Literature DB >> 28526402

Outpatient antibiotic stewardship: Interventions and opportunities.

Erica L Dobson, Michael E Klepser, Jason M Pogue, Matthew J Labreche, Alex J Adams, Timothy P Gauthier, R Brigg Turner, Christy P Su, David M Jacobs, Katie J Suda.   

Abstract

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.
Copyright © 2017 American Pharmacists Association®. All rights reserved.

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Year:  2017        PMID: 28526402     DOI: 10.1016/j.japh.2017.03.014

Source DB:  PubMed          Journal:  J Am Pharm Assoc (2003)        ISSN: 1086-5802


  23 in total

Review 1.  Pharmacy-Based Infectious Disease Management Programs Incorporating CLIA-Waived Point-of-Care Tests.

Authors:  S R Herbin; D G Klepser; M E Klepser
Journal:  J Clin Microbiol       Date:  2020-04-23       Impact factor: 5.948

2.  Improved Antibiotic Prescribing within a Veterans Affairs Primary Care System through a Multifaceted Intervention Centered on Peer Comparison of Overall Antibiotic Prescribing Rates.

Authors:  Nathan R Shively; Deanna J Buehrle; Marilyn M Wagener; Cornelius J Clancy; Brooke K Decker
Journal:  Antimicrob Agents Chemother       Date:  2019-12-20       Impact factor: 5.191

3.  Improved management of cystitis in primary care following the implementation of a simple multifaceted intervention.

Authors:  Sara Gallardo; Amelia Troncoso-Mariño; Núria Nadal-Braqué; Esther Amado-Guirado; Yannick Hoyos Mallecot; Carl Llor
Journal:  Aten Primaria       Date:  2022-10-18       Impact factor: 2.206

4.  Improvements in Antibiotic Appropriateness for Cystitis in Older Nursing Home Residents: A Quality Improvement Study With Randomized Assignment.

Authors:  Joseph T Hanlon; Subashan Perera; Steven Schweon; Paul Drinka; Christopher Crnich; David A Nace
Journal:  J Am Med Dir Assoc       Date:  2020-09-16       Impact factor: 4.669

5.  Chimeric Phage Nanoparticles for Rapid Characterization of Bacterial Pathogens: Detection in Complex Biological Samples and Determination of Antibiotic Sensitivity.

Authors:  Huan Peng; Raymond E Borg; Anna B N Nguyen; Irene A Chen
Journal:  ACS Sens       Date:  2020-05-05       Impact factor: 7.711

6.  Antimicrobial Stewardship Programs in Long-Term Care Settings: A Meta-Analysis and Systematic Review.

Authors:  Julie Hui-Chih Wu; Bradley J Langford; Nick Daneman; Jan O Friedrich; Gary Garber
Journal:  J Am Geriatr Soc       Date:  2018-12-05       Impact factor: 5.562

7.  Barriers and facilitators to the uptake of an antimicrobial stewardship program in primary care: A qualitative study.

Authors:  Lianne Jeffs; Warren McIsaac; Michelle Zahradnik; Arrani Senthinathan; Linda Dresser; Mark McIntyre; David Tannenbaum; Chaim Bell; Andrew Morris
Journal:  PLoS One       Date:  2020-03-05       Impact factor: 3.240

8.  Factors associated with antibiotic prescribing for acute bronchitis at a university health center.

Authors:  Valerie J Morley; Emily P C Firgens; Rachel R Vanderbilt; Yanmengqian Zhou; Michelle Zook; Andrew F Read; Erina L MacGeorge
Journal:  BMC Infect Dis       Date:  2020-02-26       Impact factor: 3.090

9.  Practitioner Education and Feedback to Decrease Ciprofloxacin Prescriptions in Patients with Acute Uncomplicated Cystitis.

Authors:  Richard F Guo; Dinh L Nguyen; Steven Park; Kristen Nguyen; Steven Ko; Vicki Y Chiu; Jana Dickter; Davida Becker; Philomena Cho
Journal:  Perm J       Date:  2019-12-30

10.  Penicillin Allergy Assessment and Skin Testing in the Outpatient Setting.

Authors:  Wesley D Kufel; Julie Ann Justo; P Brandon Bookstaver; Lisa M Avery
Journal:  Pharmacy (Basel)       Date:  2019-09-19
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