Impact of the pharmacist on a multidisciplinary team in an antimicrobial stewardship program: a quasi-experimental study
- 1.1k Downloads
Background Antimicrobial stewardship programs (ASP) have been implemented to promote rational use of antimicrobial drugs. Multidisciplinary teams are needed to form effective committees. Objective Assess the impact of ASP, with and without the presence of a pharmacist, in a cardiology hospital in Brazil. Methods The program started with an infectious disease (ID) physician, and after 22 months, a pharmacist started to work in the ASP team. We present data related to: stage 1—before the program implementation; stage 2—with the ID physician; and stage 3 with the inclusion of a pharmacist. Analysis was made by segmented regression of time series. Results After the start of ASP there was a significant reduction of consumption of all antimicrobials. The pharmacist contributed to the significant reduction in consumption of fluoroquinolones, clindamycin and ampicillin/sulbactam and in increase in total cephalosporins use in stage 3. Adherence rate to the ASP team recommendations was 64.1%. There was a significant reduction of 69% in hospital antibiotics costs. Conclusion A non-expensive ASP in a limited resource country resulted in reductions in antimicrobial consumption and costs. The multidisciplinary team contributed to maximize the impact of interventions.
KeywordsAntibiotics Antimicrobial stewardship program Brazil Infection control pharmacist Pharmacopidemiology
We would like to thank the Instituto de Cardiologia—Fundação Universitária de Cardiologia, for their administrative support, and to Anderlise Luvizetto, Juliana Guedes, Otávio Fontoura Carvalho and Thalita Jacoby for their contribution to this study.
Conflicts of interest
The authors declare no conflicts of interests with regard to the material published in this article.
- 2.Dellit TH, Owens RC, McGowan JE Jr, Gerding DN, Weinstein RA, Burke JP, Infectious Diseases Society of America; Society for Healthcare Epidemiology of America, et al. Infectious diseases society of America and the society for healthcare epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Infect Dis. 2007;44:159–77.PubMedCrossRefGoogle Scholar