title: Antimicrobial Stewardship for the Infection Control Practitioner.
abstract: Antibiotic misuse is a serious patient safety concern and a national public health priority. Years of indiscriminant antibiotic use has promoted selection for antibiotic resistant bacteria and Clostridium difficile This crisis has led to clinicians being faced with managing untreatable infections, often in the most vulnerable patient populations. This review summarizes the goals of antimicrobial stewardship programs, the essential members needed to initiate a program, various antimicrobial stewardship strategies, the role of the infection control practitioner in stewardship, barriers to its implementation and maintenance, approaches to measure the impact of a program, and the steps needed to initiate a program.
authors: Department of Pharmacy Services, University of Michigan Health System, Ann Arbor, MI 48109, USA.
authors: Jerod L
authors: JL
authors: Nagel
authors: Department of Medicine, Detroit Medical Center, Wayne State University, Detroit, MI 48201, USA.
authors: Keith S
authors: KS
authors: Kaye
authors: College of Pharmacy, University of Rhode Island, Kingston, RI 08221, USA; Alpert Medical School, Brown University, Providence, RI 02912, USA; Department of Pharmacy Services, Providence Veterans Medical Center, Providence, RI 02908, USA.
authors: Kerry L
authors: KL
authors: LaPlante
authors: Department of Pharmacy Services, Sinai-Grace Hospital, Detroit Medical Center, Wayne State University School of Medicine, Detroit, MI 48235, USA. Electronic address: jpogue@dmc.org.
authors: Jason M
authors: JM
authors: Pogue
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use*; D004351:Drug Resistance; D017723:Drug Utilization Review; D006801:Humans; D017053:Infection Control; D016357:Infection Control Practitioners; D017410:Practice Guidelines as Topic
chemical_list: D000890:Anti-Infective Agents
keywords: Antibiotic management; Antibiotic resistance infection control; Antimicrobial stewardship; Education; Multidrug resistance