Point-of-prescription interventions to improve antimicrobial stewardship

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

Research output: Contribution to journalReview articlepeer-review

38 Scopus citations


Antimicrobial 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.

Original languageEnglish
Pages (from-to)1252-1258
Number of pages7
JournalClinical Infectious Diseases
Issue number8
StatePublished - 15 Apr 2015
Externally publishedYes


  • antimicrobial prescribing
  • antimicrobial stewardship
  • frontline
  • point of prescription


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