IC12

Question 1

Levels of ASP

Answer 1

macro (national), meso (regional/ cluster/ hosp) and micro level (patient, clinician)

Question 2

Aims of antimicrobial stewardship program

Answer 2

• Optimise clinical outcome
• Minimise toxicity, selection of microorganisms and emergence of resistance
• Reduce healthcare cost w/o adversely impacting quality of care

Question 3

Core elements of an antimicrobial stewardship program

Answer 3

• Leadership commitment
• AMS actions
• Monitoring & surveillance
• Education & training
• Accountability & responsibilities
• Reporting & feedback

Question 4

Strategies employed in an antimicrobial stewardship program

Answer 4

• Education
• Surveillance and Risk Assessment
• Research
• Prevention and Control of Infection and
• Optimisation of Antimicrobial Use

Question 5

Three priority ASP interventions

Answer 5

• Formulary restriction and pre-authorisation
• Prospective audit and feedback
• Facility-specific evidence-based treatment guidelines

Question 6

pros and cons of Prospective audit and feedback

Answer 6

Pros:
* Provides more clinical data to enhance uptake of recommendations
* Gives greater flexibility in timing of interventions
* Can address duration of therapy

Cons
* Impacts use of audited agents only
* Recommended action generally optional and may not be followed

Question 7

Utility of point prevalence survey in antimicrobial stewardship

Answer 7

 Provide regular updates
 Report include process and outcome measures that address both national and local issues
 Share areas of improvement and areas for further improvement
 Accountability to institution leadership and stakeholders
 Justification for further funding
 Keep stakeholders and leadership informed of work done ASP
 Keep stakeholders reminded and engaged in antimicrobial stewardship