How to Organize an Antimicrobial Stewardship Team in a Hospital. Bojana Beović
|
|
- Ann Pierce
- 6 years ago
- Views:
Transcription
1 How to Organize an Antimicrobial Stewardship Team in a Hospital Bojana Beović University Medical Centre Ljubljana Faculty of Medicine, University of Ljubljana, Slovenia
2 Antibiotic Stewardship: The Definition Antimicrobial stewardship encompasses a wide range of processes and interventions that are designed to ensure that antibiotics are used in the most effective manner. The goals of antibiotic stewardship can be summarised in optimising therapy for individual patients; preventing overuse and misuse; and minimising the development of resistance at patient and community level.
3 Antibiotic Stewardship: The Definition Antimicrobial stewardship encompasses a wide range of processes and interventions that are designed to ensure that antibiotics are used in the most effective manner. The goals of antibiotic stewardship can be summarised in optimising therapy for individual patients; preventing overuse and misuse; and minimising the development of resistance at patient and community level.
4 Antimicrobial Stewardship Interventions Recommended by IDSA/SHEA 2016 preauthorization and/or prospective audit and feedback education local guidelines treatment of specific syndromes limiting the use of antibiotics associated with Clostridium difficile diarrhea TDM, PK/PD dosing optimisation of switch to oral and duration of treatment implementation of computerized prescribing.
5
6 Multidisciplinary team: AIII Multidisciplinary team: A
7 Interventions to improve antibiotic prescribing practices for hospital inpatients (review) Davey P, Brown E, Fenelon L, et al. Cochrane Database of Systematic Reviews 2005; Issue 4. Art.No CD Publications 1966 to Nov Publications from 1980 to the end of 2006
8 Deliverer of the Intervention to to % 50% 40% Other: primary team, policy change, computers. Davey P, et al and % 20% 10% 0% multidisciplinary team before 2003 after 2003
9 The Role of the Team decrease in mortality reduction in nosocomial infections shorter length of hospital stay improved quality of prescribing fewer drug-related adverse events Gums JG, et al. Pharmacother 1999; 19: Solomon DH, et al. Arch Intern Med. 2001;161: Carling P, et al. Infect Control Hosp Epidemiol 2003;24: Bantar C, et al. Int J Infect Dis 2006;10: Bevilacqua S, et al. Int J Clin Pharm 2011;33: Danaher PJ, 33. Diamantis S, Med Mal Infect 2010;40: (II). 34. Gendrin V, et al. Presse Med. 2012;41:e Bauer S, et al. Med Mal Infect. 2012;42:603 7.
10 Multidisciplinary team: Infectious disease physician Pharmacist with antimicrobial stewardship training Compensated for their time Clinical microbiologist Information system specialist Infection control professional Hospital epidemiologist Recommendation AIII
11 Infectious diseases physician (or clinician with infectious diseases training) experienced clinical pharmacist/hospital pharmacist specialist in microbiology, virology and infection epidemiology physician locally responsible for infection control.
12 The Leading Role of ID Physician in Multidisciplinary Antimicrobial Stewardship Team (MAST) increased acceptance and compliance of the program by other physicians reduced perception that a stewardship program is a pharmacydriven cost-saving scheme Dellit TH, et al. Clin Infect Dis 2007; Tamma PD, Cosgrove SE. Infect Dis Clin N Am 2011; 25:
13 The Impact of Infectious Diseases Specialist Consultations More appropriate empirical and targeted treatment Adjustment of treatment Less complications Lower mortality Shorter LOS Shorter mechanical ventilation Earlier discountinuation of treatment More frequent switch to oral Less cost (ambiguous results of some studies) Uckay I, et al. J Infect 2009, Borer A, et al. Clin Microbiol Infect 2004; 10: , Rainieri E, et al. Am J Infect Control 2008; 36: , Honda H, et al. Am J Med 2010; 123:631-7., Fluckiger U, et al. EJCMID 2000; 19: , Byl B, et al. Clin Infect Dis 1999; 29: Classen DC, et al. Clin Infect Dos 1997; 24:
14 IDP and Antibiotic Stewardship Programmes: 1993 Clin Infect Dis 1997; 24: Cases with IDP consultation had longer lengths of hospital stays, longer intensive care unit lengths of stays, and higher antibiotic costs than did matched controls. Consultation in the last one-third: shorter length of stay and lower cost
15 101,991 hospital stays with and 170,336 without ID consultation Adjustment analysis showed that ID interventions were done in more severely ill patients Significantly lower mortaliy and readmission rate with ID intervention If intervention was performed within 2 days of admission, the patients had significantly lower mortality, re-admission rate, hospital and ICU stay, and cost of treatment
16
17 Compliance to Recommendations: does experience matter? Recommendations were followed less often when given by the 1 st year trainees than older trainees (69.7 vs 78.5%, p=0.02, but non-significant with the logistic regression analysis) Sipahi OP, et al. Int J Infect Dis 2007; 11: Compliance to the advice of board-certified IDP was higher than to the advice of a trainee (89 vs 74%, p=0.02) Gennai S, et al. Med Mal Infect 2009; 39: Decrease in compliance to the advice and increase in broad-spectrum antibiotic prescribing after the replacement of senior doctors by trainees. Yeo CL, et al. Antimicrob Res Infect Control 2012, 1:36. Compliance to the advice is related to the year since the fellowhsip of the deliverer: < 6 years: 81% 6-10 years: 89% > 10 years: 77% Lo E, et al. Clin Infect Dis 2004; 38:
18 How Far to Go: just an advice or total control? (DDD/100 patient-days) A, restricted antibiotics under ID control, B, restricted antibiotics approved by head of the department, C, total ID control 1,2 1 NS A B C 0,8 NS 0,6 0,4 P= , Beović B, Čižman M, Seme K, Kreft S. J Chemother 2009; 21:46-61.
19 Responsibility? The AS team member? The primary team? Shared responsibility?
20 Bed-side consultations are more effective than telephone in patients with S. aureus bacteremia 342 episodes of S. aureus bacteremia, 72% bedside consultations Less ICU admissions (OR 0.35) More deep foci of infection identified (OR 3.11) Lower mortality rate (7-days: OR 0.09, 28-days: OR 0.27, 90-days: OR 0.25) Deleterious effect of telephone consultation on 90-days mortality (OR 2.31 in comparison with bed-side consultation) in multivariate analysis Forsblom E, et al. Clin Infect Dis 2013;56:
21 Bedside consultations found as one of 6 successful interventions in antimicrobial stewardship. Lancet Infect Dis 2016;16:
22 If there are no ID physicians in the hospital: ABS officer: at least one trained physician who dedicates a portion of his/her time to the design, implementation and function of the program
23 The Pharmacists in Antimicrobial Switch to oral Stewardship Better adherence to guidelines Shorter duration of therapy Reduced cost Dose adjustment to impaired organ function Weber A, et al. Zenttalbl Chir 2011; 136:66-73., McLaughlin CM, et al. QJM 2005; 98: , Toth NR, et al. Am J Health Syst Pharm 2010; 67:746-9., Dunn K, et al. Int J Clin Pharm 2011; 33: , Bailey TV, et al. Pharmacotherapy 1997; 17: , Dranitsaris G, et al. Int J Technol Assess Health Care 2001; 17:
24 Education of pharmacists in antimicrobial stewardship and prescribing UK: Clinical Pharmacy Association Pharmacy Infection Network has developed a professional curriculum for antimicrobial pharmacists. USA: several educational programmes for ID pharmacists which include some aspects of antibiotic stewardship. Scottish Doctors Online Training System (DOTS). Chahine AB, et al. Journal of Pharmacy Practice 2015; 28: Nathwani D, et al. J Antimicrob Chemother 2011; 70:
25 The expertise of the medical microbiologist to establish local guidelines for laboratory diagnostics of infection including pre-analytical specimen management to report microbiological results in accordance with national and international quality standards accessible current surveillance data on pathogens use of targeted diagnostic tests, rapid reporting and professional communication of results Antimicrobial consultations on the wards De With K, et al. Infection 2016DOI /s z Kathari A, et al. EJCMID 2008;14: O Neill E, et al. Clin Infect Dis 2005; 40:636-7.
26 ID or CM for antimicrobial stewardship on ward level Clin Microbiol Infect 2005; 11 (Suppl. 1): 28 32
27 - unrecognized - underestimated - centrally positioned at bedside - 24/7 Clin Infect Dis 2016; 62:84-9.
28 Nurses in Antimicrobial Stewardship: the Educational Needs Olans RD, et al. J Contin Nurs Educ 2015; 46:
29 How Many Physicians for an AS Team in a Hospital?
30 Staffing for infectious diseases, clinical microbiology and infection control in hospitals in 2015: results of an ESCMID member survey The median ID/CM/IC physician per 100 hospital beds ratio was 1.12 (interquartile range ) In hospitals performing basic ASP and IC (including local antibiotic guidelines and monitoring device related or surgical site infections), the ratio was 1.21 (interquartile range ). In hospitals performing regular ASP and IC activities, including the publication of local antibiotic guidelines and monitoring device-related or surgical site infection without a specialized ID ward or dedicated beds for IDs the the median was 0.68 (IQR ) physicians per 100 hospital beds. Dickstein Y, et al. Clin Microbiol Infect Sep;22(9):812.e9-812.e17
31 Based on several studies analysing the impact of the AS interventions in the hospitals: 0.5 and 1.5 fulltime equivalent posts depending on the number of beds (~200 to ~900) or level of care provided, equating to one full-time equivalent of 0.5 per beds.
32 Human Resources Needed to Perform Antimicrobial Stewardship Teams' Activities in French Hospitals The human resources needed to implement all AST's activities were estimated at full-time equivalent (FTE) positions/1000 acute care beds for antibiotic/infectious disease lead supervisors FTE/1000 beds for pharmacists FTE/1000 beds for microbiologists Med Mal Infect 2016;46(4):200-6.
33 The Committee
34 2166 hospital beds 115,599 admissions Average length of stay: 5.64 days 7884 employees 1212 medical doctors Antibiotic Committee since 1976 Members: ID, CM, IC, pharmacy Surgery, medicine, hematology, ICU, ENT, ophtalmology, pediatrics, gynecology, dermatology, neurology The Committee meets 2/ year The Committee discuss the antimicrobial consumption and resistance data and makes decisions about hospital-wide interventions
35 Conclusions Set up a Committee Roll out a team The team members must be compensated (not an add-on activity!) Keep AS as bed-side activity Invest in education of team members Never give up
36 Welcome to ESGAP!
37 Welcome to ESGAP Why? You will automatically receive ESGAP newsletters You will automatically be invited to subscribe to the ESGAP Open Virtual Learning Community (OVLC) functions (receiving and suggesting posts, participating to the forum... ) You can suggest research projects to the ESGAP Executive Committee; You may be invited to participate in ESGAP research projects. How? Become an ESCMID member Apply to ESGAP membership
38 If You are Not an ESCMID Member? Click: and join
Optimizing Antimicrobial Stewardship Activities Based on Institutional Resources
Optimizing Antimicrobial Stewardship Activities Based on Institutional Resources Andrew Hunter, PharmD, BCPS Infectious Diseases Clinical Pharmacy Specialist Michael E. DeBakey VA Medical Center Andrew.hunter@va.gov
More informationStewardship tools. Dilip Nathwani Ninewells Hospital and Medical School Dundee, UK
Stewardship tools Dilip Nathwani Ninewells Hospital and Medical School Dundee, UK What is Antimicrobial Stewardship (AMS)? Antimicrobial stewardship has been defined as the optimal selection, dosage, and
More informationAntimicrobial stewardship
Antimicrobial stewardship Magali Dodemont, Pharm. with the support of Wallonie-Bruxelles International WHY IMPLEMENT ANTIMICROBIAL STEWARDSHIP IN HOSPITALS? Optimization of antimicrobial use To limit the
More information11/22/2016. Antimicrobial Stewardship Update Disclosures. Outline. No conflicts of interest to disclose
Antimicrobial Stewardship Update 2016 APIC-CI Conference November 17 th, 2016 Jay R. McDonald, MD Chief, ID Section VA St. Louis Health Care System Assistant Professor of medicine Washington University
More informationLinda Taggart MD FRCPC Infectious Diseases Physician Lead Physician, Antimicrobial Stewardship Program St. Michael s Hospital
Linda Taggart MD FRCPC Infectious Diseases Physician Lead Physician, Antimicrobial Stewardship Program St. Michael s Hospital no industry conflicts of interest salary support to lead Antimicrobial Stewardship
More informationJump Starting Antimicrobial Stewardship
Jump Starting Antimicrobial Stewardship Amanda C. Hansen, PharmD Pharmacy Operations Manager Carilion Roanoke Memorial Hospital Roanoke, Virginia March 16, 2011 Objectives Discuss guidelines for developing
More informationMAGNITUDE OF ANTIMICROBIAL USE. Antimicrobial Stewardship in Acute and Long Term Healthcare Facilities: Design, Implementation and Challenges
Antimicrobial Stewardship in Acute and Long Term Healthcare Facilities: Design, Implementation and Challenges John A. Jernigan, MD, MS Division of Healthcare Quality Promotion Centers for Disease Control
More informationASCENSION TEXAS Antimicrobial Stewardship: Practical Implementation Strategies
ASCENSION TEXAS Antimicrobial Stewardship: Practical Implementation Strategies Theresa Jaso, PharmD, BCPS (AQ-ID) Network Clinical Pharmacy Specialist Infectious Diseases Seton Healthcare Family Ascension
More informationUpdates in Antimicrobial Stewardship
Updates in Antimicrobial Stewardship Andrew Hunter, Pharm.D., BCPS Infectious Diseases Clinical Pharmacy Specialist Michael E. DeBakey VA Medical Center andrew.hunter@va.gov Disclosures No disclosures
More informationDr. Torsten Hoppe-Tichy, Chief Pharmacist. How to implement Antibiotic Stewardship without having the resources for that?
Dr. Torsten Hoppe-Tichy, Chief Pharmacist How to implement Antibiotic Stewardship without having the resources for that? No conflict of interests Questions to the audience (Yes/No) - Is it promising to
More informationPromoting Appropriate Antimicrobial Prescribing in Secondary Care
Promoting Appropriate Antimicrobial Prescribing in Secondary Care Stuart Brown Healthcare Acquired Infection and Antimicrobial Resistance Project Lead NHS England March 2015 Introduction Background ESPAUR
More informationThe International Collaborative Conference in Clinical Microbiology & Infectious Diseases
The International Collaborative Conference in Clinical Microbiology & Infectious Diseases PLUS: Antimicrobial stewardship in hospitals: Improving outcomes through better education and implementation of
More informationCommonwealth of Kentucky Antibiotic Stewardship Practice Assessment For Long-Term Care Facilities
Commonwealth of Kentucky Antibiotic Stewardship Practice Assessment For Long-Term Care Facilities Introduction As the problem of antibiotic resistance continues to worsen in all healthcare setting, we
More informationAntimicrobial Stewardship Advisory Committee Meeting
Antimicrobial Stewardship Advisory Committee Meeting August 25, 2016 3:00 PM-4:30 PM Washington State Dept of Health Room A42 1610 NE 150th St Shoreline, WA 98155 Call in: (571) 317-3116 Access Code: 211-449-029
More informationPOTENTIAL STRUCTURE INDICATORS FOR EVALUATING ANTIMICROBIAL STEWARDSHIP PROGRAMMES IN EUROPEAN HOSPITALS
POTENTIAL STRUCTURE INDICATORS FOR EVALUATING ANTIMICROBIAL STEWARDSHIP PROGRAMMES IN EUROPEAN HOSPITALS Dirk VOGELAERS Department of General Internal Medicine, Infectious Diseases and Psychosomatic Medicine
More informationIt s Time to Regulate Antimicrobial Stewardship Standards in Acute Care Settings. Emily Heil, PharmD, BCPS-AQ ID, AAHIVP
It s Time to Regulate Antimicrobial Stewardship Standards in Acute Care Settings Emily Heil, PharmD, BCPS-AQ ID, AAHIVP Conflict of Interest I have no conflicts of interest to disclose related to the content
More informationEVIDENCE BASED MEDICINE: ANTIBIOTIC RESISTANCE IN THE ELDERLY CHETHANA KAMATH GERIATRIC MEDICINE WEEK
EVIDENCE BASED MEDICINE: ANTIBIOTIC RESISTANCE IN THE ELDERLY CHETHANA KAMATH GERIATRIC MEDICINE WEEK EPIDEMIOLOGY AND BACKGROUND Every year, more than 2 million people in the United States acquire antibiotic-resistant
More informationDisclosures. Astellas. The Medicines Company. Theravance Biopharma
Disclosures Astellas The Medicines Company Theravance Biopharma Objectives Define antimicrobial stewardship using nationally accepted criteria Identify strategies to provide antimicrobial stewardship Review
More informationActive Bacterial Core Surveillance Site and Epidemiologic Classification, United States, 2005a. Copyright restrictions may apply.
Impact of routine surgical ward and intensive care unit admission surveillance cultures on hospital-wide nosocomial methicillin-resistant Staphylococcus aureus infections in a university hospital: an interrupted
More informationUPDATE ON ANTIMICROBIAL STEWARDSHIP REGULATIONS AND IMPLEMENTATION OF AN AMS PROGRAM
UPDATE ON ANTIMICROBIAL STEWARDSHIP REGULATIONS AND IMPLEMENTATION OF AN AMS PROGRAM Diane Rhee, Pharm.D. Associate Professor of Pharmacy Practice Roseman University of Health Sciences Chair, Valley Health
More informationNUOVE IPOTESI e MODELLI di STEWARDSHIP
Esperienze di successo di antimicrobial stewardship Bologna, 18 novembre 2014 NUOVE IPOTESI e MODELLI di STEWARDSHIP Pierluigi Viale Clinica di Malattie Infettive Policlinico S. Orsola Malpighi Interventions
More informationInappropriate Use of Antibiotics and Clostridium difficile Infection. Jocelyn Srigley, MD, FRCPC November 1, 2012
Inappropriate Use of Antibiotics and Clostridium difficile Infection Jocelyn Srigley, MD, FRCPC November 1, 2012 Financial Disclosures } No conflicts of interest } The study was supported by a Hamilton
More informationAntimicrobial Stewardship: Guidelines for its Implementation
Antimicrobial Stewardship: Guidelines for its Implementation Loliet Gonzalez Martinez, Pharm.D. Palmetto General Hospital PGY-1 Pharmacy Resident Disclosure The author of this presentation has nothing
More informationDefine evidence based practices for selection and duration of antibiotics to treat suspected or confirmed neonatal sepsis
GLOBAL AIM: Antibiotic Stewardship Perinatal Quality Improvement Teams (PQITs) will share strategies and lessons learned to develop potentially better practices and employ QI methodologies to establish
More informationDownloaded from:
Pollara, G; Bali, S; Marks, M; Bates, I; Collier, S; Balakrishnan, I (07) Time efficiency assessment of antimicrobial stewardship strategies. Clinical infectious diseases. ISSN 058-88 DOI: https://doi.org/0.09/cid/cix0
More informationANTIMICROBIAL STEWARDSHIP START SMART THEN FOCUS Guidance for Antimicrobial Stewardship for SHSCT
ANTIMICROBIAL STEWARDSHIP START SMART THEN FOCUS Guidance for Antimicrobial Stewardship for SHSCT CLINICAL GUIDELINES ID TAG Title: Prepared by Specialty / Division: Directorate: Antimicrobial Stewardship
More informationHealthcare Facilities and Healthcare Professionals. Public
Document Title: DOH Guidelines for Antimicrobial Stewardship Programs Document Ref. Number: DOH/ASP/GL/1.0 Version: 1.0 Approval Date: 13/12/2017 Effective Date: 14/12/2017 Document Owner: Applies to:
More informationExecutive Summary: A Point Prevalence Survey of Antimicrobial Use: Benchmarking and Patterns of Use to Support Antimicrobial Stewardship Efforts
Executive Summary: A Point Prevalence Survey of Antimicrobial Use: Benchmarking and Patterns of Use to Support Antimicrobial Stewardship Efforts Investigational Team: Diane Brideau-Laughlin BSc(Pharm),
More informationAn audit of the quality of antimicrobial prescribing
An audit of the quality of antimicrobial prescribing Rakhee Patel, Antimicrobial Pharmacist Alison Williams, Antimicrobial Technician & Dr Armando Gonzalez-Ruiz May 2011 ICE Score 2 Introduction & Aims
More informationAntibiotic Stewardship in Nursing Homes SAM GUREVITZ PHARM D, CGP ASSOCIATE PROFESSOR BUTLER UNIVERSITY COLLEGE OF PHARMACY AND HEALTH SCIENCE
Antibiotic Stewardship in Nursing Homes SAM GUREVITZ PHARM D, CGP ASSOCIATE PROFESSOR BUTLER UNIVERSITY COLLEGE OF PHARMACY AND HEALTH SCIENCE Crisis: Antibiotic Resistance Success Strategy WWW.optimistic-care.org
More informationWhy Antimicrobial Stewardship?
Antimicrobial Stewardship: Why and How CAPT Arjun Srinivasan, MD Associate Director for Healthcare Associated Infection Prevention Programs Division of Healthcare Quality Promotion Why Antimicrobial Stewardship?
More informationPosition Statement The Role of the ICP in Antimicrobial Stewardship
Position Statement The Role of the ICP in Antimicrobial Stewardship ACIPC Recommends Infection control practitioners bring specific expertise and should be part of a multidisciplinary antimicrobial stewardship
More informationAntimicrobial Stewardship
Antimicrobial Stewardship Background Why Antimicrobial Stewardship 30-50% of antibiotic use in hospitals are unnecessary or inappropriate Appropriate antimicrobial use is a medication-safety and patient-safety
More informationAntibiotic Stewardship in the Hospital Setting
Antibiotic Stewardship in the Hospital Setting G. Evans, MD FRCPC Medical Director, Infection Prevention & Control Kingston General Hospital & Hotel Dieu Hospital EOPIC September 26, 2012 Stewardship stew-ard-ship
More informationPreserving bacterial susceptibility Implementing Antimicrobial Stewardship Programs Debra A. Goff, Pharm.D., FCCP
Preserving bacterial susceptibility Implementing Antimicrobial Stewardship Programs Debra A. Goff, Pharm.D., FCCP Clinical Associate Professor Infectious Diseases Specialist The Ohio State University Medical
More informationModels for stewardship in Hospital - UK Models Philip Howard Consultant Antimicrobial Pharmacist
Models for stewardship in Hospital - UK Models Philip Howard Consultant Antimicrobial Pharmacist philip.howard2@nhs.net Twitter: @AntibioticLeeds United Kingdom of England, Scotland, Wales & Northern Ireland
More informationANTIMICROBIALS PRESCRIBING STRATEGY
Directorate of Operations Clinical Support Services Diagnostic Services Pharmacy ANTIMICROBIALS PRESCRIBING STRATEGY Reference: DCM021 Version: 2.0 This version issued: 25/04/16 Result of last review:
More informationSustaining an Antimicrobial Stewardship
Sustaining an Antimicrobial Stewardship Much needless expense, untoward effect, harm and disappointment can be prevented by better judgment in the use of antimicrobials Whitney A. Jones, PharmD Antimicrobial
More informationReassessment of intravenous antibiotic therapy using a reminder or direct counselling
J Antimicrob Chemother 2010; 65: 789 795 doi:10.1093/jac/dkq018 Advance publication 5 February 2010 Reassessment of intravenous antibiotic therapy using a reminder or direct counselling Philippe Lesprit
More informationAntimicrobial Stewardship in the Hospital Setting
GUIDE TO INFECTION CONTROL IN THE HOSPITAL CHAPTER 12 Antimicrobial Stewardship in the Hospital Setting Authors Dan Markley, DO, MPH, Amy L. Pakyz, PharmD, PhD, Michael Stevens, MD, MPH Chapter Editor
More informationAntimicrobial Stewardship Strategy:
Antimicrobial Stewardship Strategy: Prospective audit with intervention and feedback Formal assessment of antimicrobial therapy by trained individuals, who make recommendations to the prescribing service
More informationAntimicrobial Stewardship Northern Ireland
Antimicrobial Stewardship Northern Ireland Dr Lorraine Doherty Assistant Director of Public Health (Health Protection) Public Health Agency 15 November 2011 Co Authors Dr Muhammad Sartaj. SpR Public Health
More informationCollecting and Interpreting Stewardship Data: Breakout Session
Collecting and Interpreting Stewardship Data: Breakout Session Michael S. Calderwood, MD, MPH Regional Hospital Epidemiologist, Dartmouth-Hitchcock Medical Center March 20, 2019 None Disclosures Outline
More informationAntimicrobial Stewardship-way forward. Dr. Sonal Saxena Professor Lady Hardinge Medical College New Delhi
Antimicrobial Stewardship-way forward Dr. Sonal Saxena Professor Lady Hardinge Medical College New Delhi Lets save what we have! What is Antibiotic stewardship? Optimal selection, dose and duration of
More informationMonthly Webinar. Tuesday 16th January 2018, 16:00. That Was The Year That Was : Selections from the 2017 Antimicrobial Stewardship Literature
Monthly Webinar Tuesday 16th January 2018, 16:00 That Was The Year That Was : Selections from the 2017 Antimicrobial Stewardship Literature Audio dial-in (phone): 01 526 0058 Instructions Interactive Please
More informationAntibiotic Stewardship Beyond Hospital Walls
Antibiotic Stewardship Beyond Hospital Walls Katie Burenheide Foster, PharmD, MS, BCPS, FCCM Pharmacy Clinical Manager & PGY1 Pharmacy Residency Director OBJECTIVES 1. Review what Antibiotic Stewardship
More informationAntimicrobial Stewardship in Scotland
Antimicrobial Stewardship in Scotland UKCPA/FIS Scientific Meeting 18 th November 2010 Triumphs and Unintended Consequences Dr Jacqueline Sneddon Project Lead for Scottish Antimicrobial Prescribing Group
More informationEDUCATION OF HEALTHCARE PROFESSIONALS ON PRUDENT USE OF ANTIBIOTICS: ROOM FOR IMPROVEMENT
1 EDUCATION OF HEALTHCARE PROFESSIONALS ON PRUDENT USE OF ANTIBIOTICS: ROOM FOR IMPROVEMENT PROF. CÉLINE PULCINI SERVICE DE MALADIES INFECTIEUSES CHU DE NANCY Déclaration de liens d intérêt (3 dernières
More informationprof. dr. Bojana Beović, dr. med.
How To Improve ntibiotic Use In Hospitals prof. dr. ojana eović, dr. med. University Medical entre Ljubljana Slovenia Evidence-based antibiotic. Team (II-III) III) stewardship 2. ollaboration with
More informationPotential Conflicts of Interest. Schematic. Reporting AST. Clinically-Oriented AST Reporting & Antimicrobial Stewardship
Potential Conflicts of Interest Clinically-Oriented AST Reporting & Antimicrobial Stewardship Hsu Li Yang 27 th September 2013 Research Funding: Pfizer Singapore AstraZeneca Janssen-Cilag Merck, Sharpe
More informationSt. Joseph s General Hospital Vegreville. and. Mary Immaculate Care Centre. Antimicrobial Stewardship Report
St. Joseph s General Hospital Vegreville and Mary Immaculate Care Centre Antimicrobial Stewardship Report January to June 217 Introduction Antibiotics are among the most commonly prescribed medications
More informationAntimicrobial Stewardship Programs The Same, but Different. Sara Nausheen, MD Kevin Kern, PharmD
Antimicrobial Stewardship Programs The Same, but Different Sara Nausheen, MD Kevin Kern, PharmD Antimicrobial Stewardship Programs The Same, but Different Objectives: Outline the overall function of an
More informationHow to get senior hospital and clinical engagement
How to get senior hospital and clinical engagement Professor Alison Holmes Professor of Infectious Diseases Director, NIHR Health Protection Research Unit: HCAI and AMR Engagement through Organisational
More informationANTIBIOTIC STEWARDSHIP
ANTIBIOTIC STEWARDSHIP S.A. Dehghan Manshadi M.D. Assistant Professor of Infectious Diseases and Tropical Medicine Tehran University of Medical Sciences Issues associated with use of antibiotics were recognized
More informationOBJECTIVES. Fast Facts 3/23/2017. Antibiotic Stewardship Beyond Hospital Walls. Antibiotics are a shared resource and becoming a scarce resource.
Antibiotic Stewardship Beyond Hospital Walls Katie Burenheide Foster, PharmD, MS, BCPS, FCCM Pharmacy Clinical Manager & PGY1 Pharmacy Residency Director OBJECTIVES 1. Review what Antibiotic Stewardship
More informationAntimicrobial Stewardship Strategy: Intravenous to oral conversion
Antimicrobial Stewardship Strategy: Intravenous to oral conversion Promoting the use of oral antimicrobial agents instead of intravenous administration when clinically indicated. Description This is an
More informationAntimicrobial Stewardship
Antimicrobial Stewardship Report: 11 th August 2016 Issue: As part of ensuring compliance with the National Safety and Quality Health Service Standards (NSQHS), Yea & District Memorial Hospital is required
More informationAntimicrobial Stewardship Basics Why, What, Who, and How
Antimicrobial Stewardship Basics Why, What, Who, and How Philip Chung, PharmD, MS, BCPS ASAP Community Network Pharmacy Coordinator September 19, 2017 Objectives List reasons for developing antimicrobial
More information1. List three activities pharmacists can implement to support. 2. Identify potential barriers to implementing antimicrobial
OPTIMIZING ANTIMICROBIAL STEWARDSHIP: IT STARTS IN THE EMERGENCY DEPARTMENT! 1 2 Objectives 1. List three activities pharmacists can implement to support health-system antimicrobial stewardship programs
More informationAntimicrobial Stewardship:
Antimicrobial Stewardship: Inpatient and Outpatient Elements Angela Perhac, PharmD afperhac@carilionclinic.org Disclosure I have no relevant finances to disclose. Objectives Review the core elements of
More informationAntimicrobial Stewardship: Setting minimum expectations for optimizing antimicrobial use and addressing resistance
Antimicrobial Stewardship: Setting minimum expectations for optimizing antimicrobial use and addressing resistance Loria Pollack, MD, MPH Centers for Disease Control and Prevention Division of Healthcare
More informationAntimicrobial Stewardship Basics Why, What, Who, and How. Philip Chung, PharmD, MS, BCPS ASAP Community Network Pharmacy Coordinator October 12, 2017
Antimicrobial Stewardship Basics Why, What, Who, and How Philip Chung, PharmD, MS, BCPS ASAP Community Network Pharmacy Coordinator October 12, 2017 Objectives List reasons for developing antimicrobial
More informationANTIMICROBIAL STEWARDSHIP IN SCOTLAND. Key achievements of the Scottish Antimicrobial Prescribing Group
ANTIMICROBIAL STEWARDSHIP IN SCOTLAND Key achievements of the Scottish Antimicrobial Prescribing Group Dr Jacqueline Sneddon Project Lead Scottish Antimicrobial Prescribing Group Overview of talk ScotMARAP
More informationDATA COLLECTION SECTION BY FRONTLINE TEAM. Patient Identifier/ Medical Record number (for facility use only)
Assessment of Appropriateness of ICU Antibiotics (Patient Level Sheet) **Note this is intended for internal purposes only. Please do not return to PQC.** For this assessment, inappropriate antibiotic use
More informationBugs, Drugs, and No More Shoulder Shrugs: The Role for Antimicrobial Stewardship in Long-term Care
Bugs, Drugs, and No More Shoulder Shrugs: The Role for Antimicrobial Stewardship in Long-term Care Molly Curran, PharmD, BCPS Clinical Assistant Professor The University of Texas College of Pharmacy Clinical
More information6/15/2017 PART 1: THE PROBLEM. Objectives. What is Antimicrobial Resistance? Conflicts of Interest Disclosure Statement
Conflicts of Interest Disclosure Statement Getting a grasp on Antibiotic Use and Resistance: Principles of Antimicrobial Stewardship Speaker has nothing to disclose. Jacob M Kesner, PharmD UNMH PGY-2 Infectious
More informationAntimicrobial stewardship: Quick, don t just do something! Stand there!
Antimicrobial stewardship: Quick, don t just do something! Stand there! Stanley I. Martin, MD, FACP, FIDSA Director, Division of Infectious Diseases Director, Antimicrobial Stewardship Program Geisinger
More informationWorkplan on Antibiotic Usage Management
IMPACT Forum: Antibiotic Guideline in Perspective Workplan on Antibiotic Usage Management Dr. Raymond Yung Consultant Microbiologist PYNEH 20 April 2002 May 2002 Dr. Raymond Yung 1 Objective 1. Heighten
More informationAntibiotic Stewards: Partners in Infection Control
Antibiotic Stewards: Partners in Infection Control Krispin Hajkowicz Infectious Diseases Physician Antimicrobial Stewardship Lead Physician Royal Brisbane and Women's Hospital The Problem The problem Clostridium
More informationHealthcare-associated Infections and Antimicrobial Use Prevalence Survey
Healthcare-associated Infections and Antimicrobial Use Prevalence Survey Shamima Sharmin, M.B.B.S., MSc, MPH Emerging Infections Program New Mexico Department of Health Agenda Recognize healthcare-associated
More informationUsing Data to Track Antibiotic Use and Outcomes
Using Data to Track Antibiotic Use and Outcomes Michelle Nemec, PharmD Thrifty White Drug Pharmacy Objectives Describe the Antibiotic Stewardship Core Element of tracking and the specific interventions
More informationHospital Antimicrobial Stewardship Program Assessment Checklist
Hospital Antimicrobial Stewardship Program Assessment Checklist This checklist should be used to determine which aspects of antimicrobial stewarship (AMS) programs are already in place to ensure optimal
More informationAddressing ABX Resistance
Antimicrobial Stewardship: When to Study, and When to Act Addressing ABX Resistance Curtailing ABX Resistance Antimicrobial Use Interventions Agricultural Animals Humans Infection Control Interventions
More informationWhat can we learn from point prevalence surveys? Mark Gilchrist Consultant Pharmacist Infectious Diseases
What can we learn from point prevalence surveys? Mark Gilchrist Consultant Pharmacist Infectious Diseases Imperial College Healthcare NHS Trust mark.gilchrist@imperial.nhs.uk Outline Placing point prevalence
More informationThe Dutch Working Party on Antibiotic Policy (SWAB): treatment guidelines and stewardship activities in the Netherlands. Prof. dr. J.M.
The Dutch Working Party on Antibiotic Policy (SWAB): treatment guidelines and stewardship activities in the Netherlands Prof. dr. J.M. Prins Déclaration d intérêts de 2012 à 2015 Nothing to declare: SWAB
More informationMHA/OHA HIIN Antibiotic Stewardship/MDRO Collaborative
MHA/OHA HIIN Antibiotic Stewardship/MDRO Collaborative Place picture here Nov. 14, 2017 Reminders For best sound quality, dial in at 1-800-791-2345 and enter code 11076 Please use the chat box to ask questions!
More informationDr. Charles Onunkwo, Infectious Disease Medicine Erika Ingram, Infectious Disease/Critical Care Clinical Pharmacy Specialist Southeastern Regional
Dr. Charles Onunkwo, Infectious Disease Medicine Erika Ingram, Infectious Disease/Critical Care Clinical Pharmacy Specialist Southeastern Regional Medical Center Cancer Treatment Centers of America May
More informationCore Elements of Antibiotic Stewardship for Nursing Homes
Core Elements of Antibiotic Stewardship for Nursing Homes Nimalie D. Stone, MD, MS Medical Epidemiologist for LTC Division of Healthcare Quality Promotion Centers for Disease Control and Prevention Antimicrobial
More information8/17/2016 ABOUT US REDUCTION OF CLOSTRIDIUM DIFFICILE THROUGH THE USE OF AN ANTIMICROBIAL STEWARDSHIP PROGRAM
Mary Moore, MS CIC MT (ASCP) Infection Prevention Coordinator Great River Medical Center, West Burlington REDUCTION OF CLOSTRIDIUM DIFFICILE THROUGH THE USE OF AN ANTIMICROBIAL STEWARDSHIP PROGRAM ABOUT
More information2016/LSIF/FOR/007 Improving Antimicrobial Use and Awareness in Korea
2016/LSIF/FOR/007 Improving Antimicrobial Use and Awareness in Korea Submitted by: Asia Pacific Foundation for Infectious Diseases Policy Forum on Strengthening Surveillance and Laboratory Capacity to
More informationANTIBIOTICS IN THE ER:
ANTIBIOTICS IN THE ER: EXPLORING THE ROLE OF ANTIMICROBIAL STEWARDSHIP IN THE EMERGENCY DEPARTMENT ANGELINA DAVIS, PHARMD, MS, BCPS (AQ-ID) LIAISON CLINICAL PHARMACIST DUKE ANTIMICROBIAL STEWARDSHIP OUTREACH
More informationImpact of Antimicrobial Stewardship Program
Impact of Antimicrobial Stewardship Program Ripal Joshi, Pharm.D. AAHIVP Tampa General Hospital January 28, 2016 Objectives Provide an overview on antimicrobial stewardship programs (ASP) Describe the
More informationMaximizing Treatment Outcomes in an Era of Antibiotic Resistance
Friday General Session Maximizing Treatment Outcomes in an Era of Antibiotic Resistance Edward Dominguez, MD Medical Director, Organ Transplant and Infectious Diseases Methodist Dallas Medical Center Dallas,
More informationHot Topics in Antimicrobial Stewardship. Meghan Brett, MD Medical Director, Antimicrobial Stewardship University of New Mexico Hospital
Hot Topics in Antimicrobial Stewardship Meghan Brett, MD Medical Director, Antimicrobial Stewardship University of New Mexico Hospital Antimicrobial Stewardship Goals Primary Goal Optimize clinical outcomes
More informationPharmacist Coordinated Antimicrobial Therapy: OPAT and Transitions of Care
Pharmacist Coordinated Antimicrobial Therapy: OPAT and Transitions of Care Jennifer McCann, PharmD, BCCCP State Director of Clinical Pharmacy Services St. Vincent Health Indiana Conflicts of Interest No
More informationRecommendations for Implementation of Antimicrobial Stewardship Restrictive Interventions in Acute Hospitals in Ireland
Recommendations for Implementation of Antimicrobial Stewardship Restrictive Interventions in Acute Hospitals in Ireland A report by the Hospital Antimicrobial Stewardship Working Group, a subgroup of the
More informationThe role of microbiology and pharmacy departments in the stewardship of antibiotic prescribing in European hospitals
Journal of Hospital Infection (2007) 65(S2) 73 81 Available online at www.sciencedirect.com www.elsevierhealth.com/journals/jhin The role of microbiology and pharmacy departments in the stewardship of
More informationAntimicrobial Stewardship 101
Antimicrobial Stewardship 101 Betty P. Lee, Pharm.D. Pediatric Infectious Disease/Antimicrobial Stewardship Pharmacist Lucile Packard Children s Hospital Stanford Disclosure I have no actual or potential
More informationABSTRACT ORIGINAL RESEARCH. Li Wen Loo. Yi Xin Liew. Winnie Lee. Piotr Chlebicki. Andrea Lay-Hoon Kwa
DOI 10.1007/s40121-015-0085-7 ORIGINAL RESEARCH Impact of Antimicrobial Stewardship Program (ASP) on Outcomes in Patients with Acute Bacterial Skin and Skin Structure Infections (ABSSSIs) in an Acute-
More informationAntimicrobial Stewardship. October 2012
Antimicrobial Stewardship October 2012 Rising Antimicrobial Resistance Methicillin resistant staphylococcus aureus (MRSA) Vancomycin resistant enterococci (VRE) MDR and extremely drug resistant (XDR TB)
More informationAntimicrobial Stewardship Strategy: Formulary restriction
Antimicrobial Stewardship Strategy: Formulary restriction Restricted dispensing of targeted antimicrobials on the hospital s formulary, according to approved criteria. The use of restricted antimicrobials
More informationQuality indicators and outcomes in the devolved nations Scotland
Quality indicators and outcomes in the devolved nations Scotland Dr Jacqueline Sneddon, MRPharmS Project Lead, Scottish Antimicrobial Prescribing Group Federation of Infection Societies Conference Birmingham,
More informationAntimicrobial Stewardship Esperienza Torinese
Pisa 15 Novembre 2016 Antimicrobial Stewardship Esperienza Torinese Francesco G. De Rosa Dipartimento di Scienze Mediche Università di Torino Antimicrobial Stewardship First introduced by Dale Gerding
More informationMisericordia Community Hospital (MCH) Antimicrobial Stewardship Report. July December 2013 Second and Third Quarters 2014
H e a l i n g t h e B o d y E n r i c h i n g t h e M i n d N u r t u r i n g t h e S o u l Misericordia Community Hospital (MCH) Antimicrobial Stewardship Report July December 213 Second and Third Quarters
More informationEVALUATION OF A PEDIATRIC ANTIMICROBIAL STEWARDSHIP PROGRAM IN A TERTIARY CARE MEDICAL CENTER
EVALUATION OF A PEDIATRIC ANTIMICROBIAL STEWARDSHIP PROGRAM IN A TERTIARY CARE MEDICAL CENTER By Chou-Cheng Lai A dissertation submitted to Johns Hopkins University in conformity with the requirements
More informationLack of Change in Susceptibility of Pseudomonas aeruginosa in a Pediatric Hospital Despite Marked Changes in Antibiotic Utilization
Infect Dis Ther (2014) 3:55 59 DOI 10.1007/s40121-014-0028-8 BRIEF REPORT Lack of Change in Susceptibility of Pseudomonas aeruginosa in a Pediatric Hospital Despite Marked Changes in Antibiotic Utilization
More informationAntibiotics Point Prevalence
Jameela Al Salman, MD* Rawan Al Agha, MD** Zainab Ebrahim, MD** Mohammed Al Majed, MD** Safa Al Taitoon, MD** Zainab Al Tajer, MD** Maryam Omran, MD** Fatema Al Nashaba, MD** Amani Al Arrayedh, MD** Ahmed
More informationAntibacterial Resistance: Research Efforts. Henry F. Chambers, MD Professor of Medicine University of California San Francisco
Antibacterial Resistance: Research Efforts Henry F. Chambers, MD Professor of Medicine University of California San Francisco Resistance Resistance Dose-Response Curve Antibiotic Exposure Anti-Resistance
More informationBest Practices for Antimicrobial Stewardship Programs. October 25, :00 AM 5:00 PM New Orleans, LA Room:
Best Practices for Antimicrobial Stewardship Programs October 25, 2016 8:00 AM 5:00 PM New Orleans, LA Room: 288-290 Co-organized by The Society for Healthcare Epidemiology of America (SHEA) and Pediatric
More informationAntimicrobial Stewardship in Scotland PAST, PRESENT, FUTURE CLEANLINESS CHAMPION, CONFERENCE, ABERDEEN 2011
Antimicrobial Stewardship in Scotland PAST, PRESENT, FUTURE CLEANLINESS CHAMPION, CONFERENCE, ABERDEEN 2011 DILIP NATHWANI Chair, Scottish Antimicrobial Prescribing Group Acknowledgements Members of Scottish
More information