Antifungal Stewardship: an Emerging Practice in Antimicrobial Stewardship

Antimicrobial stewardship programs have gained increasing popularity in hospitals worldwide, given the growing emphasis on reducing antimicrobial resistance and data demonstrating inappropriate antibacterial drug use. Data on overuse and opportunities to optimize antifungal drug therapy justify that similar efforts should be focused on antifungal stewardship. Although more limited than antibacterial stewardship efforts, data are emerging that provide focus for antifungal stewardship activities. In this review, we discuss the essential elements for antifungal stewardship and compare and contrast with core elements for overall antimicrobial stewardship, highlighting areas where unique aspects of antifungal therapy provide opportunities for distinct stewardship strategies. A review of available data on successful antifungal stewardship activities provides examples of successful antifungal stewardship interventions that can be implemented in the acute care setting.

Duke Scholars

Author Elizabeth Dodds Ashley Medicine, Infectious Diseases