ArticleOpen forum infectious diseases2020
Perspectives of Physician and Pharmacist Stewards on Successful Antibiotic Stewardship Program Implementation: A Qualitative Study.
Article in Open forum infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05975671 (Reducing Empiric VAncomycin Use in Pediatric Suspected Sepsis), which is not on this map. Cited by 21 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Reducing Empiric VAncomycin Use in Pediatric Suspected Sepsis (REVAMP-Sepsis)
Who cites it
21 citing papers in PubMed.
- A qualitative evaluation of a program to implement antimicrobial stewardship for asymptomatic bacteriuria: how site attributes affected uptake.Infection control and hospital epidemiology · 2026Article
- Temporal trends in antimicrobial consumption and an investigation of hospital antimicrobial stewardship activities through structured interviews.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Barriers in implementing antibiotic stewardship programmes at paediatric units in academic hospitals in Thailand: a qualitative study.BMJ open · 2025Article
- Clinical pharmacist-led Antimicrobial Stewardship under volume-based procurement: a retrospective quasi-experimental study on rational use and resistance control.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Assessing hospital antibiotic stewardship program (ASP) implementation: validation of an implementation science-informed survey.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Level of self-confidence among nurse practitioners in rural public health facilities regarding antimicrobial stewardship programs.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Impact of a hub-and-spoke approach to hospital antimicrobial stewardship programmes on antibiotic use in Zambia.JAC-antimicrobial resistance · 2024Article
- Assessment of challenges and opportunities in antibiotic stewardship program implementation in Northwest Ethiopia.Heliyon · 2024Article
- Antimicrobial use before and during COVID-19: data from 108 Veterans Affairs medical centers.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024Article
- The use of telehealth-supported stewardship activities in acute-care and long-term care settings: An implementation effectiveness trial.Infection control and hospital epidemiology · 2023Article
- A qualitative evaluation of frontline clinician perspectives toward antibiotic stewardship programs.Infection control and hospital epidemiology · 2023Article
- Implementation of an antimicrobial stewardship program in the Australian private hospital system: qualitative study of attitudes to antimicrobial resistance and antimicrobial stewardship.BMC health services research · 2022Article
- Instant Gratification and Overtreating to Be Safe: Perceptions of U.S. Intensive Care Unit Pharmacists and Residents on Antimicrobial Stewardship.Antibiotics (Basel, Switzerland) · 2022Article
- Polish Medical Doctors' Opinions on Available Resources and Information Campaigns concerning Antibiotics and Antibiotic Resistance, a Cross-Sectional Study.Antibiotics (Basel, Switzerland) · 2022Article
- Antibiotic stewardship implementation at hospitals without on-site infectious disease specialists: A qualitative study.Infection control and hospital epidemiology · 2022Article
- What influences the implementation and sustainability of antibiotic stewardship programmes in hospitals? A qualitative study of antibiotic pharmacists' perspectives across South West England.European journal of hospital pharmacy : science and practice · 2022Article
- Fluoroquinolone stewardship at a community health system: A decade in review.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022Article
- Hospital Pharmacists and Antimicrobial Stewardship: A Qualitative Analysis.Antibiotics (Basel, Switzerland) · 2021Article
- Self-prescribing of antibiotics by patients seeking care in Indian emergency departments.Journal of the American College of Emergency Physicians open · 2021Article
- Survey of physician and pharmacist steward perceptions of their antibiotic stewardship programs.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2021Article
Corrections and comments
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAntibiotic stewardship programs (ASPs) are required at every hospital regardless of size. We conducted a qualitative study across different hospital settings to examine perspectives of physician and pharmacist stewards about the dynamics within their team and contextual factors that facilitate the success of their programs.
methodsSemistructured interviews were conducted in March-November 2018 with 46 ASP stewards, 30 pharmacists, and 16 physicians, from 39 hospitals within 2 large hospital systems.
resultsWe identified 5 major themes: antibiotic stewards were enthusiastic about their role, committed to the goals of stewardship for their patients and as a public-health imperative, and energized by successful interventions; responsibilities of pharmacist and physician stewards are markedly different, and pharmacy stewards performed the majority of the day-to-day stewardship work; collaborative teamwork is important to improving care, the pharmacists and physicians supported each other, and pharmacists believed that having a strong physician leader was essential; provider engagement strategies are a critical component of stewardship, and recommendations must be communicated in a collegial manner that did not judge the provider competence, preferably through face-to-face interactions; and hospital leadership support for ASP goals and for protected time for ASP activities is critical for success.
conclusionsThe physician-pharmacist team is essential for ASPs; most have pharmacists leading and performing day-to-day activities with physician support. Collaborative, persuasive approaches for ASP interventions were the norm. Stewards were careful not to criticize or judge inappropriate antibiotic prescribing. Further research should examine whether this persuasive approach undercuts provider appreciation of stewardship as a public health mandate.
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