Jen Dacumos, PharmD, MBA
Improving the use of antibiotics is an important patient safety and public health issue as well as a national priority. Past research has shown that 20-50% of all antibiotics prescribed in U.S. acute care hospitals are either unnecessary or inappropriate. Like all medications, antibiotics have serious side effects, including adverse drug reactions and Clostridium difficile infections. Patients who are exposed unnecessarily or inappropriately to antibiotics are placed at risk for these events with no clinical benefit. The Centers for Disease Control and Prevention (CDC) estimates that more than two million people are infected with antibiotic-resistant organisms, resulting in approximately 23,000 deaths annually. The misuse of antibiotics has also contributed to the growing problem of antibiotic resistance, which has become one of the most serious threats to public health.
A growing body of evidence demonstrates that hospital based programs dedicated to improving antibiotic use, commonly referred to as Antibiotic Stewardship Programs (ASPs), can both optimize the treatment of infections and reduce adverse events associated with antibiotic use. In 2014, the CDC recommended that all acute care hospitals implement ASPs. There is also anticipation that both the Centers for Medicare & Medicaid and The Joint Commission will publish regulatory measures related to hospital-based ASPs sometime in 2017.
Last Spring, the Hawai‘i Department of Health and the Daniel K. Inouye College of Pharmacy at the University of Hawai‘i at Hilo launched the Hawai‘i Antimicrobial Stewardship Collaborative (HASC). The primary goals of HASC are to:
Participating facilities are: Castle Medical Center, Hilo Medical Center, Kahuku Medical Center, Kapi‘olani Medical Center for Women & Children, Kaua‘i Veterans Memorial Hospital, Kona Community Hospital, Kuakini Medical Center, Maui Memorial Medical Center, North Hawai‘i Community Hospital, Pali Momi Medical Center, Rehabilitation Hospital of the Pacific, Straub Clinic & Hospital, The Queens Medical Center, Tripler Army Medical Center, Wahiawa General Hospital, and Wilcox Memorial Hospital. HASC leadership holds educational conference calls or webinars at least once per quarter. Ongoing communication and technical assistance visits by project staff to help facilities identify, develop, and refine existing ASP practices is also offered.
If you are looking for more information on hospital based ASPs, the CDC website is an excellent first stop. The CDC has published Core Elements of Hospital ASPs, which can be summarized as follows:
For more information, please visit: http://www.cdc.gov/getsmart/healthcare/implementation/core-elements.html.
Centers for Disease Control and Prevention. Core Elements of Hospital Antibiotic Stewardship Programs. Available at: http://www.cdc.gov/getsmart/healthcare/implementation/core-elements.html/ Accessed March 4, 2016.
State of Hawai‘i, Department of Health, Disease Outbreak Control Division. Hawai‘i Antimicrobial Stewardship Collaborative. Available at: http://health.hawaii.gov/docd/dib/hawaii-antimicrobial-stewardship-collaborative-hasc/. Accessed March 4, 2016.
Photo courtesy of: http://thecompanion.in/the-misuse-of-antibiotics-can-be-deadly/Email Home Previous Article Next Article
© Copyright , ACHE.