• Keith W Hamilton, Jeffrey S Gerber, Rebekah Moehring, Deverick J Anderson, Michael S Calderwood, Jennifer H Han, Jimish M Mehta, Lori A Pollack, Theoklis Zaoutis, Arjun Srinivasan, Bernard C Camins, David N Schwartz, Ebbing Lautenbach, and Centers for Disease Control and Prevention Epicenters Program.
• Division of Infectious Diseases, Hospital of the University of Pennsylvania, Philadelphia.
• Clin. Infect. Dis. 2015 Apr 15;60(8):1252-8.

AbstractAntimicrobial stewardship is pivotal to improving patient outcomes, reducing adverse events, decreasing healthcare costs, and preventing further emergence of antimicrobial resistance. In an era in which antimicrobial resistance is increasing, judicious antimicrobial use is the responsibility of every healthcare provider. Antimicrobial stewardship programs (ASPs) have made headway in improving antimicrobial prescribing using such "top-down" methods as formulary restriction and prospective audit with feedback; however, engagement of prescribers has not been fully explored. Strategies that include frontline prescribers and other unit-based healthcare providers have the potential to expand stewardship, both to augment existing centralized ASPs and to provide alternative approaches to perform stewardship at healthcare facilities with limited resources. This review discusses interventions focusing on antimicrobial prescribing at the point of prescription as well as a pilot project to engage unit-based healthcare providers in antimicrobial stewardship.© The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

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