Dobson Erica L, Klepser Michael E, Pogue Jason M, Labreche Matthew J, Adams Alex J, Gauthier Timothy P, Turner R Brigg, Su Christy P, Jacobs David M, Suda Katie J
J Am Pharm Assoc (2003). 2017 Jul-Aug;57(4):464-473. doi: 10.1016/j.japh.2017.03.014. Epub 2017 May 16.
Improving the use of antibiotics across the continuum of care is a national priority. Data outlining the misuse of antibiotics in the outpatient setting justify the expansion of antibiotic stewardship programs (ASPs) into this health care setting; however, best practices for outpatient antibiotic stewardship (AS) are not yet defined. In a companion article, we focused on recommendations to overcome challenges related to the implementation of an outpatient ASP (e.g., building the AS team and defining program metrics). In this document, we outline AS interventions that have demonstrated success and highlight opportunities to enhance AS in the outpatient arena. This article summarizes examples of point-of-care testing, policies and interventions, and education strategies to improve antibiotic use that can be used in the outpatient setting.
改善整个医疗服务过程中抗生素的使用是一项国家优先事项。概述门诊环境中抗生素滥用情况的数据证明了将抗生素管理计划（ASP）扩展到这种医疗环境的合理性；然而，门诊抗生素管理（AS）的最佳实践尚未明确。在一篇配套文章中，我们重点关注了克服与实施门诊ASP相关挑战的建议（例如，组建AS团队和定义项目指标）。在本文件中，我们概述了已证明成功的AS干预措施，并强调了在门诊领域加强AS的机会。本文总结了可用于门诊环境的即时检验、政策与干预措施以及改善抗生素使用的教育策略的实例。
