Objectives: To evaluate the development of pharmacist-led antimicrobial stewardship activities in English hospitals. Methods: Distribution of an electronic questionnaire to antimicrobial pharmacists or chief pharmacists in National Health Service hospitals in England. Results: Since a previous study, in 2005, overall numbers of specialist antimicrobial pharmacists, and their levels of experience, had increased. Over 95% of hospitals provided empirical usage guidance, antimicrobial formularies and surgical prophylaxis guidelines. Two-thirds of pharmacy departments provided antimicrobial usage reports in terms of defined daily doses at least yearly, and over 80% conducted yearly antimicrobial point prevalence studies. The vast majority of pharmacy departments indicated a willingness to supply data and audit results to a national database for benchmarking purposes. Conclusions: The increasing role of specialist pharmacists and general pharmacists in antibiotic stewardship in acute care in England has enabled hospitals to deliver on the antibiotic stewardship agenda, although opportunity remains to expand this role further and ensure greater multidisciplinary engagement.
Bibliographical noteFunding Information:
This work was conducted as part of the authors’ work at Imperial College Healthcare NHS Trust, Imperial College London, and the Health Protection Agency (functions of the latter transferred to Public Health England from April 2013 onwards), supported by the National Institute for Health Research Biomedical Research Centre Funding Scheme at Imperial College (funding number not applicable), and the National Centre for Infection Pre-ventionandManagement (CIPM)fundedbytheUnitedKingdomClinicalRe-search Council (UKCRC G0800777). D. A. I. A.-O. is also an antimicrobial pharmacist at Barking Havering and Redbridge University Hospitals NHS Trust.
Copyright 2013 Elsevier B.V., All rights reserved.
- Antibiotic policy