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Improving hospital antibiotic use
Affiliation:1. Geneva University Hospitals (HUG), Pharmacy, 4 Rue Gabrielle Perret-Gentil, 1211 Geneva 14, Switzerland;2. University of Lausanne (UNIL), Institute of Earth Surface Dynamics, Geopolis, CH-1015 Lausanne, Switzerland;3. Geneva University Hospitals (HUG), Medical Direction and Quality, 4 Rue Gabrielle Perret-Gentil, 1211 Geneva 14, Switzerland;4. Geneva University, University Center of Legal Medicine (CUMRL), Rue Michel-Servet 1, CH-1211 Geneva 4, Switzerland;5. Geneva University Hospitals (HUG), Clinical Pharmacology and Toxicology, 4 Rue Gabrielle Perret-Gentil, 1211 Geneva 14, Switzerland;1. Center for Health Evaluation and Outcome Sciences, St. Paul''s Hospital, University of British Columbia, Vancouver, BC, Canada;2. Division of Critical Care Medicine, University of British Columbia, Vancouver, BC, Canada;3. Vancouver General Hospital, Vancouver, BC, Canada;4. Pharmacy Department, St. Paul''s Hospital, Vancouver, BC, Canada;5. School of Public and Population Health, University of British Columbia, Vancouver, BC, Canada
Abstract:
Improving antibiotic use is an important component of efforts to prevent the emergence and spread of multi-resistant microorganisms in hospitals. There are many complex factors that influence clinical decision making such as antibiotic prescribing in hospitals. Guidelines for antibiotic use should be easily accessible and hospitals should develop their own antibiotic policies appropriate to their institutions. Effective implementation of guidelines requires support with strategies such as education, audit and feedback. Infection control practitioners (ICPs) need to be aware of the strategies used to improve hospital antibiotic use and may have an expanded role to play in the successful implementation of these programmes.
Keywords:
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