Garau Javier, Bassetti Matteo
Department of Medicine, Hospital Universitari Mútua de Terrassa, Terrassa, Barcelona, Spain.
Infectious Diseases Division, Santa Maria della Misericordia University Hospital, University of Udine, Udine, Italy.
Int J Clin Pharm. 2018 Oct;40(5):948-952. doi: 10.1007/s11096-018-0675-z. Epub 2018 Sep 22.
Antimicrobial resistance is a growing public health problem of global concern and, unless action is taken, the burden of death could reach 10 million per year by 2050. Resistance has been associated with increasing mortality, treatment failure and healthcare costs. In order to help combat this, antimicrobial stewardship programmes, have been implemented in many countries. These stewardship programmes can help, reduce inappropriate prescription and broad-spectrum use of antimicrobials, improve, clinical outcomes for the population as a whole, slow down the emergence of antimicrobial resistance and conserve healthcare resources. Pharmacists are an integral part of the stewardship team and have an important role in tackling antimicrobial resistance. This article aims to review the role of pharmacists within antimicrobial stewardship programmes and the opportunities for pharmacist-driven antimicrobial stewardship strategies in hospital and community settings.
抗菌药物耐药性是一个日益严重的全球公共卫生问题,受到全球关注,除非采取行动,否则到2050年每年的死亡负担可能达到1000万。耐药性与死亡率上升、治疗失败和医疗成本增加有关。为了帮助应对这一问题,许多国家已实施抗菌药物管理计划。这些管理计划有助于减少抗菌药物的不适当处方和广谱使用,改善全体人群的临床结局,减缓抗菌药物耐药性的出现并节约医疗资源。药剂师是管理团队不可或缺的一部分,在应对抗菌药物耐药性方面发挥着重要作用。本文旨在综述药剂师在抗菌药物管理计划中的作用,以及在医院和社区环境中由药剂师推动的抗菌药物管理策略的机会。