Infections 3

Question 1

What is the definition of antimicrobial stewardship?

Answer 1

An overarching program to change and direct antimicrobial use within a healthcare institution

The optimal selection, dosage and duration of antimicrobial treatment

Question 2

What is the motivation and purpose for antimicrobial stewardship?

Answer 2

Overuse of antimicrobials
Increasing cost
Antibiotic resistance

Question 3

What is the role of pharmacists in the AMS team?

Answer 3

Formulary restriction
Patient review
Education
Streamlining of treatment 
IV to oral switch 
Antibiotic cycling

Question 4

Name FIVE antimicrobial stewardship strategies

Answer 4

Formulary restrictions
Review, Audit and feedback
Education
Prior approval programmes
Streamlining/De-escalation
Dose optimisation
IV to oral switch 
Antibiotic cycling
Computer-assisted prescribing

Question 5

Outline some of the UK 2013-2018 antimicrobial resistance strategy

Answer 5

Improving infection prevention and infection control practices
Optimise prescribing practice
Improve professional education, training and public engagement
Development of new drugs, treatment and diagnostics
Better access to and use of surveillance data
Better identification and prioritisation of AMR research
Strengthened international collaboration