Vol.68 No.2 March 2020
Effective antimicrobial stewardship strategies for an antimicrobial stewardship team
Division of Infection Control Sciences, Department of Clinical Pharmacy, School of Pharmacy, Showa University, 1-4-5 Hatanodai, Shinagawa-ku, Tokyo, Japan
Abstract
Antimicrobial stewardship (AS) aims to support the appropriateness of antimicrobial use to reduce antimicrobial resistance and benefit patients. There are structural prerequisites for implementation of antimicrobial stewardship programs (ASPs), such as the presence of a multidisciplinary antimicrobial stewardship team (AST), to ensure appropriate antimicrobial use at healthcare facilities. In 2018, the Japanese medical reimbursement system was revised to allow fee for the implementation of ASPs, in addition to reimbursement for infection prevention and control costs. This reimbursement system requires implementation of comprehensive ASPs and securing staffing resources in AST. This review provides a framework for strategic planning and implementation of ASPs and accountability for the activities and outcomes of ASTs.
Key word
antimicrobial stewardship team, antimicrobial stewardship program, human resource, full-time equivalent
Received
September 18, 2019
Accepted
September 26, 2019
Jpn. J. Chemother. 68 (2): 204-209, 2020
