Point-of-prescription interventions to improve antimicrobial stewardship.

Journal Article (Journal Article;Review)

Antimicrobial stewardship is pivotal to improving patient outcomes, reducing adverse events, decreasing healthcare costs, and preventing further emergence of antimicrobial resistance. In an era in which antimicrobial resistance is increasing, judicious antimicrobial use is the responsibility of every healthcare provider. Antimicrobial stewardship programs (ASPs) have made headway in improving antimicrobial prescribing using such "top-down" methods as formulary restriction and prospective audit with feedback; however, engagement of prescribers has not been fully explored. Strategies that include frontline prescribers and other unit-based healthcare providers have the potential to expand stewardship, both to augment existing centralized ASPs and to provide alternative approaches to perform stewardship at healthcare facilities with limited resources. This review discusses interventions focusing on antimicrobial prescribing at the point of prescription as well as a pilot project to engage unit-based healthcare providers in antimicrobial stewardship.

Full Text

Duke Authors

Cited Authors

  • Hamilton, KW; Gerber, JS; Moehring, R; Anderson, DJ; Calderwood, MS; Han, JH; Mehta, JM; Pollack, LA; Zaoutis, T; Srinivasan, A; Camins, BC; Schwartz, DN; Lautenbach, E; Centers for Disease Control and Prevention Epicenters Program,

Published Date

  • April 15, 2015

Published In

Volume / Issue

  • 60 / 8

Start / End Page

  • 1252 - 1258

PubMed ID

  • 25595748

Pubmed Central ID

  • PMC4415059

Electronic International Standard Serial Number (EISSN)

  • 1537-6591

Digital Object Identifier (DOI)

  • 10.1093/cid/civ018


  • eng

Conference Location

  • United States