ANTIMICROBIAL STEWARDSHIP PROGRAME

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ANTIMICROBIAL STEWARDSHIPPROGRAME
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WHAT IS THE PROBLEM ?

• Attractiveness of new antibiotics to physicians
• Exaggerated claims by pharmaceutical industry

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UNWANTED CONSEQUENCE OF ANTIMICROBIAL THERAPY

• Adverse reaction
• Increased length of stay
• Increased cost of hospitalization
• 30-50 of drug budget
• Predisposition to secondary infections
• Emergence of drug resistance microorganism
• Unique aspect which affects on other
  patients

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FACTORS LEAD TO INAPPROPRIATE USE OF ANTIBIOTICS

• Good intention
• Inappropriate dosing
• Inappropriate prophylaxis
• Pressure from the patients
• Time constraints
• Independency to paraclinic results
• Inadequate knowledge about infectious disease
• Malpractice considerations
• spiraling empiricism
• Heavy promotion by drug companies

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WHAT SHOULD WE DO ?

• Educational programs
• Microbial antibiogram updates
• Treatment updates
• Prophylaxis updates
• Interventional programs
• Treatment protocols
• Medical
• surgical
• Prophylaxis protocols
• Medical
• Surgical
• Antimicrobial formulary restrictions

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