The pharmacist's role in promoting optimal antimicrobial use

Pharmacotherapy
L M DickersonP J Carek

Abstract

Optimal use of antimicrobials is essential in the face of escalating antibiotic resistance, and requires cooperation from all sectors of the health care system. Although antibiotic-restriction policies in the hospital setting are important in altering microbial susceptibility patterns, an overall reduction in antibiotic prescriptions in the outpatient setting is more likely to significantly impact antibiotic resistance. Education of providers, application of clinical practice guidelines, audit and feedback activities, and multifaceted interventions all have had an effect in altering antibiotic prescribing in a research setting. Clinicians must alter antibiotic prescribing for the treatment of infectious diseases, and patients must change their perception of the need for these drugs. Pharmacists can play a major role through clinician education and focused clinical services. With cooperation of health care teams, the effectiveness of available antibiotics may be sustained and the threat of resistance minimized.

References

Sep 2, 1992·JAMA : the Journal of the American Medical Association·D A DavisR B Haynes
Sep 1, 1990·Archives of Internal Medicine·S H Woolf
Oct 7, 1983·JAMA : the Journal of the American Medical Association·W SchaffnerW O Miller
Jul 15, 1995·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·R M CadleE Graviss
Sep 6, 1995·JAMA : the Journal of the American Medical Association·D A DavisR B Haynes
Nov 28, 1994·Archives of Internal Medicine·N Fiebach, W Beckett
Oct 21, 1993·The New England Journal of Medicine·P J Greco, J M Eisenberg
Jan 1, 1996·The Annals of Pharmacotherapy·T S Lesar, L L Briceland
Oct 1, 1996·The Joint Commission Journal on Quality Improvement·P J O'ConnorG Mosser
Mar 1, 1997·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
Apr 1, 1997·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·D M ShlaesC Watanakunakorn
Sep 25, 1997·JAMA : the Journal of the American Medical Association·B SchwartzJ M Hughes
Oct 6, 1997·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·A L BisnoR H Schwartz
Jan 22, 1998·The New England Journal of Medicine·R S EvansJ P Burke
Jul 29, 1998·Archives of Internal Medicine·T G VondracekM M Huycke
Aug 5, 1998·The Joint Commission Journal on Quality Improvement·B J GoecknerM Drake
Sep 3, 1998·The Pediatric Infectious Disease Journal·W H Mason
Sep 4, 1998·BMJ : British Medical Journal·E A Belongia, B Schwartz
Oct 24, 1998·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·B C LundM E Klepser
Oct 24, 1998·JAMA : the Journal of the American Medical Association·J J RahalM Lim
Oct 24, 1998·The Journal of Antimicrobial Chemotherapy·A P Fraise
Feb 3, 1999·Proceedings of the National Academy of Sciences of the United States of America·D J AustinR M Anderson
Feb 19, 1999·BMJ : British Medical Journal·D L O'ConnellR Tomlins
Apr 23, 1999·Lancet·A G MainousC Eberlein
Sep 24, 1999·The Pediatric Infectious Disease Journal·H R ShinefieldJ Hansen
Oct 8, 1999·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·J D Grabenstein, J Bonasso
Nov 5, 1999·Archives of Internal Medicine·S T McMullinT C Bailey

Citations

Aug 13, 2005·Pharmacy World & Science : PWS·Eleanor M WoodfordJohn F Marriott
Feb 3, 2007·Pharmacy World & Science : PWS·Vera von GuntenJohnny Beney
Oct 6, 2004·Pharmacotherapy·Karim Anton CalisAmerican College of Clinical Pharmacy
Feb 24, 2010·Journal of Clinical Pharmacy and Therapeutics·S DeusterS Muehlebach
Feb 14, 2015·Journal of Pharmaceutical Policy and Practice·Iman ZayeghKreshnik Hoti
Oct 11, 2007·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Jennifer L KuntzPhilip M Polgreen
Apr 22, 2004·The Annals of Pharmacotherapy·Joshua M ThorpeTroy K Trygstad
Jan 19, 2016·Journal of Pharmacy Practice·Rebecca ResTheresa L Charrois
Nov 11, 2005·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Kurt B StevensonPeter Houck
Aug 25, 2011·Journal of Oncology Pharmacy Practice : Official Publication of the International Society of Oncology Pharmacy Practitioners·Haitham W Tuffaha, Sara M Koopmans
Jul 21, 2005·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·C A Cab Bond, Cynthia L Raehl
Aug 10, 2007·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Lee C VermeulenDavid A Zilz
Mar 9, 2006·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Krystel BeaucageLyne Lalonde
Dec 26, 2006·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Pamela Lada, George Delgado
Oct 13, 2006·The Journal of Antimicrobial Chemotherapy·H J Wickens, A Jacklin
Jun 24, 2006·Acta Clinica Belgica·L SourdeauHospital Care Working Group of Belgian Antibiotic Policy Coordination Committee (BAPCOC)
Dec 26, 2018·International Journal of Environmental Research and Public Health·Anna Machowska, Cecilia Stålsby Lundborg

Related Concepts

Bacteriocidal Agents
Health Care Systems
Antibiotic Resistance, Microbial
Medical Audit
Clinical Pharmacists
Vaccination

Related Feeds

Antimicrobial Resistance

Antimicrobial resistance poses a significant threat to the continued successful use of antimicrobial agents for the treatment of bacterial infections.

Allergy & Infectious Diseases (ASM)

Allergies result from the hyperreactivity of the immune system to some environmental substance and can be life-threatening. Infectious diseases are caused by organisms including bacteria, viruses, fungi and parasites. They can be transmitted different ways, such as person-to-person. Here is the latest research on allergy and infectious diseases.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Allergy & Infectious Diseases

Allergies result from the hyperreactivity of the immune system to some environmental substance and can be life-threatening. Infectious diseases are caused by organisms including bacteria, viruses, fungi and parasites. They can be transmitted different ways, such as person-to-person. Here is the latest research on allergy and infectious diseases.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antimicrobial Resistance (ASM)

Antimicrobial resistance poses a significant threat to the continued successful use of antimicrobial agents for the treatment of bacterial infections.