What is the purpose of ASP? The Antimicrobial Stewardship Program (ASP) at OSUWMC has been in place for over a decade, helping to ensure the selection of the right antibiotic, at the right dose, for the right duration in order to cure infections while minimizing toxicity and the emergence of resistance.
Who makes up the ASP team? The ASP team is multi-disciplinary and consists of Infectious Diseases (ID) physicians, pharmacists, microbiologists, infection preventionists, and a data manager.
Who does ASP report to? Every quarter the ASP dashboard is updated which tracks key metrics such as antibiotic use, and the team’s strategic plan is updated annually. ASP meets weekly and reports up through The Pharmacy & Therapeutics Antibiotic Subcommittee on a monthly basis. ASP has also provided antimicrobial use data to particular units, physicians and senior leadership.
What are examples of ASP activities? The ASP team develops guidelines, policies, and formulary recommendations to help guide clinicians to identify the best antimicrobial treatment for infections while ensuring appropriate utilization considering cost, toxicity, and concern for resistance development. These decisions are made using published best practices and local susceptibilities. One guideline recently updated in collaboration with ASP is the Clostridioides difficile Management guideline (https://evidencebasedpractice.osumc.edu/Documents/Guidelines/Cdifficile.pdf).
Each weekday, specialty trained pharmacists and physicians review the charts of patients with high risk infections and patients receiving restricted antimicrobials to ensure the best course of therapy. Daily performance of an antibiotic timeout (ATO) is encouraged for all healthcare services to reassess the patient’s need for antimicrobial therapy. Trends in antimicrobial use and resistance patterns are monitored and action is taken to drive improvement when needed.
How does ASP provide education regarding best practices for antimicrobial use? In addition to maintaining a robust website (https://wexnermedical.osu.edu/departments/pharmacy/asp), the ASP Medical Director and Lead Pharmacist provide live education to new providers during orientation. The team has also distributed pocket cards to providers highlighting key ASP initiatives and resources, developed workstation screensavers regarding antimicrobial stewardship, and designed an eLearning module that is required of all nurses, pharmacists, mid-level providers and physicians upon hire and every other year thereafter.
Where can more information about ASP be found? Please refer to the ASP website for additional resources (https://wexnermedical.osu.edu/departments/pharmacy/asp).