Antibiotic Stewardship Team and the Role of Pharmacist

Antibiyotiklerin uygunsuz kullanımı direnç gelişme riskini artırmaktadır. Direnç gelişimi hastanede kalış süresinin uzamasına, mortalite ve tıbbi bakım maliyetlerinin artmasına neden olmaktadır. Antibiyotik yönetimi, dirençli bakterilerin ortaya çıkmasını ve yayılmasını sınırlayarak klinik sonuçları optimize etmeyi amaçlamaktadır. Antibiyotik yönetim programı, iki çekirdek strateji ve çeşitli tamamlayıcı stratejilerden oluşmaktadır. Kapsamlı antibiyotik yönetim programları, antibiyotik kullanımında ve maliyetlerde azalma olduğunu göstermiştir. İdeal antibiyotik yönetim programı; infeksiyon hastalıkları uzmanı doktor, infeksiyon hastalıkları konusunda eğitim almış klinik eczacı, klinik mikrobiyolog, bilgi sistemi uzmanı, infeksiyon kontrol profesyoneli ve hastane epidemiyoloğunu içeren multidisipliner bir ekipten oluşmaktadır. Klinik eczacı, antibiyotiklerin uygun kullanımı konusunda bilgili olmalı, bu uzmanlığı edinmesi ve sürdürmesi için uygun eğitim programları eczacılara sunulmalıdır. Antibiyotiklerin akılcı kullanımını teşvik etmek, infeksiyonların yayılmasını azaltmak, sağlık çalışanlarını, hastaları ve halkı eğitmek gibi antibiyotik yönetimi ekibinde klinik eczacıların önemli rolü ve sorumlulukları bulunmaktadır. Bu konuda donanımlı eczacıların antibiyotik yönetimi ekibine aktif katılımları sağlanmalıdır.

[1]  C. Willy,et al.  „Antibiotic Stewardship“ , 2017, Der Unfallchirurg.

[2]  M. Gilchrist,et al.  Development of an expert professional curriculum for antimicrobial pharmacists in the UK. , 2015, The Journal of antimicrobial chemotherapy.

[3]  C. Waters.  Pharmacist-driven antimicrobial stewardship program in an institution without infectious diseases physician support. , 2015, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.

[4]  M. Bassetti,et al.  Antibiotic stewardship challenges in the management of community-acquired infections for prevention of escalating antibiotic resistance. , 2014, Journal of global antimicrobial resistance.

[5]  J. Bartlett,et al.  Antimicrobial stewardship: importance for patient and public health. , 2014, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[6]  Arjun Srinivasan,et al.  Core elements of hospital antibiotic stewardship programs from the Centers for Disease Control and Prevention. , 2014, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[7]  Dr. Beena P M.  Antimicrobial stewardship to optimize antimicrobial use , 2013, Journal of clinical and biomedical sciences.

[8]  A Jacklin,et al.  The increasing role of pharmacists in antimicrobial stewardship in English hospitals. , 2013, The Journal of antimicrobial chemotherapy.

[9]  G. Doern,et al.  Antimicrobial Stewardship Programs , 2013, Journal of Clinical Microbiology.

[10]  Jeffrey M. Rohde,et al.  Role of the hospitalist in antimicrobial stewardship: a review of work completed and description of a multisite collaborative. , 2013, Clinical therapeutics.

[11]  Céline Pulcini,et al.  How to educate prescribers in antimicrobial stewardship practices , 2013, Virulence.

[12]  P. N. Unger,et al.  Antimicrobial stewardship programs-A review for the formulary decision-maker , 2012 .

[13]  N. Burgess.  Society of Hospital Pharmacists of Australia, The , 2012 .

[14]  D. Anderson,et al.  Antimicrobial Stewardship as Part of the Infection Prevention Effort , 2012, Current Infectious Disease Reports.

[15]  Rodrigo Pires dos Santos,et al.  Impact of the pharmacist on a multidisciplinary team in an antimicrobial stewardship program: a quasi-experimental study , 2012, International Journal of Clinical Pharmacy.

[16]  M. Postelnick,et al.  Antimicrobial stewardship programs: methods of operation and suggested outcomes , 2012, Expert review of anti-infective therapy.

[17]  V. Blanc,et al.  Antimicrobial stewardship program and quality of antibiotic prescriptions. , 2011, Medecine et maladies infectieuses.

[18]  R. Owens,et al.  Need and potential of antimicrobial stewardship in community hospitals. , 2011, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[19]  J. Bartlett,et al.  A call to arms: the imperative for antimicrobial stewardship. , 2011, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[20]  D. Goff.  Antimicrobial stewardship: bridging the gap between quality care and cost , 2011, Current opinion in infectious diseases.

[21]  M. Klepser,et al.  Recommendations for Training and Certification for Pharmacists Practicing, Mentoring, and Educating in Infectious Diseases Pharmacotherapy , 2009, Pharmacotherapy.

[22]  R. Drew.  Antimicrobial Stewardship Programs: How to Start and Steer a Successful Program , 2009, Journal of managed care pharmacy : JMCP.

[23]  C. Brun-Buisson,et al.  Hospital antibiotic stewardship , 2008, Current opinion in infectious diseases.

[24]  J. Burke,et al.  Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. , 2007, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[25]  Conan MacDougall,et al.  Antimicrobial Stewardship Programs in Health Care Systems , 2005, Clinical Microbiology Reviews.

[26]  A. Holmes,et al.  Multidisciplinary antimicrobial management and the role of the infectious diseases pharmacist--a UK perspective. , 2003, The Journal of hospital infection.

[27]  G. Milkovich.  The role of the hospital pharmacist in cost control and antibiotic policy. , 2000, International journal of antimicrobial agents.

[28]  G. Levy Hara.  Antimicrobial stewardship in hospitals: Does it work and can we do it? , 2014, Journal of global antimicrobial resistance.

[29]  D. Curcio.  Antibiotic Stewardship: Possibilities when Resources Are Limited , 2010 .

[30]  R. Hassan.  ASHP statement on the pharmacist's role in antimicrobial stewardship and infection prevention and control. , 2010, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.

[31]  Rajat Singh,et al.  ANTIBIOTIC RESISTANCE -A GLOBAL ISSUE OF CONCERN , 2009 .

[32]  H Mittermayer,et al.  Antimicrobial stewardship. , 2008, Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases.