Antibiotics and Adverse Events

The Role of Antimicrobial Stewardship Programs in 'Doing No Harm'

Karri A. Bauer; Ravina Kullar; Mark Gilchrist; Thomas M. File Jr.


Curr Opin Infect Dis. 2019;32(6):553-558. 

In This Article


The role of ASPs in the prevention of ADEs is an important initiative in promoting patient safety. It is imperative for ASPs to demonstrate their efforts in alternative ways besides solely reporting antibiotic cost reductions. ASPs' impact on the prevention and reduction of ADEs is a way to emphasize the necessity and importance of the program. ASP members should meet with the patient safety officer and additional hospital leadership to discuss antibiotic-related ADEs and offer solutions. In addition, metrics related to antibiotic-related ADEs, including number of events prevented should be regularly reported and discussed with the patient safety officer and hospital leadership. Lastly, with the increase in multidrug-resistant bacteria, ASPs can have the direct impact on decreasing the incidence of infections and colonization with these bacteria in addition to C. difficile. The 'Do no harm' decree exhorted of all healthcare providers needs to be the principle we all stand behind to make a sustainable impact on patient care.