Implementation of Antimicrobial Stewardship in the Healthcare Setting

被引:15
|
作者
Bankar, Nandkishor J. [1 ]
Ugemuge, Sarita [2 ]
Ambad, Ranjit S. [3 ]
V. Hawale, Dattu [4 ]
Timilsina, Dilip R. [3 ]
机构
[1] Datta Meghe Inst Med Sci, Jawaharlal Nehru Med Coll, Microbiol, Wardha, India
[2] Datta Meghe Inst Med Sci, Datta Meghe Med Coll, Microbiol, Nagpur, India
[3] Datta Meghe Inst Med Sci, Datta Meghe Med Coll, Biochem, Nagpur, India
[4] Datta Meghe Inst Med Sci, Jawaharlal Nehru Med Coll, Biochem, Wardha, India
关键词
antimicrobial resistance; health care; policy; hospital infection control; antimicrobial stewardship; SUPPORT; RESISTANCE; ALERTS; REDUCE;
D O I
10.7759/cureus.26664
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Antimicrobial resistance (AMR) is a serious problem that poses an imminent threat to patient safety. But drug-resistant bacteria can be prevented from spreading in hospital facilities by implementing effective antimicrobial stewardship practices. Antimicrobial stewardship programs are a set of measures taken by an organization to optimize antimicrobial use, improve patient outcomes, reduce AMR and healthcare -associated infections, and save healthcare costs. Healthcare facilities should have a defined antimicrobial stewardship policy in place that is available to all stakeholders. The policy should be evidence-based, regularly updated, and communicated clearly both verbally and through visual means such as posters. All staff should be trained on the proper use of antimicrobials as well as how to report misuse. Antibiotic stewardship measures include: educating and screening patients, monitoring, updating policies, limiting the use of high-risk medications, developing and improving hand hygiene practices, tracing the path of each medication, using computerized alert probes, using computerized medication records, educating staff, and creating the culture of prevention. There are several ways that antimicrobial stewardship practices can be implemented in the healthcare setting, including limiting the use of antibiotics and promoting healthy behaviors. With these strategies in place, infections can be prevented from occurring in the first place.
引用
收藏
页数:7
相关论文
共 50 条
  • [21] Antimicrobial Stewardship in the Hospital Setting: A Narrative Review
    Giamarellou, Helen
    Galani, Lamprini
    Karavasilis, Theodoros
    Ioannidis, Konstantinos
    Karaiskos, Ilias
    ANTIBIOTICS-BASEL, 2023, 12 (10):
  • [22] Antimicrobial Stewardship in the Pediatric Primary Care Setting
    Taylor, Margaret G.
    Palazzi, Debra L.
    PEDIATRIC ANNALS, 2022, 51 (05): : E196 - E201
  • [23] Antimicrobial stewardship: lessons from human healthcare
    Edwards, B.
    Gould, I. M.
    REVUE SCIENTIFIQUE ET TECHNIQUE-OFFICE INTERNATIONAL DES EPIZOOTIES, 2012, 31 (01): : 135 - 144
  • [24] Development and implementation of a national antimicrobial stewardship surveillance system, with open access data sharing
    Ashiru-Oredope, D.
    Budd, E. L.
    Doble, A.
    Cramp, E.
    Hendrick, A.
    Hopkins, S.
    JOURNAL OF HOSPITAL INFECTION, 2021, 107 : 16 - 22
  • [25] Selection of resistance by antimicrobial coatings in the healthcare setting
    Pietsch, F.
    O'Neill, A. J.
    Ivask, A.
    Jenssen, H.
    Inkinen, J.
    Kahru, A.
    Ahonen, M.
    Schreiber, F.
    JOURNAL OF HOSPITAL INFECTION, 2020, 106 (01) : 115 - 125
  • [26] Implementation of Antimicrobial Stewardship Programs in Saudi Arabia: A Systematic Review
    Alshehri, Abdullah A.
    Aldali, Jehad A.
    Abdelhamid, Maysoon A.
    Alanazi, Alaa A.
    Alhuraiz, Ratal B.
    Alanazi, Lamya Z.
    Alshmrani, Meaad A.
    Alqahtani, Alhanouf M.
    Alrshoud, Maha I.
    Alharbi, Reema F.
    MICROORGANISMS, 2025, 13 (02)
  • [27] Antimicrobial stewardship programs in the critical care setting
    Ruiz-Ramos, J.
    Ramirez, P.
    MEDICINA INTENSIVA, 2016, 40 (09) : 586 - 589
  • [28] Physicians' attitudes on the implementation of an antimicrobial stewardship program in Lebanese hospitals
    Sayegh, Nathalie
    Hallit, Souheil
    Hallit, Rabih
    Saleh, Nadine
    Zeidan, Rouba K.
    PHARMACY PRACTICE-GRANADA, 2021, 19 (01): : 1 - 8
  • [29] Global Antimicrobial Stewardship: A Closer Look at the Formidable Implementation Challenges
    Tiong, John J. L.
    Loo, Jason S. E.
    Mai, Chun-Wai
    FRONTIERS IN MICROBIOLOGY, 2016, 7
  • [30] Pharmacist-led antimicrobial stewardship program in an urgent care setting
    Fay, Lauren N.
    Wolf, Lauren M.
    Brandt, Kasey L.
    DeYoung, G. Robert
    Anderson, Adam M.
    Egwuatu, Nnaemeka E.
    Dumkow, Lisa E.
    AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY, 2019, 76 (03) : 175 - 181