Building Antimicrobial Stewardship and Engaging Prescribers
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Transcript of Building Antimicrobial Stewardship and Engaging Prescribers
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Building an antimicrobial stewardship program by engaging
prescribers
Dr. Victor Leung, MD FRCPC
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SEX AND THE SUPERBUG
The rise of drug-resistant gonorrhea. BY JEROME GROOPMAN
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CONSEQUENCES OF INAPPROPRIATE ANTIBIOTIC USE
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We have an opportunity to delay the post-antibiotic era and optimize patient outcomes by improving antibiotic
prescribing behavior
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SUSCEPTIBILITY GUIDED
PATHOGEGN DIRECTED EMPIRIC PROPHYLACTIC
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Optimize Antimicrobial
Use Education
Academic Detailing
Diagnostic test utilization
Data collection +
analysis Research
Stewardship Infrastructure
Collaboration with
prescribers
Formulary restrictions
Systematic and coordinated approach to selecting antimicrobials to achieve optimal outcomes
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Inappropriate Antimicrobial Use
Indiscriminate laboratory testing
Knowledge gaps
Inadequate documentation and transitions in care
Diagnostic Uncertainty or Fear
PRIMARY DRIVERS OF INAPPROPRIATE ANTIMICROBIAL USE
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Optimize Antimicrobial
Use Education
Academic Detailing
Diagnostic test utilization
Data collection +
analysis Stewardship Infrastructure
Collaboration with
prescribers
Formulary restrictions
Systematic and coordinated approach to using appropriate antimicrobial agents to achieve optimal outcomes
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Educational Journal Club Events Reached over 100 Prescribers
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Optimize Antimicrobial
Use Education
Academic Detailing
Diagnostic test utilization
Data collection +
analysis Stewardship Infrastructure
Collaboration with
prescribers
Formulary restrictions
Systematic and coordinated approach to using antimicrobial agents to achieve optimal outcomes
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Academic detailing offers point-of-care education
• Microbiologic data • Local resistance
patterns • Evidence based
guidelines • Potential errors:
• Broad spectrum • Dosing • medication
interactions • allergies
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Optimize Antimicrobial
Use Education
Academic Detailing
Diagnostic test utilization
Data collection +
analysis Stewardship Infrastructure
Collaboration with
prescribers
Formulary restrictions
Systematic and coordinated approach to using antimicrobial agents to achieve optimal outcomes
![Page 19: Building Antimicrobial Stewardship and Engaging Prescribers](https://reader033.fdocuments.net/reader033/viewer/2022051514/54b68e404a7959e7718b456d/html5/thumbnails/19.jpg)
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0
50
100
150
200
250
300
BF HFH Youville Lanagara
Num
ber o
f Urin
e Cu
tlure
s
Residential Care Facility
2009
2010
2011
2012
2013
Urine Cultures from PHC Residential Care Facilities are Decreasing
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21
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Optimize Antimicrobial
Use Education
Academic Detailing
Diagnostic test utilization
Data collection +
analysis Stewardship Infrastructure
Collaboration with
prescribers
Formulary restrictions
Systematic and coordinated approach to using antimicrobial agents to achieve optimal outcomes
![Page 23: Building Antimicrobial Stewardship and Engaging Prescribers](https://reader033.fdocuments.net/reader033/viewer/2022051514/54b68e404a7959e7718b456d/html5/thumbnails/23.jpg)
$0
$200,000
$400,000
$600,000
$800,000
$1,000,000
$1,200,000
$1,400,000
$1,600,000
1 2 3 4 5 6 7 8 9 10 11 12 13
Periods
Year to Date (YTD) Antibiotic Expenditures
ActualExpenditures
BudgetedExpenditures
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Optimize Antimicrobial
Use Education
Academic Detailing
Diagnostic test utilization
Data collection +
analysis Organizational Structure
Collaboration with
prescribers
Formulary restrictions
Systematic and coordinated approach to using antimicrobial agents to achieve optimal outcomes
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Optimize Antimicrobial
Use Education
Academic Detailing
Diagnostic test utilization
Data collection +
analysis Stewardship Infrastructure
Collaboration with
prescribers
Formulary restrictions
Systematic and coordinated approach to using antimicrobial agents to achieve optimal outcomes
![Page 27: Building Antimicrobial Stewardship and Engaging Prescribers](https://reader033.fdocuments.net/reader033/viewer/2022051514/54b68e404a7959e7718b456d/html5/thumbnails/27.jpg)
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Call to action
• The next time you prescribe an antimicrobial or assess the need for an antimicrobial, ask yourself: – What am I treating? – How long should I treat? – Is there an alternative, more
appropriate antibiotic?
bugs&[email protected]