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All aboard!: Involvement of medical and pharmacy trainees in antimicrobial stewardship

Published online by Cambridge University Press:  19 December 2018

Lindsey M. Childs-Kean Open the ORCID record for Lindsey M. Childs-Kean [Opens in a new window] ,
Heather L. Briggs  and
Jonathan C. Cho
Lindsey M. Childs-Kean*
Affiliation:
Department of Pharmacotherapy and Translational Research, University of Florida College of Pharmacy, Gainesville, Florida
Heather L. Briggs
Affiliation:
Division of General and Hospital Medicine, University of Texas Health Science at San Antonio, San Antonio, Texas
Jonathan C. Cho
Affiliation:
Department of Clinical Sciences, University of Texas at Tyler College of Pharmacy, Tyler, Texas
*
Author for correspondence: Lindsey Childs-Kean, PO Box 100483, Gainesville, FL 32610-0483. E-mail: [email protected]
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Abstract

Antimicrobial stewardship (AS) involves the appropriate selection of antimicrobials. Antimicrobial stewardship programs are mandated in hospitals and are expanding to involve outpatient arenas. Multiple articles have been published describing the need for AS education for medical and pharmacy students, beginning early in the students’ career to develop into competent AS practitioners. Additionally, publications have described the role and impact of medical and pharmacy trainees on AS programs. Here, we review the published evidence describing medical and pharmacy trainees’ involvement in AS and call for future research in this area.

Type
Review
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 2 , February 2019 , pp. 200 - 205
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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Footnotes

Cite this article: Childs-Kean LM, et al. (2019) All aboard!: Involvement of medical and pharmacy trainees in antimicrobial stewardship. Infection Control & Hospital Epidemiology 2019, 40, 200–205. doi: 10.1017/ice.2018.332

References

1. Dellit, TH, Owens, RC, McGowan, JE Jr, 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;44:159–177.Google Scholar
2. Joint Commission on Hospital Accreditation. APPROVED: new antimicrobial stewardship standard. Jt Comm Perspect 2016;36:1, 3–4, 8.Google Scholar
3. Barlam, TF, Cosgrove, SE, Abbo, LM, et al. Implementing an antimicrobial stewardship program: Guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. Clin Infect Dis 2016;62:351–377.Google Scholar
4. Carling, P, Fung, T, Killion, A, et al. Favorable impact of a multidisciplinary antibiotic management program conducted during 7 years. Infect Control Hosp Epidemiol 2003;24:699–706.Google Scholar
5. Sanders, J, Pallotta, A, Bauer, S, et al. Antimicrobial stewardship program to reduce antiretroviral medication errors in hospitalized patients with human immunodeficiency virus infection. Infect Control Hosp Epidemiol 2014;35:272–277.Google Scholar
6. Liew, YX, Lee, W, Tay, D, et al. Prospective audit and feedback in antimicrobial stewardship: Is there value in early reviewing within 48 h of antibiotic prescription? Int J Antimicrob Agents 2015;45:168–173.Google Scholar
7. Kelley, D, Aaronson, P, Poon, E, et al. Evaluation of an antimicrobial stewardship approach to minimize overuse of antibiotics in patients with asymptomatic bacteriuria. Infect Control Hosp Epidemiol 2014;35:193–195.Google Scholar
8. The Match: Fellowship Match Summary, 2018 Appointments. National Resident Matching Program website. http://www.nrmp.org/wp-content/uploads/2018/02/Results-and-Data-SMS-2018.pdf. Published 2018. Accessed May 3, 2018.Google Scholar
9. Chandrasekar, PH. Bad news to worse news: 2015 infectious diseases fellowship match results. Clin Infect Dis 2015;60:1438.Google Scholar
10. Chandrasekar, P, Havlichek, D, Johnson, LB. Infectious diseases subspecialty: declining demand challenges and opportunities. Clin Infect Dis 2014;59:1593–1598.Google Scholar
11. Bonura, EM, Lee, ES, Ramsey, K, Armstrong, WS. Factors influencing internal medicine resident choice of infectious diseases or other specialties: a national cross-sectional study. Clin Infect Dis 2016;63:155–163.Google Scholar
12. Gauthier, TP, Worley, M, Laboy, V, et al. Clinical infectious diseases pharmacists in the United States: a problem of both supply and demand. Clin Infect Dis 2015;60:826–827.Google Scholar
13. Applying to ID Fellowships. Stanford Medicine website. http://med.stanford.edu/id/programs/apply.html. Accessed May 20, 2018.Google Scholar
14. American Society of Hospital Pharmacists. Definitions of pharmacy residencies and fellowships. Am J Hosp Pharm 1987;44:1142–1144.Google Scholar
15. Foral, PA, Anthone, JM, Destache, CJ, et al. Education and communication in an interprofessional antimicrobial stewardship program. J Am Osteopath Assoc 2016;116:588–593.Google Scholar
16. Lee, TC, Frenette, C, Jayaraman, D, et al. Trainee-led structured antibiotic time-outs to improve antimicrobial use. Ann Int Med 2014;161:S53–S58.Google Scholar
17. Yeo, CL, Wu, JE, Chung, GW-T, et al. Specialist trainees on rotation cannot replace dedicated consultant clinicians for antimicrobial stewardship of specialty disciplines. Antimicrob Resist Infect Control 2012;1:36.Google Scholar
18. Rimawi, RH, Mazer, MA, Siraj, DS, et al. Impact of regular collaboration between infectious diseases and critical care practitioners on antimicrobial utilization and patient outcome. Crit Care Med 2013;41:2099–2107.Google Scholar
19. Graber, CJ, Jones, MM, Chou, AF, et al. Association of inpatient antimicrobial utilization measures with antimicrobial stewardship activities and facility characteristics of Veterans Affairs Medical Centers. J Hosp Med 2017;12:301–309.Google Scholar
20. Chou, AF, Graber, CJ, Jones, MM, et al. Characteristics of antimicrobial stewardship programs at Veterans Affairs hospitals: results of a nationwide survey. Infect Control Hosp Epidemiol 2016;37:647–654.Google Scholar
21. Chahine, EB, El-Lababidi, RM, Sourial, M. Engaging pharmacy students, residents, and fellows in antimicrobial stewardship. J Pharm Pract 2015;28:585–591.Google Scholar
22. Benson, JM. Incorporating pharmacy student activities into an antimicrobial stewardship program in a long-term acute-care hospital. Am J Health Syst Pharm 2014;71:227–230.Google Scholar
23. Laible, BR, Nazir, J, Assimacopoulos, AP, Schut, J. Implementation of a pharmacist-led antimicrobial management team in a community teaching hospital: use of pharmacy residents and pharmacy students in a prospective audit and feedback approach. J Pharm Pract 2010;23:531–535.Google Scholar
24. Smith, KM, Hecht, KA, Armitstead, JA, Davis, GA. Evolution and operation of a pharmacy residency on-call program. Am J Health Syst Pharm 2003;60:2236–2241.Google Scholar
25. Siegfried, J, Merchan, C, Scipione, MR, et al. Role of postgraduate year 2 pharmacy residents in providing weekend antimicrobial stewardship coverage in an academic medical center. Am J Health Syst Pharm 2017;74:417–423.Google Scholar
26. Abbo, LM, Cosgrove, SE, Pottinger, PS, et al. Medical students’ perceptions and knowledge about antimicrobial stewardship: how are we educating our future prescribers? Clin Infect Dis 2013;57:631–638.Google Scholar
27. Justo, JA, Gauthier, TP, Scheetz, MH, et al. Knowledge and attitudes of doctor of pharmacy students regarding the appropriate use of antimicrobials. Clin Infect Dis 2014;59 Suppl 3:S162–S169.Google Scholar
28. Kufel, WD, Jeffres, MN, MacDougall, C, et al. Antimicrobial stewardship education in US colleges and schools of pharmacy. J Antimicrob Chemother 2018;73:2252–2258.Google Scholar
29. Yang, K, Wu, D, Tan, F, et al. Attitudes and perceptions regarding antimicrobial use and resistance among medical students in Central China. Springerplus 2016;5:1779.Google Scholar
30. Chuenchom, N, Thamlikitkul, V, Chaiwarith, R, et al. Perception, attitude, and knowledge regarding antimicrobial resistance, appropriate antimicrobial use, and infection control among future medical practitioners: a multicenter study. Infect Control Hosp Epidemiol 2016;37:603–605.Google Scholar
31. Inacio, J, Barnes, LM, Jeffs, S, et al. Master of Pharmacy students’ knowledge and awareness of antibiotic use, resistance and stewardship. Curr Pharm Teach Learn 2017;9:551–559.Google Scholar
32. Dyar, OJ, Pulcini, C, Howard, P, et al. European medical students: a first multicentre study of knowledge, attitudes and perceptions of antibiotic prescribing and antibiotic resistance. J Antimicrob Chemother 2014; 69:842–846.Google Scholar
33. Luther, VP, Shnekendorf, R, Abbo, LM, et al. Antimicrobial stewardship training for infectious diseases fellows: program directors identify a curriculum need. Clin Infect Dis 2018;67:1285–1287.Google Scholar
34. Required competency areas, goals, and objectives for postgraduate year two (PGY2) infectious diseases pharmacy residencies. American Society of Health-System Pharmacists website. https://www.ashp.org/-/media/assets/professional-development/residencies/docs/pgy2-infectious-diseases-pharmacy-residency-competency-areas-goals-objectives-2017.ashx?la=en&hash=5A6C02C187B9D8384FD2C30C7BF91A1B94137BB9. Published 2017. Accessed May 25, 2018.Google Scholar