Premium
Antimicrobials and Therapeutic Decision Making: An Historical Perspective
Author(s) -
Quintiliani Richard,
Nightingale Charles H.
Publication year - 1991
Publication title -
pharmacotherapy: the journal of human pharmacology and drug therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.227
H-Index - 109
eISSN - 1875-9114
pISSN - 0277-0008
DOI - 10.1002/j.1875-9114.1991.tb03608.x
Subject(s) - medicine , antimicrobial , dosing , intensive care medicine , pharmacy , pharmacotherapy , drug utilization review , medical emergency , drug , family medicine , nursing , pharmacology , chemistry , organic chemistry
In an effort to remedy inappropriate and excessive use of antimicrobials and to control costs, most hospitals have developed some type of antimicrobial management program. At Hartford Hospital, our most effective approaches have been those that reduce the chances for physician error, decrease the burden on ancillary services, and encourage short hospital stays. These include automatic correction of dose and dosing intervals of antimicrobials and, if possible, their conversion by pharmacy to cost‐effective alternative agents; daily review of patients who are taking the drugs by an antimicrobial team; and replacement of parenteral with oral agents as soon as possible. Physician acceptance of these approaches will require significant changes in traditional prescribing styles and willingness to allow pharmacists to implement the recommendations of therapeutic and medical staff committees. (Pharmacotherapy 1991;11(1 Pt 2):6S‐13S)