Practical strategies for the appropriate use of antimicrobials

Abstract

The use and misuse of antimicrobial agents is well documented in the literature. A variety of mechanisms has been used to enhance the appropriate use of these agents. A widely used initial strategy is the formation of multidisciplinary groups, such as Pharmacy and Therapeutics Committees or antimicrobial subcommittees, which are responsible for all antimicrobial policies for the health-care facility. Other techniques include the use of antimicrobial order sheets, automatic stop orders, therapeutic substitution, antibiotic restriction systems, and the use of selective antimicrobial susceptibility reporting systems. Many of these strategies have been reported to be effective in the management of antimicrobial usage; however, they also result in increased administrative and monitoring costs. Antimicrobial control systems must be individualized to the health-care facility.

Evaluation of Antibiotic Use in Medical Ward of Fitche District Hospital, North Showa Zone, Oromia Region, Ethiopia

“…Several strategies for controlling antibiotic usage have been proposed. Such as formulary replacement or restriction, introduction order form, health care provider education, feedback activates, and approval requirement from infectious disease specialist for drug prescription [14,15]. Drug Use Evaluation (DUE) is an ongoing systematic process designed to maintain the appropriate and effective use of drug.…”

Clinical and economic outcomes of pharmaceutical services related to antibiotic use: a literature review

“…A variety of strategies have been described to promote proper antibiotic use [8][9][10]. Multifaceted interventions and interdisciplinary approaches including: physicians, infectious disease specialists, infection control, microbiology, pharmacists, nurses, patients, and the pharmaceutical industry or authorities, seem to be more effective than single interventions [11].…”

Youtube™ Quality as a Resource on Rational Use of Antibiotics in the Community: A Remedial Approach to Antimicrobial Management

“…Another method to be implemented involves information campaigns and promotional activities with the main purpose of raising awareness. Developed countries follow programs such as follow-up, which includes basic protocols for medical management and guidelines for prescribing, to prevent the irrational use of antibiotics (16)(17)(18)(19). Compliance with the guidelines developed for rational antibiotic use prevents excessive antibiotic consumption (20)(21)(22).…”