Antimicrobial Stewardship Programs in Latin America and the Caribbean: A Story of Perseverance, Challenges, and Goalsdoi:10.3390/antibiotics12081342CARIBBEANANTIMICROBIAL stewardshipCLINICAL decision support systemsDECISION support systemsDRUG resistance in microorganisms...
Antimicrobial stewardship programs: methods of operation and suggested outcomes. Expert review of anti-infective therapy. 2012 Jan 1; 10(1): 63-73.Griffith M, Postelnick M, Scheetz M. Antimicrobial stewardship programs: methods of operation and suggested outcomes. Expert Rev Anti Infect Ther 2012...
A targeted application of antimicrobial stewardship (AMS) principles\nto the ambulatory setting has the potential to affect the most common indications for systemic antibiotic use in that the majority (80%) of antibiotic use occurs in the community, with acute respiratory-tract infections being the ...
The hospital takes action on improvement opportunities identified by the antibiotic stewardship program. Some common models, such as Plan-Do-Study-Act (PDSA) cycle, emphasize continuous improvement with iterative cycles, whereas LEAN and Six Sigma focus on reducing waste and standardizing processes to ...
Clinical decision support systems, biomarker-derived treatment algorithms, and improved knowledge regarding the different components of antimicrobial therapy represent some of the advances that have been made in stewardship. Yet, significant obstacles have prevented the full achievement of stewardship's goals...
It is important to measure the impact of our stewardship program in a variety of mechanisms. We can now set goals for our program and do a deeper dive into measuring meaningful outcomes. For example, we can track how our ASP reduces cost, length of stay, number ofClostridium difficilecases...
Other components necessary to ensure the ASP's success include recruiting key personnel, the support of the hospital administration, integration with the clinical microbiology laboratory, and well-defined program goals and metrics (Dellit et al., Clin. Infect. Dis. 44:159-177, 2007). 展开 ...
Antimicrobial stewardship (AMS) describes a coherent set of actions that ensure optimal use of antimicrobials to improve patient outcomes, while limiting the risk of adverse events (including antimicrobial resistance (AMR)). Introduction of AMS programmes in hospitals is part of most national action pl...
[12,13,15,30]. Data can inform the implementation of infection prevention and control programs such as antimicrobial stewardship programs [30,50]. Aggregated multi-sectoral National Surveillance data on AMR help to track trends of resistance across sectors, benchmark data, and implement and update...
This is a curious finding, but is likely related to an insufficient understanding of the need for stewardship of novel antimicrobials. Strong industrial policies. In addition to the discussion above of the importance of policy direction in P&B, almost all our interviewees mentioned changes in the...