Outpatient antibiotic stewardship: Interventions and opportunities
Outpatient antibiotic stewardship: Interventions and opportunities
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DOI：
10.1016/j.japh.2017.03.014
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发表时间：
2017-07-01
影响因子：
2.1
通讯作者：
Suda, Katie J.
中科院分区：
文献类型：
--
作者：
Dobson, Erica L.;Klepser, Michael E.;Suda, Katie J.
在整个护理过程中改善抗生素的使用是国家的优先事项。概述了抗生素在门诊环境中滥用的数据证明了将抗生素管理计划(ASP)扩展到医疗保健环境中的合理性；然而，门诊抗生素管理(AS)的最佳实践尚未定义。在随附的一篇文章中，我们重点介绍了克服与实施门诊ASP相关的挑战的建议(例如，建立AS团队和定义计划指标)。在这份文件中，我们概述了已经证明成功的干预措施，并强调了在门诊领域加强的机会。本文总结了可以在门诊环境中使用的改善抗生素使用的护理点检测、政策和干预措施以及教育战略的例子。(C)2017年美国药剂师协会(R)。爱思唯尔公司出版，版权所有。
Improving the use of antibiotics across the continuum of care is a national priority. Data outlining the misuse of antibiotics in the outpatient setting justify the expansion of antibiotic stewardship programs (ASPs) into this health care setting; however, best practices for outpatient antibiotic stewardship (AS) are not yet defined. In a companion article, we focused on recommendations to overcome challenges related to the implementation of an outpatient ASP (e.g., building the AS team and defining program metrics). In this document, we outline AS interventions that have demonstrated success and highlight opportunities to enhance AS in the outpatient arena. This article summarizes examples of point-of-care testing, policies and interventions, and education strategies to improve antibiotic use that can be used in the outpatient setting. (C) 2017 American Pharmacists Association (R). Published by Elsevier Inc. All rights reserved.