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ANTIMICROBIAL STEWARDSHIP PROGRAME

ANTIMICROBIAL STEWARDSHIP PROGRAME. WHAT IS THE PROBLEM ?. Attractiveness of new antibiotics to physicians Exaggerated claims by pharmaceutical industry. UNWANTED CONSEQUENCE OF ANTIMICROBIAL THERAPY. Adverse reaction Increased length of stay Increased cost of hospitalization

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ANTIMICROBIAL STEWARDSHIP PROGRAME

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  1. ANTIMICROBIAL STEWARDSHIPPROGRAME

  2. WHAT IS THE PROBLEM ? Attractiveness of new antibiotics to physicians Exaggerated claims by pharmaceutical industry

  3. 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

  4. 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

  5. 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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