The mission of the ASP (Antimicrobial Stewardship Program) is to optimize the use of antimicrobials for inpatients admitted to UConn John Dempsey Hospital.
The ASP is a multidisciplinary team that is comprised of a complementary group of health care personnel that includes: pharmacists, physicians, a clinical microbiologist, and an infection prevention specialist.
In its current form, the ASP takes a multifaceted approach to optimizing antimicrobial use that will include such activities as:
- Systematic and continuous evaluation of the UConn John Dempsey Hospital antimicrobial formulary.
- Development and implementation of formal prior-authorization programs for “restricted” antimicrobials.
- Development, review, and modification of guideline-based physician-order-entry antimicrobial order sets.
- Improvement of microbiology reports provided to clinicians.
- Development of a formal, protocol-based, pharmacist-driven pharmacokinetic dosing program for antibiotics such as:
- Antibiotics requiring dosage adjustments for renal/liver dysfunction
- Development of “targeted antimicrobial use optimization” programs that encompass daily review of:
- All new “positive” cultures to ensure active antimicrobial therapy and to streamline antibiotics as appropriate.
- Patients receiving > 2 antimicrobials for longer than 72 hours.
- Patients receiving antimicrobial therapy for longer than a total duration of 7 days.
- Patients receiving intravenous antimicrobial therapy while receiving concomitant oral medications.