EXCITING NEWS! DICON researchers have recently been awarded a grant from The Duke Endowment to support the development of the Duke Antimicrobial Stewardship Outreach Network (DASON). This network is actively being formed and many DICON hospitals will be approached for recruitment into the new network. As part of DASON, Antimicrobial Stewardship content including newsletters, draft policies, and other essential resources to develop and nurture a strong Antimicrobial Stewardship Program will be contained in a new website separate from DICON. Please stay tuned as we plan to move this section of the website to a new location in the coming months.
Antibiotic stewardship programs (ASPs) are now widely recognized as important, even vital, ways for hospitals to deal with the growing and severe problem with antimicrobial resistance. An effective ASP in community hospitals can also reduce the risk and economic costs of unnecessary antimicrobial therapy and, as a result, improve both patient safety and the hospital’s “bottom line.”
DICON has recognized that many community hospitals do not have sufficient local resources to establish an ASP. We recently invited pharmacists from some of our affiliated hospitals (see list of attendees) to attend a workshop to collectively discuss the status quo related to antibiotic stewardship in these representative community hospitals and to explore ways for DICON to expand it relationship with our partner hospitals by developing a new specific “module” of network-based services for our affiliated hospitals. Attached are some questions/answers following the workshop session that help to describe our next steps in the formation of an Antimicrobial Stewardship Network (see FAQs).
Although our efforts to develop a system and plan for antibiotic stewardship programs in DICON are still in their preliminary phases, the documents emanating from our recent meeting listed below contain some introductory and still preliminary information about ASPs in community hospitals that may be of interest and utility to our member hospitals.
- Antibiotic Stewardship Survey completed by community hospital pharmacists
- Antibiotic Stewardship Workgroup meeting held on March 19, 2012
Please click on the links below for additional resources and information about Antibiotic Stewardship.
- DICON April 2012 Newsletter—Antimicrobial Stewardship: Another approach to combating drug-resistant pathogens
- CDC—Why Inpatient Stewardship?
- The Society of Infectious Diseases Pharmacists—Overview of Antibiotic Stewardship Training Program
- Making a Difference in Infectious Diseases Pharmacotherapy (MAD-ID)—Antimicrobial Stewardship Programs
- ICAAC Workshop on Stewardship
- IDSA and SHEA Guidelines for Developing an Institutional Program to Enhance Antimicrobial Stewardship
- Policy Statement on Antimicrobial Stewardship by SHEA, IDSA, and PIDS
- Johannsson B, Beekmann SE, Srinivasan A, Hersh AL, Laxminarayan R, Polgreen PM. Improving Antimicrobial Stewardship: The Evolution of Programmatic Strategies and Barriers. Infect Control Hosp Epidemiol2011; Apr;32(4):367-374. (PubMed)
- Drew RH, White R, MacDougall C, Hermsen ED, Owens RC Jr. Insights from the Society of Infectious Diseases Pharmacists on Antimicrobial Stewardship Guidelines from the Infectious Diseases Society of Americal and the Society for Healthcare Epidemiology of America.Pharmacotherapy 2009: May;29(5):593-607. (PubMed)
- MacDougall C, Polk RE. Antimicrobial Stewardship Programs in Health Care Systems. Clin Microbiol Rev 2005: Oct;18(4):638-656. (PubMed)