What antimicrobial stewardship strategies do NHS commissioning organizations implement in primary care in England?

NHS reforms in England: the implications for chemotherapy commissioning

For oncology, one of the biggest effects of the reforms to the National Health Service (NHS) in England has been the designation of systemic anticancer treatments (other than hormonal agents) as a specialised service. This means that all decisions regarding the commissioning of chemotherapy are made at the national level via NHS England (NHSE), under expert guidance from the Chemotherapy Clinic...

Antimicrobial Stewardship in Pediatric Intensive Care

Team Composition IDSA recommends that ASPs be multidisciplinary, including a pediatric infectious disease physician leader, a clinical pharmacist (preferably with infectious disease training), a clinical microbiologist, an information system specialist, an infection prevention specialist, and a hospital epidemiologist.1,2 Nguyen-Ha et al2 described a more limited ASP team with decreased drug st...

Antimicrobial stewardship programs in health care systems.

Antimicrobial stewardship programs in hospitals seek to optimize antimicrobial prescribing in order to improve individual patient care as well as reduce hospital costs and slow the spread of antimicrobial resistance. With antimicrobial resistance on the rise worldwide and few new agents in development, antimicrobial stewardship programs are more important than ever in ensuring the continued eff...

Antimicrobial stewardship in long-term care facilities.

Although antimicrobial stewardship has been shown to improve microbiologic susceptibility patterns, decrease drug toxicities, and lower overall drug costs in the inpatient setting, there are few studies assessing programs in the long-term care (LTC) setting. Implementing antimicrobial stewardship programs in LTC settings can be challenging as the LTC setting houses a unique population of frail ...

A review of the effectiveness of primary care-led commissioning and its place in the NHS