Snapshot of Antimicrobial Stewardship in Australian Hospitals

摘要: Background The diminishing investment into the development of new antimicrobials is significant global concern. This, coupled with emergence anti-infective drug resistance, highlights need to both prolong and optimise use existing antimicrobials. Strategies or programs antimicrobial fall under broad heading stewardship. Aim To identify types stewardship in existence Australian hospitals their perceived success. Method Directors Pharmacy nominees (n = 281) working were surveyed institutional programs. Infectious disease clinicians, infection control nurses hospital pharmacists recruited for qualitative interviews. They interviewed until saturation themes was identified. All interviews transcribed verbatim analysed common themes. Results Responses received from 80 Directors (29% response rate). The identified can be broadly grouped into: administration-related; prescribing-related; education training-related; surveillance-related. A variety strategies are used promote appropriate prescribing antimicrobials, resulting varying levels success, example Drug Therapeutics Committees, formulary restrictions, locally developed guidelines streamlining de-escalation therapy. Clinical leadership, a multidisciplinary approach availability enthusiastic motivated individuals critical success programs. Conclusion Australian have implemented degrees success.