Journal des soins pharmaceutiques et des systèmes de santé
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Abstrait

Evaluation of an Interactive Educational Model to Enhance Antimicrobial Stewardship at an Academic Medical Center

Kathryn E. DeSear, Samuel Borgert, Aimée C. LeClaire, Kenneth Klinker, Kristin Weitzel, Randy C. Hatton

Purpose: Employee education and professional development within a pharmacy department is vital for increasing job satisfaction and optimizing quantity and quality of interventions. Frontline pharmacists have a unique opportunity to intervene at the time of verification to prevent initiation of inappropriate antibiotics, avoid adverse reactions and toxicities from unnecessary agents, decrease risk for secondary infections, and lower selection pressure for antimicrobial resistance. Methods: In an attempt to strengthen knowledge surrounding Antimicrobial Stewardship Program (ASP) practices at an academic medical center, an IRB-approved, prospective, non-randomized pilot educational program focused on urinary tract infections (UTIs) was developed for frontline pharmacy personnel with order verification duties. The goal of this program was to provide an interactive, case-based learning experience for pharmacists to improve their ability to make interventions on antimicrobials prescribed for UTI. Results: Over half of pharmacists surveyed felt a lack of knowledge prohibited them from making interventions on UTI antimicrobials. Eighty-three percent of pharmacists desired to learn more about UTI treatment. After the CE lecture, pharmacists had a better perception of knowledge with significantly increased confidence and satisfaction in their understanding of UTI. Test scores assessing pharmacists’ ability to make an intervention regarding appropriate antimicrobial treatment of UTI nearly doubled. Scores also significantly increased in pathogenesis and overall categories. Conclusion: An interactive educational program focused on practical areas for intervention increased knowledge and confidence of frontline pharmacists. Involvement of these pharmacists extends the ASP footprint within our healthcare system.