-infection-control-africa-network-ican-bsac-online-survey
#11
Andre N H Bulabula, Abi Jenkins, Shaheen Mehtar, Dilip Nathwani
Objectives: To assess the current involvement of nurses in the use and management of antimicrobials and their training in antimicrobial stewardship (AMS) across Africa. Methods: After a pilot study, an online questionnaire (SurveyMonkey) in both French and English was circulated via the Infection Control Africa Network (ICAN) mailing list to both members and non-members in Africa. The study was conducted from 26 May to 19 August 2016. Data were summarized in proportions and bar charts; proportions were compared using the χ2 test...
February 15, 2018: Journal of Antimicrobial Chemotherapy
https://www.readbyqxmd.com/read/29441876/evaluation-of-antimicrobial-stewardship-as-for-appropriate-use-of-antimicrobial-agents
#12
T Matsuoka, M Kato, Y Shinoda, K Ohashi, S Yoshida, T Mori, T Tachi, T Yoshimura, H Teramachi
We implemented an antimicrobial stewardship (AS) program whereby pharmacists sought appropriate use of antimicrobial agents in January 2012. At that time, we targeted anti-methicillin-resistant Staphylococcus aureus (MRSA) agents and carbapenems; however, in January 2014, we added tazobactam/piperacillin (TAZ/PIPC). We evaluated outcomes using multilateral analyses. The average one-day dosage of carbapenems increased; however, the duration of administration and number of recipient patients decreased significantly (P < 0...
May 1, 2017: Die Pharmazie
https://www.readbyqxmd.com/read/29436317/the-role-of-an-antimicrobial-stewardship-team-in-the-use-of-rapid-diagnostic-testing-in-acute-care-an-official-position-statement-of-the-society-of-infectious-diseases-pharmacists
#13
Brandon Hill, Navaneeth Narayanan, Elizabeth Palavecino, Katherine K Perez, Sasha Premraj, Amber Streifel, Rebekah H Wrenn, Kristen Zeitler
Rapid diagnostic technologies can assist Antimicrobial Stewardship Programs (ASPs) in achieving the goals of reducing unnecessary antimicrobial exposure and optimizing patient care. The Society of Infectious Diseases Pharmacists supports all members of the ASP team as essential components of optimal use of these technologies for management of antibiotic prescribing and cost-reduction strategies. Infect Control Hosp Epidemiol 2018;39:473-475.
April 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29420185/landscape-of-antimicrobial-stewardship-programs-in-ontario-a-survey-of-hospitals
#14
Valerie Leung, Julie Hui-Chih Wu, Bradley J Langford, Gary Garber
BACKGROUND: Antimicrobial resistance is an important public health issue globally and in Canada. To understand the current state of antimicrobial stewardship programs in Ontario health care facilities, Public Health Ontario conducted a voluntary survey of hospitals in the province. METHODS: The Ontario Antimicrobial Stewardship Program Landscape Survey was distributed online to hospitals, targeting front-line antimicrobial stewardship clinicians. The survey was open for 5 weeks in fall 2016...
February 2, 2018: CMAJ Open
https://www.readbyqxmd.com/read/29418054/evaluation-of-treatment-outcomes-of-patients-with-mrsa-bacteremia-following-antimicrobial-stewardship-programs-with-pharmacist-intervention
#15
Kengo Ohashi, Tomoko Matsuoka, Yasutaka Shinoda, Yasuyuki Fukami, Joe Shindoh, Tetsuya Yagi, Tomoaki Yoshimura, Tadashi Sugiyama
BACKGROUND: Methicillin-resistant Staphylococcus aureus bacteremia (MRSA-B) is associated with high mortality and implementing an appropriate antimicrobial stewardship (AS) program with treatment intervention is essential. The aim of this study was to evaluate the impact of AS with pharmacist intervention on patients with MRSA-B. METHODS: Patients who were diagnosed with MRSA-B between January 2012 and April 2013 were defined as the pre-intervention group, while those diagnosed between May 2013 and December 2015 were defined as the intervention group (ie, AS with pharmacist intervention)...
March 2018: International Journal of Clinical Practice
https://www.readbyqxmd.com/read/29403295/knowledge-of-community-pharmacists-about-antibiotics-and-their-perceptions-and-practices-regarding-antimicrobial-stewardship-a-cross-sectional-study-in-punjab-pakistan
#16
Muhammad Rehan Sarwar, Anum Saqib, Sadia Iftikhar, Tayyaba Sadiq
Objective: To evaluate the knowledge of community pharmacists about antibiotics, and their perceptions and practices toward antimicrobial stewardship (AMS) in Punjab, Pakistan. Materials and methods: A descriptive cross-sectional study was conducted among community pharmacists in Punjab, Pakistan from April 1, 2017 to May 31, 2017. A self-administered and pretested questionnaire was used for data collection. A simple random-sampling method was used to select community pharmacies...
2018: Infection and Drug Resistance
https://www.readbyqxmd.com/read/29402327/mapping-educational-opportunities-for-healthcare-workers-on-antimicrobial-resistance-and-stewardship-around-the-world
#17
Susan Rogers Van Katwyk, Sara L Jones, Steven J Hoffman
BACKGROUND: Antimicrobial resistance is an important global issue facing society. Healthcare workers need to be engaged in solving this problem, as advocates for rational antimicrobial use, stewards of sustainable effectiveness, and educators of their patients. To fulfill this role, healthcare workers need access to training and educational resources on antimicrobial resistance. METHODS: To better understand the resources available to healthcare workers, we undertook a global environmental scan of educational programs and resources targeting healthcare workers on the topic of antimicrobial resistance and antimicrobial stewardship...
February 5, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29389462/the-expanding-role-of-antimicrobial-stewardship-programs-in-hospitals-in-the-united-states-lessons-learned-from-a-multisite-qualitative-study
#18
Shashi N Kapadia, Erika L Abramson, Eileen J Carter, Angela S Loo, Rainu Kaushal, David P Calfee, Matthew S Simon
BACKGROUND: Misuse of antibiotics can lead to the development of antibiotic resistance, which adversely affects morbidity, mortality, length of stay, and cost. To combat the threat of antimicrobial resistance, The Joint Commission and the Centers for Medicare & Medicaid Services have initiated or proposed requirements for hospitals to have antimicrobial stewardship programs (ASPs), but implementation remains challenging. A key-informant interview study was conducted to describe the characteristics and innovative strategies of leading ASPs...
February 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29370071/characteristics-of-pediatric-antimicrobial-stewardship-programs-current-status-of-the-sharing-antimicrobial-reports-for-pediatric-stewardship-sharps-collaborative
#19
Christopher McPherson, Brian R Lee, Cindy Terrill, Adam L Hersh, Jeffrey S Gerber, Matthew P Kronman, Jason G Newland
In response to the growing epidemic of antibiotic-resistant bacterial infections, antimicrobial stewardship programs (ASP) have been rapidly implemented in the United States (US). This study examines the prevalence of the Centers for Disease Control and Prevention's (CDC) seven core elements of a successful ASP within a large subset of US Children's Hospitals. In 2016, a survey was conducted of 52 pediatric hospitals assessing the presence of the seven core elements: leadership commitment, accountability, drug expertise, action, tracking, reporting, and education...
January 25, 2018: Antibiotics
https://www.readbyqxmd.com/read/29334865/-i-never-would-have-caught-that-before-pharmacist-perceptions-of-using-clinical-decision-support-for-antimicrobial-stewardship-in-the-united-states
#20
Christopher A Giuliano, Juliann Binienda, Pramodini B Kale-Pradhan, Mohamad G Fakih
To systematically improve the appropriateness of antibiotic prescribing, antimicrobial stewardship programs have been developed. There is a paucity of literature examining how pharmacists perform antimicrobial stewardship using a clinical decision support system in a hospital setting. The purpose of this qualitative study was to develop a model exploring how pharmacists perform antimicrobial stewardship to identify areas for programmatic improvement. Semistructured interviews were conducted across a health care system until saturation of themes was reached...
April 2018: Qualitative Health Research
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