Antibiotic stewardship: prescribing social norms

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Antibiotic stewardship: prescribing social norms

With a burgeoning world population, expansions in medical intervention, and intensifi ed agriculture, the need for antibiotic stewardship is increasingly clear. Declining effi cacy of antimicrobial prophylaxis for surgery or chemotherapy, and emergence of pan-resistant pathogens, warn of a post-antibiotic era. In the evolutionary arms race of antimicrobial resistance, rejuvenating the neglected...

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Antimicrobial stewardship: Improving antibiotic prescribing practice in a respiratory ward.

International efforts have mandated guidelines on antibiotic use and prescribing, therefore the focus is now on encouraging positive behavioral changes in antibiotic prescribing practice. Documentation of indication and intended duration of antibiotic use in drug charts is an evidence-based method of reducing inappropriate antibiotic prescribing. It is also a standard detailed in our local anti...

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Impact of Stewardship Intervention on Improving Antibiotic Prescribing Practices

Background: Antimicrobial stewardship programs (ASPs) have been found to be an effective method for minimizing antibiotic misuse. Method: A study comparing the quality of antibiotic prescriptions between a one-year period before ASP implementation and a one-year period after its implementation. For each period, antimicrobial prescriptions were evaluated by an antimicrobial stewardship team and ...

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Antibiotic Stewardship without an Antibiotic Stewardship Program?

To promote heightened vigilance concerning antibiotic agents in Canadian hospitals, Accreditation Canada has implemented antibiotic stewardship as a required organizational practice.1 Antibiotic stewardship is the process of ensuring that only necessary and appropriate antibiotic agents are used and that their use is appropriate for each individual patient. It involves optimizing all steps of a...

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Effect of tailored antibiotic stewardship programmes on the appropriateness of antibiotic prescribing in nursing homes.

OBJECTIVES To evaluate the effect of tailored interventions on the appropriateness of decisions to prescribe or withhold antibiotics, antibiotic use and guideline-adherent antibiotic selection in nursing homes (NHs). METHODS We conducted a quasi-experimental study in 10 NHs in the Netherlands. A participatory action research (PAR) approach was applied, with local stakeholders in charge of sel...

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ژورنال

عنوان ژورنال: The Lancet

سال: 2016

ISSN: 0140-6736

DOI: 10.1016/s0140-6736(16)00007-6