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Antibiotic stewardship is the effort to measure and improve how antibiotics are prescribed by clinicians and used by patients. Improving antibiotic prescribing and use is critical to effectively treat infections, protect patients from harms caused by unnecessary antibiotic use, and combat antibiotic resistance.
The guidelines outline five stewardship principles which are collectively termed the '5Rs' - responsibility, review, reduce, refine and replace.
Stewardship interventions are listed in three categories below: broad, pharmacy-driven; and infection and syndrome specific.
The four core elements of outpatient antibiotic stewardship are commitment, action for policy and practice, tracking and reporting, and education and expertise.
ANTIMICROBIAL STEWARDSHIP GOALS Joseph and Rodvold (14) wrote about the ?4D's of optimal antimicrobial therapy?: right Drug, right Dose, De-escalation to pathogen directed therapy, and right Duration of therapy.
Below is a brief overview of 5 components of an antimicrobial stewardship program: Commitment, Prevention, Detection, Optimizing Use and Surveillance.
Ing to the agency, the following steps are necessary for a successful program: Leadership commitment. Leadership must dedicate necessary human, financial and IT resources to the project. Accountability.Drug expertise.Action.Tracking.Reporting.Education.