Algorithm Antimicrobial Stewardship Establish adequate, institution-specific budget Create department headed by ID physician and pharmacist Install IT capability Data collection Protocols
Formulary Rules
Auditing routine
(Assure 24/7 coverage)
Interventions Acute/Critical/Immediate Outcomes
Abbreviations ID, infectious disease; IT, information technology
Sources Drew RH, White R, MacDougall C, Hermsen ED, Owens RC Jr., on behalf of the Society of Infectious Diseases Pharmacists. Insights from the Society of Infectious Diseases Pharmacists on Antimicrobial Stewardship Guidelines from the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. Pharmacotherapy. 2009;29(5):593-607. Dellit TH , Owens RC, McGowan JE Jr, Gerding DN, Weinstein RA, Burke JP, Huskins WC, Paterson DL, Fishman NO, Carpenter CF, Brennan PJ, Billeter M, Hooton TM; Infectious Diseases Society of America; Society for Healthcare Epidemiology of America. Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Infect Dis. 2007;44(2):159-77.
Disclaimer This Guideline attempts to define principles of practice that should produce high-quality patient care. It focuses on the needs of primary care practice, but also is applicable to providers at all levels. This Guideline should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. The ultimate judgment concerning the propriety of any course of conduct must be made by the clinician aſter consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool.
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Less Acute Install educational program Program Administration Clinical Information