1. ANTIBIOTIC STEWARDSHIP PROGRAM
CORNELIA
AKUHN

2. Objectives What is the problem Why the programme is necessary
Key elements of the programme
Hospital leadership role

3. 30% rule Antimicrobial prescribing facts
30% of all hospitalized patients
30% prescribed inappropriately
30% of all prophylaxis is inappropriate
30% of hospital pharmacy cost is due to antimicrobial
10-30% cost can be saved by antimicrobial stewardship programs.

4. Reasons for inappropriate antimicrobial use
Knowledge deficit
Inappropriate prophylaxis
Use of multiple agents
Pressure from patients
Time constraints
Cost and availability of radiological and lab studies
Fear of litigation
Pressure from companies
Poverty

5. The problem
Antibiotic manufacture ,use and resistance trend is something that is of worry
Why
There no antibiotics that are being manufactured of late so what we have is all we have
There increasing super bugs in our health setups which are developing resistance to available drugs at a fast rate
There is increasing over the counter drug use including antibiotics being given for even viral infections
Prolonged use of antibiotics results to side effects like clostridium difficile, kidney or liver damage, hearing loss and other such complications.

6. Antibiotic misuse includes:
Unnecessary prescription
Delayed administration especially to critical care patients
Use of broad spectrum antibiotics too generously while narrow spectrum are used incorrectly
Inappropriate dosage
Inappropriate duration
Prescription not matching microbial culture results

7. Antimicrobial stewardship program
These are processes designed to optimize the appropriate use of antimicrobials by ensuring that every patient receives an antibiotic only when one is needed with the right agent, right dose, right route, right duration in order to improve patient care and optimize health care outcomes while minimizing unintended consequences

8. Why antibiotic stewardship program ?
Reduce the development and spread of resistant bacteria
Promote better outcomes
Ensures optimal antibiotic use
help hospitals reach the goal of providing patients requiring antibiotic treatment with the right antibiotics, at the right time, at the right dose, and for the right duration

9. Key elements of the programme
Tracking patterns of antibiotic prescribing and resistance;
Informing staff on antibiotic use and resistance on a regular basis;
Continuous antibiotic education on optimal antibiotic use.

10. Role of hospital leadership
Commitment to providing support that includes
Staffing,
Financial,
Evidence based resources,
Information technology to ensure an effective stewardship program.

11. Key members of the programme
Infection prevention and control professionals,
Physicians,
Nurses,
Pharmacists(clinical)
Patients, families

12. Summary.
Antimicrobial stewardship program is key in hospital system and it’s the way to control the super bugs.