|
|
|
|
| LEADER |
03546nam a2200337 u 4500 |
| 001 |
EB001839581 |
| 003 |
EBX01000000000000001003570 |
| 005 |
00000000000000.0 |
| 007 |
tu||||||||||||||||||||| |
| 008 |
180702 r ||| eng |
| 100 |
1 |
|
|a Drekonja, Dimitri
|
| 245 |
0 |
0 |
|a Antimicrobial stewardship programs in outpatient settings
|h Elektronische Ressource
|b a systematic review
|c 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
|
| 260 |
|
|
|a Washington, DC
|b Department of Veterans Affairs, Health Services Research & Development Service
|c 2014, [2014]
|
| 300 |
|
|
|a 1 PDF file (iv, 150 pages)
|b illustrations
|
| 505 |
0 |
|
|a Includes bibliographical references
|
| 653 |
|
|
|a United States
|
| 653 |
|
|
|a Drug Utilization / standards
|
| 653 |
|
|
|a Inappropriate Prescribing / prevention & control
|
| 653 |
|
|
|a Anti-Bacterial Agents / therapeutic use
|
| 653 |
|
|
|a Outpatients
|
| 653 |
|
|
|a Ambulatory Care Facilities
|
| 700 |
1 |
|
|a Filice, Gregory
|e [author]
|
| 710 |
2 |
|
|a Quality Enhancement Research Initiative (U.S.)
|
| 710 |
2 |
|
|a Minneapolis VA Health Care System (U.S.)
|b VA Evidence Synthesis Program
|
| 041 |
0 |
7 |
|a eng
|2 ISO 639-2
|
| 989 |
|
|
|b NCBI
|a National Center for Biotechnology Information
|
| 490 |
0 |
|
|a Evidence-based synthesis program
|
| 500 |
|
|
|a Title from PDF title page. - "February 2014."
|
| 856 |
4 |
0 |
|u https://www.ncbi.nlm.nih.gov/books/NBK274571
|3 Volltext
|n NLM Bookshelf Books
|3 Volltext
|
| 082 |
0 |
|
|a 700
|
| 520 |
|
|
|a 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
|