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Antimicrobial Stewardship

Online ISBN:
9780191818684
Print ISBN:
9780198758792
Publisher:
Oxford University Press
Book

Antimicrobial Stewardship

Matthew Laundy (ed.),
Matthew Laundy
(ed.)

Consultant Microbiologist

Consultant Microbiologist, St George's University Hospitals, NHS Foundation Trust
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Mark Gilchrist (ed.),
Mark Gilchrist
(ed.)

Consultant Pharmacist

Consultant Pharmacist, Imperial College Healthcare NHS Trust
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Laura Whitney (ed.)
Laura Whitney
(ed.)

Consultant Pharmacist

Consultant Pharmacist, St George's University Hospitals NHS Foundation Trust
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Published:
August 2016
Online ISBN:
9780191818684
Print ISBN:
9780198758792
Publisher:
Oxford University Press

Abstract

The problem of antimicrobial-resistant organisms and untreatable infections is of global concern. The concept of antimicrobial stewardship has been developing over the last 10 years. The aim of antimicrobial stewardship is to control antimicrobial use in order to reduce the development of resistance, avoid the side effects associated with antimicrobial use, and optimize clinical outcomes. This book provides a very practical approach to antimicrobial stewardship. It’s very much a ‘how to’ guide supported by a review of the available evidence. Section 1 sets the scene and covers the problem of antimicrobial resistance; the problems in the antimicrobial supply line and initiatives to improve the situation; the principles and goals of antimicrobial stewardship; the psychological, social, cultural, and organizational factors in antimicrobial use and prescribing; and how to establish an antimicrobial stewardship programme. Section 2 reviews the components of antimicrobial stewardship: audit and feedback; antimicrobial policies and formularies; antimicrobial restriction; intravenous to oral switch; measuring antimicrobial consumption; measuring and feeding back stewardship; and the use of information technology in antimicrobial stewardship. Section 3 explores special areas in antimicrobial stewardship: antimicrobial pharmacokinetics and pharmacodynamics; intensive care units; paediatrics; surgical prophylaxis; near-patient testing and infection biomarkers; antimicrobial stewardship in the community and long-term care facilities; and finally antimicrobial stewardship in resource-poor communities.

Disclaimer
Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always … More Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding.
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