Antimicrobial Stewardship Management of Infections: Beyond the Costs of Antimicrobials

DEBRAA. GOFF, PHARMD, FCCP
Specialty Practice Pharmacist, Infectious Diseases
Department of Pharmacy
Clinical Associate Professor
College of Pharmacy
KARRIA. BAUER, PHARMD, BCPS
Specialty Practice Pharmacist,
Infectious Diseases
Department of Pharmacy
JULIEE. MANGINO, MD
Medical Director of Clinical Epidemiology
Professor of Internal Medicine
Division of Infectious Diseases
The Ohio State University Wexner Medical Center
Columbus, Ohio

During the past decade, the prevalence of ASPs at US hospitals has greatly increased, and the state of California  now mandates that general acute care hospitals develop a program to evaluate the judicious use of antibiotics.

Additionally, the Infectious Diseases Society of America (IDSA) has made recommendations to the Centers  for Medicare & Medicaid Services (CMS) to require stew-ardship in all acute care hospitals in the United States  as part of infection control.

To spur stewardship efforts, the Joint Commission’s 2012 National Patient Safety Goals include goals relevant to ASP: Get important test  results to the right staff person on time and foster hand hygiene compliance to prevent infections.

The goal of antimicrobial stewardship is to optimize antimicrobial therapy for improved patient outcomes, with maximal effect on subsequent development of  resistance.

The changing landscape of health care reform places increasing pressure on ASPs to use the most cost-effective antimicrobial to decrease expenses.
Cost usually plays a major role in the formulary decision process when ASPs examine targeted antimicrobial agents that have similar efficacy and safety.

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