An antimicrobial stewardship program (ASP) is a set of coordinated interventions designed to improve and measure the appropriate use of antimicrobial agents by promoting selection of the optimal antimicrobial drug regimen, including dosing, duration of therapy and route of administration.1
The effective use of antimicrobials is important for minimizing the unintended consequences of inappropriate use, controlling antibiotic-resistant organisms and reducing selection for Clostridium difficile. Below are links to resources, presentations and tools to assist institutions in developing and sustaining a successful ASP.
The following posters have been developed to promote appropriate prescribing in hospital settings. The posters can be downloaded, printed and placed in common areas to assist doctors, nurses and pharmacists.
Antibiotic resistance is a growing public health threat. Residents of long-term care homes (LTCHs) are particularly susceptible to the harmful effects of antibiotics. This infographic presents highlights from recent literature examining antibiotic use in LTCHs and provides recommendations on how to reduce this risk for residents.
Questions and answers related to Antimicrobial Stewardship programs, including their implementation, interventions, methods of measuring outcomes and other ASP topics.
This presentation provides the aggregate results of the PHO Ontario ASP Landscape survey. This voluntary survey of hospitals in Ontario was conducted in the Fall 2016 for the purpose of gaining a better understanding of how the landscape of antimicrobial stewardship in Ontario healthcare facilities has evolved since 2013 and to help PHO identify priority areas for further advancing antimicrobial stewardship across the province.
This presentation provides guidelines to make a hospital business case for an ASP. Cost savings are not the primary goal of ASPs but the cost efficiencies associated with ASPs are a useful argument when developing a business case for hospitals.
This presentation will help you:
From May to June 2014, PHO hosted a series of workshops in Burlington, Sudbury, St. Mary’s and Windsor. The objective was to provide support to organizations in developing, growing, or sustaining their ASP efforts.
Metrics and Evaluation
This presentation identifies:
There are advantages and disadvantages to every metric used in antimicrobial stewardship programs (ASPs). This chart identifies examples but demonstrates there is no single best metric.
American Society of Health-System Pharmacists (ASHP): Statement on the Pharmacist's Role in Antimicrobial Stewardship and Infection Prevention and Control (2010)
Association for Professionals in Infection Control and Epidemiology (APIC): Antimicrobial Stewardship: A Collaborative Partnership between Infection Preventionists and Healthcare Epidemiologists (2012)
Canadian Paediatric Society (CPS): Antimicrobial stewardship in daily practice: Managing an important resource (2014)
Canadian Society of Hospital Pharmacists (CSHP): Antimicrobial Stewardship: Statement on the Role of the Pharmacist (2014)
National Institute for Health and Care Excellence (NICE):
Use this checklist if you have:
After completing the checklist, you may decide your facility has the necessary ASP elements in place or it may need to implement additional elements.
This webcast highlights approaches to limit unnecessary antimicrobial use and factors influencing physician prescribing. After this session, participants should be able to identify common conditions that are unnecessarily treated with antimicrobials, list examples of common infections that have evidence for shorter treatment durations and understand approaches to influence antimicrobial prescribing. Speakers:
Dr. Giulio DiDiodatoIPAC PhysicianPublic Health Ontario