Antimicrobial Stewardship in Community Hospitals

Med Clin North Am. 2018 Sep;102(5):913-928. doi: 10.1016/j.mcna.2018.05.005.

Abstract

Antibiotic stewardship programs are needed in all health care facilities, regardless of size and location. Community hospitals that have fewer resources may have different priorities and require different strategies when defining antibiotic stewardship program components and implementing interventions. By following the Centers for Disease Control and Prevention Core Elements and using the strategies suggested in this article, readers should be able to design, develop, participate in, or improve antibiotic stewardship programs within community hospitals.

Keywords: Antibiotic stewardship; Antibiotic stewardship core elements; Antimicrobial stewardship; Community hospitals; Critical access hospitals; Rural hospitals; Small hospitals.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use
  • Anti-Infective Agents / administration & dosage
  • Anti-Infective Agents / pharmacology
  • Anti-Infective Agents / therapeutic use*
  • Antimicrobial Stewardship / organization & administration*
  • Centers for Disease Control and Prevention, U.S. / organization & administration
  • Checklist
  • Cooperative Behavior
  • Documentation
  • Drug Resistance, Bacterial / drug effects
  • Drug Resistance, Microbial / drug effects*
  • Drug Utilization Review / organization & administration
  • Hospital Bed Capacity
  • Hospitals, Community / organization & administration*
  • Humans
  • Inservice Training
  • Leadership
  • Pharmacists / organization & administration
  • Practice Patterns, Physicians'
  • United States

Substances

  • Anti-Bacterial Agents
  • Anti-Infective Agents