- Additional Authors
- Subject
- Note
- "Evidence-based synthesis program."
- "February 2014."
- Bibliography (note)
- Includes bibliographical references (pages 80-86).
- Access (note)
- Access restricted to subscribing institutions.
- Funding (note)
- Source of Description (note)
- Description based on online resource; title from PDF cover (VA, viewed March 2, 2021).
- Call Number
- GPO Internet VA 1.107/3:AN 8/4
- OCLC
- 911194393
- Author
Drekonja, Dimitri, author.
- Title
Antimicrobial stewardship programs in outpatient settings : a systematic review / prepared for Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service ; prepared by Evidence-based Synthesis Program (ESP) Center, Minneapolis VA Medical Center, Minneapolis, MN, Timothy J. Wilt, Director ; principal investigators, Dimitri Drekonja, Gregory Filice ; co-investigators, Nancy Greer, Andrew Olson, Timothy J. Wilt ; research associates, Roderick MacDonald, Indulis Rutks.
- Publisher
Washington, DC : Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service, 2014.
- Description
1 online resource (iv, 150 pages) : illustrations
- Type of Content
text
- Type of Medium
computer
- Type of Carrier
online resource
- Bibliography
Includes bibliographical references (pages 80-86).
- Summary
The majority of antimicrobials prescribed to humans originate in outpatient settings. In making prescribing decisions, primary care providers are faced with patient expectations, and with patient and provider lack of awareness of antimicrobial resistance and lack of understanding of the seriousness of the antimicrobial resistance problem. Antimicrobial stewardship programs (ASPs) are a focused effort by a health care system or a part of the system (ie, an outpatient clinic) to optimize the use of antimicrobial agents. The goals of an ASP are to improve patient outcomes, decrease adverse consequences including from adverse drug reactions and antimicrobial associated infections (eg, Clostridium difficile diarrhea), reduce or prevent antimicrobial resistance, and deliver cost-effective therapy. The emphasis is on appropriate use, selection, dosing, and duration of antimicrobial therapy. The purpose of this review is to synthesize the evidence about the effectiveness of ASPs implemented in outpatient settings. We categorized ASPs based on the primary focus of the intervention as described by the study author. Our categories are: provider and/or patient education, provider feedback, guidelines, delayed prescribing, communications skills training, restriction, decision support, financial incentives, and laboratory testing. The topic was nominated by Matthew Goetz, MD, Chief, Infectious Diseases, VA Greater Los Angeles Healthcare System, on behalf of the VA Antimicrobial Stewardship Task Force, and is intended to provide a summary of the evidence on outpatient ASPs to guide clinical practice and policy within the Veterans Healthcare System.
- Access
Access restricted to subscribing institutions.
- Funding
VA-ESP 09-009
- Connect to:
- Added Author
Filice, Gregory, author.
United States. Department of Veterans Affairs. Health Services Research and Development Service, issuing body.
Quality Enhancement Research Initiative (U.S.)
Minneapolis VA Health Care System (U.S.). VA Evidence Synthesis Program.
Evidence-based Synthesis Program (U.S.)
- Gpo Item No.
0985-A-12 (online)
- Sudoc No.
VA 1.107/3:AN 8/4
- Research Call Number
GPO Internet VA 1.107/3:AN 8/4