Antimicrobial stewardship for acute-care hospitals: An Asian perspective

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Anucha ApisarnthanarakLance R Peterson

Abstract

Inappropriate use of antibiotics is contributing to a serious antimicrobial resistance problem in Asian hospitals. Despite resource constraints in the region, all Asian hospitals should implement antimicrobial stewardship (AMS) programs to optimize antibiotic treatment, improve patient outcomes, and minimize antimicrobial resistance. This document describes a consensus statement from a panel of regional experts to help multidisciplinary AMS teams design programs that suit the needs and resources of their hospitals. In general, AMS teams must decide on appropriate interventions (eg, prospective audit and/or formulary restriction) for their hospital, focusing on the most misused antibiotics and problematic multidrug-resistant organisms. This focus is likely to include carbapenem use with the goal to reduce carbapenem-resistant gram-negative bacteria. Rather than initially trying to introduce a comprehensive, hospital-wide AMS program, it would be practical to begin by pilot testing a simple program based on 1 achievable core intervention for the hospital. AMS team members must work together to determine the most suitable AMS interventions to implement in their hospitals and how best to put them into practice. Continuous monitorin...Continue Reading

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Citations

Jun 28, 2019·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Anucha ApisarnthanarakDavid J Weber
Jan 12, 2020·Clinical Chemistry and Laboratory Medicine : CCLM·Chien-Chang LeePhilipp Schuetz
May 14, 2020·Journal of Clinical Pharmacy and Therapeutics·Yanting WangGuohui Li
Mar 7, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Anucha ThatrimontrichaiAnucha Apisarnthanarak
Oct 27, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Se Yoon ParkUNKNOWN for Korea Study Group For Antimicrobial Stewardship (KOSGAP)
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Jun 10, 2021·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Surachai ChaononghinAnucha Apisarnthanarak
Jun 22, 2021·Journal of Global Antimicrobial Resistance·Myung Jin LeeUNKNOWN Korea Study Group for Antimicrobial Stewardship (KOSGAP)
Nov 2, 2020·Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy·Takashi MatonoKenichi Nakamura

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