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Hospitalists as Integral Stakeholders in Antimicrobial Stewardship

  • Antimicrobial Stewardship (A Pakyz, Section Editor)
  • Published:
Current Treatment Options in Infectious Diseases Aims and scope Submit manuscript

Abstract

Purpose of review

The purpose of this review is to discuss the role of the hospitalist in antimicrobial stewardship programs (ASPs), to offer antimicrobial stewardship strategies that hospitalists can implement, to discuss opportunities for hospitalists to serve as educators on stewardship practices, and to offer resources for hospitalists to gain further training in antimicrobial stewardship.

Recent findings

Antimicrobial stewardship is vital to combat antibiotic resistance, and effective stewardship requires a multidisciplinary approach. Antimicrobial stewardship programs have typically included infectious disease specialists and pharmacists and, traditionally, have been limited to larger academic centers. With the 2017 Joint Commission standards requiring ASPs in all hospitals, there is increasing need for involvement of additional bedside stewards. Hospitalists care for a majority of inpatients allowing them to collaborate with traditional ASPs or lead new stewardship efforts.

Summary

Hospitalists should engage in current antimicrobial stewardship programs and can also serve as leaders in program development in resource-limited settings. Methods of engagement include assisting with recruitment of multidisciplinary personnel, participating in current stewardship committees and protocol development, and leading educational efforts on antimicrobial stewardship strategies. Antimicrobial stewardship metrics such as length of stay, readmission rates, and mortality are parallel to metrics used by hospital medicine groups and unifying efforts will, ideally, result in improved patient outcomes as well as reduction in antibiotic resistance.

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Papers of particular interest, published recently, have been highlighted as: ••Of major importance

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Funding

Jesse T. Jacob reports grants from CDC.

Author information

Authors and Affiliations

  1. Emory Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA

    Zanthia Wiley MD, Mary Elizabeth Sexton MD, MSc & Jesse T. Jacob MD, MSc

  2. Emory Antibiotic Resistance Center, Atlanta, USA

    Zanthia Wiley MD, Mary Elizabeth Sexton MD, MSc & Jesse T. Jacob MD, MSc

  3. Division of Hospital Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA

    Ketino Kobaidze MD, PhD

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  1. Zanthia Wiley MD
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Correspondence to Zanthia Wiley MD.

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Conflict of Interest

Zanthia Wiley declares that she has no conflict of interest.

Ketino Kobaidze declares that he has no conflict of interest.

Mary Elizabeth Sexton declares that she has no conflict of interest.

Jesse T Jacob declares that he has no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Antimicrobial Stewardship

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Wiley, Z., Kobaidze, K., Sexton, M.E. et al. Hospitalists as Integral Stakeholders in Antimicrobial Stewardship. Curr Treat Options Infect Dis 10, 240–248 (2018). https://doi.org/10.1007/s40506-018-0162-z

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