Antimicrobial Stewardship (ASP)

February 19th 2018

Due to the need to reduce resistance to antimicrobials and the incidence of clostridium difficile we have moved to a three tiered antimicrobial stewardship program.

As antimicrobial resistance and risk for clostridium difficile infections becomes a greater issue we should critically evaluate antimicrobial prescribing practices through antimicrobial stewardship (ASP).

At Centegra (CHS) we will be enhancing our antimicrobial stewardship program this month by moving to a three tiered system dispensing antimicrobials for inpatients at CHS.

This has been reviewed and approved by P&T committee and MEC.

The Tiers

Antimicrobials have been divided into three tiers based on need for stewardship

Tier 1

Commonly used antimicrobial agents that do not have restrictions. e.g. amoxicillin, azithromycin etc

Tier 2

Antibiotic will be immediately dispensed but reviewed at 48 hours “Time out” for clinical criteria that supports use. If criteria met then no further action needed and physician will not be contacted.
If agent does not meet criteria the prescribing physician will be contacted for suggestions and alternatives.

Tier 3

Antimicrobials that are restricted to ID consult only.

The Antimicrobial Stewardship Pharmacists are

Centegra Hospital – McHenry Deanna Olexia Main Pharmacy: 815-759-4400
Spectralink: 111-6753
Office: 815-759-6223
Centegra Hospital – Huntley Stephanie Chang Main Pharmacy: 224-654-0600
Spectralink: 113-0176
Office: 224-654-0620

Tiered Antibiotic Formulary Process complete details.

For more information on ASP please see the CDC site on antimicrobial stewardship.