A call to action for outpatient antibiotic stewardship

被引：35

作者：

Klepser, Michael E. ^{[1
]}

Dobson, Erica L. ^{[2
]}

Pogue, Jason M. ^{[3
,4
,5
]}

Labreche, Matthew J. ^{[6
]}

Adams, Alex J. ^{[7
,8
]}

Gauthier, Timothy P. ^{[9
]}

Turner, R. Brigg ^{[10
]}

Su, Christy P. ^{[11
]}

Jacobs, David M. ^{[12
]}

Suda, Katie J. ^{[13
,14
]}

机构：

[1] Ferris State Univ, Coll Pharm, Kalamazoo, MI USA

[2] Univ Rochester, Med Ctr, Dept Pharm, Rochester, NY 14642 USA

[3] Sinai Grace Hosp, Dept Pharm Serv, Detroit, MI USA

[4] Detroit Med Ctr, Detroit, MI USA

[5] Wayne State Univ, Sch Med, Detroit, MI USA

[6] Highland Hosp, Oakland, CA USA

[7] Idaho State Board Pharm, Boise, ID USA

[8] Natl Assoc Chain Drug Stores, Arlington, VA USA

[9] Miami Vet Affairs Healthcare Syst, Miami, FL USA

[10] Pacific Univ, Sch Pharm, Hillsboro, OR USA

[11] Mem Hermann Greater Hts Hosp, Houston, TX USA

[12] Univ Buffalo, Sch Pharm & Pharmaceut Sci, Buffalo, NY USA

[13] US Dept Vet Affairs, Ctr Innovat Complex Chron Healthcare, Edward Hines Jr VA Hosp, Hines, IL USA

[14] Univ Illinois, Coll Pharm, Chicago, IL USA

来源：

JOURNAL OF THE AMERICAN PHARMACISTS ASSOCIATION | 2017年 / 57卷 / 04期

关键词：

INFECTIOUS-DISEASES SOCIETY; EMERGENCY-DEPARTMENT VISITS; ADVERSE DRUG EVENTS; ANTIMICROBIAL STEWARDSHIP; STREPTOCOCCUS-PNEUMONIAE; UNITED-STATES; PRACTICE GUIDELINES; AMBULATORY-CARE; RESISTANCE; COMMUNITY;

D O I：

10.1016/j.japh.2017.03.013

中图分类号：

R9 [药学];

学科分类号：

1007 ;

摘要：

Objectives: To address the public health threat of antibiotic resistance, there has been an enhanced call for antibiotic stewardship programs throughout the health care continuum. Summary: While antibiotic stewardship programs have been well described in the inpatient setting, data on effectiveness and guidance on implementing outpatient programs is scarce. Establishing stewardship practices in the outpatient setting is necessary because more than 60% of human antibiotic use occurs in this setting. Conclusion: In this article, we highlight the importance and need for stewardship in the outpatient setting, discuss strategies for the development of stewardship teams, and discuss potential metrics that can be used to assess effectiveness of antibiotic stewardship interventions. (C) 2017 American Pharmacists Association (R). Published by Elsevier Inc. All rights reserved.

引用

页码：457 / 463

页数：7

共 61 条

[1] European Surveillance of Antimicrobial Consumption (ESAC): quality appraisal of antibiotic use in Europe [J].