Antimicrobial Stewardship at Transitions of Care to Outpatient Settings: Synopsis and Strategies
Inappropriate antibiotic use and associated consequences, including pathogen resistance and <i>Clostridioides difficile</i> infection, continue to serve as significant threats in the United States, with increasing incidence in the community setting. While much attention has been granted...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-07-01
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| Series: | Antibiotics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2079-6382/11/8/1027 |
| _version_ | 1827600988798713856 |
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| author | Elaine Liu Kristin E. Linder Joseph L. Kuti |
| author_facet | Elaine Liu Kristin E. Linder Joseph L. Kuti |
| author_sort | Elaine Liu |
| collection | DOAJ |
| description | Inappropriate antibiotic use and associated consequences, including pathogen resistance and <i>Clostridioides difficile</i> infection, continue to serve as significant threats in the United States, with increasing incidence in the community setting. While much attention has been granted towards antimicrobial stewardship in acute care settings, the transition to the outpatient setting represents a significant yet overlooked area to target optimized antimicrobial utilization. In this article, we highlight notable areas for improved practices and present an interventional approach to stewardship tactics with a framework of disease, drug, dose, and duration. In doing so, we review current evidence regarding stewardship strategies at transitional settings, including diagnostic guidance, technological clinical support, and behavioral and educational approaches for both providers and patients. |
| first_indexed | 2024-03-09T04:46:52Z |
| format | Article |
| id | doaj.art-6003acbdb1bc48519f72dda93a2122f8 |
| institution | Directory Open Access Journal |
| issn | 2079-6382 |
| language | English |
| last_indexed | 2024-03-09T04:46:52Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antibiotics |
| spelling | doaj.art-6003acbdb1bc48519f72dda93a2122f82023-12-03T13:14:20ZengMDPI AGAntibiotics2079-63822022-07-01118102710.3390/antibiotics11081027Antimicrobial Stewardship at Transitions of Care to Outpatient Settings: Synopsis and StrategiesElaine Liu0Kristin E. Linder1Joseph L. Kuti2Department of Pharmacy Services, Hartford Healthcare, Hartford, CT 06106, USADepartment of Pharmacy Services, Hartford Healthcare, Hartford, CT 06106, USACenter for Anti-Infective Research and Development, Hartford Hospital, Hartford, CT 06106, USAInappropriate antibiotic use and associated consequences, including pathogen resistance and <i>Clostridioides difficile</i> infection, continue to serve as significant threats in the United States, with increasing incidence in the community setting. While much attention has been granted towards antimicrobial stewardship in acute care settings, the transition to the outpatient setting represents a significant yet overlooked area to target optimized antimicrobial utilization. In this article, we highlight notable areas for improved practices and present an interventional approach to stewardship tactics with a framework of disease, drug, dose, and duration. In doing so, we review current evidence regarding stewardship strategies at transitional settings, including diagnostic guidance, technological clinical support, and behavioral and educational approaches for both providers and patients.https://www.mdpi.com/2079-6382/11/8/1027antimicrobial stewardshiptransitions of careoutpatientdischarge prescribing |
| spellingShingle | Elaine Liu Kristin E. Linder Joseph L. Kuti Antimicrobial Stewardship at Transitions of Care to Outpatient Settings: Synopsis and Strategies Antibiotics antimicrobial stewardship transitions of care outpatient discharge prescribing |
| title | Antimicrobial Stewardship at Transitions of Care to Outpatient Settings: Synopsis and Strategies |
| title_full | Antimicrobial Stewardship at Transitions of Care to Outpatient Settings: Synopsis and Strategies |
| title_fullStr | Antimicrobial Stewardship at Transitions of Care to Outpatient Settings: Synopsis and Strategies |
| title_full_unstemmed | Antimicrobial Stewardship at Transitions of Care to Outpatient Settings: Synopsis and Strategies |
| title_short | Antimicrobial Stewardship at Transitions of Care to Outpatient Settings: Synopsis and Strategies |
| title_sort | antimicrobial stewardship at transitions of care to outpatient settings synopsis and strategies |
| topic | antimicrobial stewardship transitions of care outpatient discharge prescribing |
| url | https://www.mdpi.com/2079-6382/11/8/1027 |
| work_keys_str_mv | AT elaineliu antimicrobialstewardshipattransitionsofcaretooutpatientsettingssynopsisandstrategies AT kristinelinder antimicrobialstewardshipattransitionsofcaretooutpatientsettingssynopsisandstrategies AT josephlkuti antimicrobialstewardshipattransitionsofcaretooutpatientsettingssynopsisandstrategies |