Antimicrobial Stewardship Program (ASP) is a coordinated program that ensures the appropriate use of antimicrobial (including antibiotics) and it enhances patient outcomes in terms of its management, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
Antibiotic rotation strategies control the prescribing process by scheduled changes of antimicrobial classes used for empirical therapy. Instituting an antimicrobial stewardship program in a tertiary care hospital require optimization of its choice of strategies according to its needs and available resources. SIUT ASP Task Force has dedicated team included Infectious Disease (ID) Consultants, ID Resident, Clinical Microbiologist, and Clinical Pharmacist. They work in coordination to provide healthcare at its prime level.
Objective of ASP Program is to optimize antimicrobial prescribing in order to improve individual patient care as well as reduce hospital costs and decreases the spread of antimicrobial resistance.
Future plans: Develop strategies for changing antimicrobial prescribing behavior include education of prescribers regarding proper antimicrobial usage, creation of an antimicrobial formula with restricted prescribing of targeted agents, and review of antimicrobial prescribing with feedback to prescribers. People infected with antimicrobial-resistant organisms are more likely to have longer, more expensive hospital stays, and may be more likely to die as a result of an infection. We at SIUT envision that Electronic Health Record (EHR) systems would be able to provide patient-specific data and suggestions at the point of care. Antibiotic rotation strategies control the prescribing process by scheduled changes of antimicrobial classes used for empirical therapy. In order to create awareness among clinicians and hospital pharmacist in the city ASP SIUT conducted seminar on August 2018 in collaboration with MMIDSP and PPA-Sindh which focuses on irrational use of antimicrobial, which is one of the world’s most tenacious public health problem. We are working with an objective to expand this program among other institutions to make a network across the city with other tertiary care hospitals.