Goo Roy Alan Sh, Chu Cherie Hl, Yoneda Melissa K, Ma Carolyn Sj
University of Hawai'i at Hilo, Daniel K. Inouye College of Pharmacy, Hilo, HI (RASHG, CHLC, CSJM).
Hawaii J Med Public Health. 2016 Jul;75(7):208-11.
In recent years the misuse of antimicrobials has contributed to the growing problem of antimicrobial resistance. Antimicrobial Stewardship Programs (ASP) decrease the misuse of antimicrobials by supporting a rational, systematic approach. ASP strategies vary from broad-ranging policies and other decision support tools to prospective audit review of patients on antimicrobials. Many healthcare facilities, however, have been slow to adopt stewardship attributable to the fact that early ASP models required individuals with specialized training, and a significant amount of time and infrastructural investment from facilities. In response to the increasing need for ASPs in Hawai'i, the Hawai'i Department of Health (HDOH) partnered with the Daniel K. Inouye College of Pharmacy (DKICP) to develop the Hawai'i Antimicrobial Stewardship Collaborative (HASC), a voluntary collaboration whose main objective is to assist hospital institutions in the implementation of a simplified model of the Centers for Disease Control and Prevention's Core Elements of Hospital Antimicrobial Stewardship Programs. The work of HASC places Hawai'i's health care institutions in an advantageous position to be able to comply with impending accreditation standards relating to antibiotics and infections.
近年来，抗菌药物的滥用导致了日益严重的抗菌药物耐药性问题。抗菌药物管理计划（ASP）通过支持合理、系统的方法来减少抗菌药物的滥用。ASP策略从广泛的政策和其他决策支持工具到对抗菌药物使用患者的前瞻性审核各不相同。然而，许多医疗机构采用管理措施的速度较慢，原因是早期的ASP模式需要经过专门培训的人员，并且医疗机构需要投入大量时间和基础设施。为满足夏威夷对抗菌药物管理计划日益增长的需求，夏威夷卫生部（HDOH）与丹尼尔·K·伊努伊药学院（DKICP）合作，开发了夏威夷抗菌药物管理协作组织（HASC），这是一个自愿合作组织，其主要目标是协助医院机构实施疾病控制与预防中心医院抗菌药物管理计划核心要素的简化模式。HASC的工作使夏威夷的医疗机构能够处于有利地位，以便能够符合即将出台的与抗生素和感染相关的认证标准。
