Core Elements of Antibiotic Stewardship
A growing body of evidence demonstrates that hospital based programs dedicated to improving antibiotic use, commonly referred to as “Antibiotic Stewardship Programs (ASPs),” can both optimize the treatment of infections and reduce adverse events associated with antibiotic use.1 Following the example set by the CDC “Get Smart for Healthcare” Campaign1, we recommend implementing penicillin allergy testing using the Core Elements of Hospital Antibiotic Stewardship Programs.
The Core Elements complement existing guidelines on ASPs from organizations including the Infectious Diseases Society of America in conjunction with the Society for Healthcare Epidemiology of America, American Society of Health System Pharmacists, and The Joint Commission.1,2,3
As ASP’s continue to evolve and adapt in an effort to maximize their utility, new interventions to enhance traditional methods must be considered to preserve presently available antimicrobial agents.4
- 1Centers for Disease Control (CDC) Get smart for healthcare website. http://www.cdc.gov/getsmart/healthcare/. [Cited 2016 Apr].
- 2The Joint Commission. Antimicrobial Stewardship Toolkit. 2013; http://store.jcrinc.com/antimicrobial-stewardship-toolkit/.
- 3American Society of Health-System Pharmacists. Implementing Antimicrobial Stewardship Programs in Health Systems: An Interprofessional Team Approach. 2013; www.leadstewardship.org.
- 4Macy, Eric, et al. Health Care Use and Serious Infection Prevalence Associated with Hospitalized Patients. JACI. Vol. 133, No. 3. March 2014.