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Antimicrobial Stewardship: Where We’ve Come and Where We’re Going, An Issue of Infectious Disease Clinics of North America
- 1st Edition, Volume 37-4 - October 27, 2023
- Editors: Emily Sydnor Spivak, Sage B. Greenlee
- Language: English
- Hardback ISBN:9 7 8 - 0 - 4 4 3 - 1 3 0 8 3 - 0
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 1 3 0 8 4 - 7
In this issue of Infectious Disease Clinics of North America, guest editors Drs. Emily Sydnor Spivak and Sage Greenlee bring their considerable expertise to the topic of… Read more
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Request a sales quoteIn this issue of Infectious Disease Clinics of North America, guest editors Drs. Emily Sydnor Spivak and Sage Greenlee bring their considerable expertise to the topic of Antimicrobial Stewardship: Where We Have Come and Where We Are Going. Throughout the last decade, the field of antimicrobial stewardship has undergone exponential growth due to heightened awareness of antimicrobial use and emerging multidrug-resistant organisms. Additionally, the COVID-19 pandemic highlighted systemic and persistent health disparities in the United States. In this issue, top experts provide a recap of the progress made over the last decade in antimicrobial stewardship and provide direction for next steps in this ever-growing field.
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Contains 12 practice-oriented topics including antimicrobial stewardship and pandemic preparedness: lessons learned from COVID-19; health equity considerations; antimicrobial stewardship at transitions of care; antimicrobial stewardship in immunocompromised populations; health system and tele-antimicrobial stewardship: the role of building networks; and more.
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Provides in-depth clinical reviews on antimicrobial stewardship, offering actionable insights for clinical practice.
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Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Infectious Diseases
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Forthcoming Issues
- Preface
- Antibiotic Stewardship: A Decade of Progress
- Hospital antibiotic stewardship
- Nursing home antibiotic stewardship
- Outpatient antibiotic stewardship
- Future activities and needs
- Antimicrobial Stewardship and Pandemic Preparedness: Harnessing Lessons Learned to Advance Our Mission
- Key points
- Introduction
- Global milestones in stewardship
- What is pandemic stewardship?
- What role did antimicrobial stewardship program play during the mpox outbreak?
- What antimicrobial stewardship program metrics can be applied to pandemic stewardship?
- Staffing
- Future directions beyond the pandemic: Nonantibiotic therapies for infectious diseases and the role of antimicrobial stewardship
- Summary
- Disclosure
- Principles and Practice of Antimicrobial Stewardship Program Resource Allocation
- Key points
- Vignette
- What framework should be used to determine resources? What can we learn from other industries?
- How should these general concepts for staffing models be applied to stewardship programs?
- What considerations should Antimicrobial Stewardship Programs incorporate when planning resources over time?
- What are the regulatory requirements for Antimicrobial Stewardship program staffing resources?
- Performance and quality entities
- What is the available evidence for resourcing stewardship programs?
- PharmD FTE
- Physician FTE
- Analyst FTE
- Additional resources
- What considerations should be taken into account in specific settings?
- What are the limitations to current estimates of stewardship resources?
- How to get buy-in/pitch to the C-suite for necessary resources
- Who is your audience?
- Antimicrobial Stewardship Programs baseline assessment
- How to talk the talk?
- How to demonstrate value?
- Summary and next steps
- Disclosure
- Clinics care points
- Return on investment
- References
- Background
- Current status
- Opportunities
- Antimicrobial stewardship pharmacy specialist responsibilities
- Return on investment
- Request
- Demographic and Geographic Inequities in Antimicrobial Use and Prescribing
- Key points
- Introduction
- Antimicrobial prescribing inequities by race and ethnicity
- Antimicrobial prescribing inequities by age
- Antimicrobial prescribing inequities by gender
- Antimicrobial prescribing inequities by geographical region
- Summary
- Clinics care points
- Disclosure
- funding
- Behavioral Strategies in Diagnostic Stewardship
- Key points
- Introduction
- Discussion
- Implementation of behavioral strategies for diagnostic stewardship
- Evaluation of behavioral strategies for diagnostic stewardship
- Clinics care points
- Disclosure
- Next Steps in Ambulatory Stewardship
- Key points
- Introduction
- Epidemiology of outpatient antibiotic prescribing
- Strategies to reduce unnecessary antibiotic use
- Future directions
- Summary
- Clinics care points
- Conflicts of interest
- Funding
- Role of funder/Sponsor (if any)
- Antimicrobial Stewardship at Transitions of Care
- Key points
- Introduction: The time is now for transitions of care antimicrobial stewardship
- Defining transitions of care antimicrobial stewardship need and interventions at hospital discharge
- Transitioning care to outpatient parenteral antibiotic therapy /complex outpatient antimicrobial therapy
- Antimicrobial stewardship transitions of care: Emergency department and urgent care
- Transitioning the hospital to home
- Antimicrobial stewardship transitions of care: What Is next
- Clinics care points
- Disclosure
- Penicillin Allergy Impact and Management
- Key points
- Introduction
- Definitions
- Discussion
- Management
- Risk assessment
- Summary
- Clinics care points
- Antimicrobial Stewardship in Immunocompromised Patients: Current State and Future Opportunities
- Key points
- Introduction
- Specific challenges for antimicrobial stewardship programs in immunocompromised patients
- General immunocompromised antimicrobial stewardship program approaches
- Specific antimicrobial stewardship program interventions in an immunocompromised population
- Bacterial syndromes and antibacterial stewardship
- Antiviral stewardship
- Antifungal stewardship
- Metrics
- Next steps in the field
- Development of Inpatient Stewardship Metrics: Is It Time for Public Reporting?
- Key points
- Introduction
- Section 1: goals and uses for inpatient stewardship metrics
- Section 2: current metrics used for antimicrobial stewardship
- Section 3: national reporting of antimicrobial use metrics
- Summary
- Disclosure
- Clinics care points
- Health System and Tele-Antimicrobial Stewardship: The Role of Building Networks
- Key points
- Introduction
- Tele-antimicrobial stewardship networks expand the reach of the infectious disease workforce: Fully remote tele-antimicrobial stewardship programs
- Tele-Antimicrobial Stewardship Is an Infectious Disease Workforce Multiplier: Collaborative Tele-Antimicrobial Stewardship Programs
- Joining forces to expand infectious disease reach and multiply the workforce: Integrated tele-antimicrobial stewardship programs
- Which Model Is the Best?
- Infectious disease consultation
- Measurement of the Network
- Summary
- Disclosure
- What Is Left to Tackle in Inpatient Antimicrobial Stewardship Practice and Research
- Key points
- Introduction
- Antimicrobial stewardship activities: Improved and novel workflow
- Antibiotic practice challenges
- Perceptions of stewardship and preserving the workforce
- Summary
- Clinics care points
- Disclosure
- No. of pages: 240
- Language: English
- Edition: 1
- Volume: 37-4
- Published: October 27, 2023
- Imprint: Elsevier
- Hardback ISBN: 9780443130830
- eBook ISBN: 9780443130847
ES
Emily Sydnor Spivak
Affiliations and expertise
Associate Professor of Medicine, Division of Infectious Diseases, University of Utah School of Medicine ,Medical Director, Antimicrobial, Stewardship Programs, University of Utah Hospital and VA Salt Lake City Health Care SystemSG
Sage B. Greenlee
Affiliations and expertise
Clinical Pharmacist-Antimicrobial Stewardship,University of Utah Health, Department of Pharmacy