Breaking down barriers to antimicrobial stewardship in small hospitals – APhA submits compounding comments to FDA. – (866) 348-2889
Owing to their success in promoting patient safety at larger institutions, various national regulatory and accreditation agencies have mandated that all hospitals, regardless of size, implement antimicrobial stewardship programs (ASPs).
In 2015, 73% of U.S. hospitals had fewer than 200 beds, and 10% had fewer than 25 beds, many of which hold critical access hospital (CAH) designation, according to a recent study in Clinical Infectious Diseases. With 20%–50% of antibiotic use being unnecessary or inappropriate, and with similar usage rates, spectrums of antibiotics, and rates of drug-resistant bacteria compared with larger facilities, smaller hospitals may encounter barriers concerning resources while executing ASP initiatives.
“Antimicrobial resistance is one of the most problematic issues facing modern medicine,” explained Michael Klepser, PharmD, FCCP, FIDP, professor of pharmacy practice at Ferris State University College of Pharmacy in Big Rapids, MI. “Additionally, antibiotic-related adverse events are the most common cause of drug-related emergency room visits.