title: Implementation of a pharmacist-led antimicrobial management team in a community teaching hospital: use of pharmacy residents and pharmacy students in a prospective audit and feedback approach.
abstract: Antimicrobial stewardship is an important process proven to combat antimicrobial resistance, improve patient outcomes, and reduce costs. The Infectious Diseases Society of America (IDSA) and the Society for Healthcare Epidemiology of America (SHEA) have provided guidelines for the provision of antimicrobial stewardship. According to these recommendations, antimicrobial stewardship teams should be multidisciplinary in nature, with core members consisting of an infectious disease physician and an infectious disease-trained clinical pharmacist. Due to limited resources, our institution chose to implement a pharmacist-led antimicrobial stewardship service on 1 medical/surgical ward, with the existing clinical pharmacist and 3 infectious disease physicians as core members. This clinical pharmacist was not trained in infectious disease specialty, and stewardship activities were only one part of his daily activities. Pharmacy residents and students were extensively utilized to assist in the stewardship process. Approximately two thirds of stewardship recommendations were accepted using primarily a prospective audit and feedback approach.
authors.affiliation: Department of Pharmacy Practice, South Dakota State University College of Pharmacy, Sioux Falls, SD, USA. brad.laible@mckennan.org
authors.forename: Brad R
authors.initials: BR
authors.lastname: Laible
authors.forename: Jawad
authors.initials: J
authors.lastname: Nazir
authors.forename: Aris P
authors.initials: AP
authors.lastname: Assimacopoulos
authors.forename: Jennifer
authors.initials: J
authors.lastname: Schut
mesh_terms: D003133:Commission on Professional and Hospital Activities; D003141:Communicable Diseases / Q000188:drug therapy*; D006764:Hospitals, Community; D006784:Hospitals, Teaching; D006801:Humans; D010348:Patient Care Team; D010595:Pharmacists; D010607:Pharmacy Service, Hospital / Q000379:methods*; D011446:Prospective Studies; D013339:Students, Pharmacy