title: Antimicrobial stewardship interventions: thinking inside and outside the box.
abstract: At present, less than half of all acute health care facilities have antimicrobial stewardship programs. By targeting areas that are vulnerable to inappropriate antimicrobial use and by using novel strategies to increase the reach of stewardship interventions, providers can make antimicrobial stewardship a universal practice in all health care settings. This review discusses how stewardship can make large impacts in areas where it has traditionally been absent in facilities both with and without formal antimicrobial stewardship programs.
authors.affiliation: Healthcare Epidemiology, Infection Prevention and Control, Hospital of the University of Pennsylvania, Suite 101 Penn Tower, One Convention Avenue, Philadelphia, PA 19104, USA. Electronic address: Keith.Hamilton@uphs.upenn.edu.
authors.forename: Keith W
authors.initials: KW
authors.lastname: Hamilton
authors.affiliation: Healthcare Epidemiology, Infection Prevention and Control, Hospital of the University of Pennsylvania, Suite 101 Penn Tower, One Convention Avenue, Philadelphia, PA 19104, USA.
authors.forename: Neil O
authors.initials: NO
authors.lastname: Fishman
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use*; D003266:Continuity of Patient Care / Q000592:standards; D004342:Drug Hypersensitivity / Q000175:diagnosis / Q000517:prevention & control; D004352:Drug Resistance, Microbial; D004363:Drug Utilization / Q000592:standards; D006761:Hospitals; D006801:Humans; D057970:Inappropriate Prescribing / Q000517:prevention & control*; D017410:Practice Guidelines as Topic / Q000592:standards
chemical_list: D000890:Anti-Infective Agents
keywords: Antimicrobial stewardship; End of life; Multidisciplinary rounds; Penicillin skin testing; Transitions in care; Ward rounds