Does your hospital or institution have an Antimicrobial Stewardship Program (ASP), which oversees ID physicians, and if so, does the ASP have the authority to refuse an antibiotic prescribed by an ID consultant?

ASPs are common place. The studies supporting ASPs oversaw doctors, not specifically trained in Infectious Diseases. However, several institutions have used ASPs to restrict or block abx prescribed by ID docs. Typically and ironically, PharmDs make these recommendations or decisions after reading the ID consultant's notes. Each ASP has a titular ID doc at the head of the committee, but rarely is the ID doc "in charge" of the ASP involved in the decisions to block an abx order. Essentially, such ASPs are implying that ID board certification means little.

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Infectious Disease · Early Intervention Program Camden County

Answered on

We have ASP and the ID docs have a very collegial relation with our PharmD who are both ID pharmacists. They are very helpful and they do not block the ID consultants. When ID consultant recommends something that should not be done due to drug interaction for instance The pharmacist will call explai...

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Infectious Disease · Zucker School of Medicine at Hofstra / Northwell

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Our hospital has an ASP which has been in place for the past 6 years. The ASP is headed by a clinical pharmacist in direct contact with the physician director who is board certified in ID. When there is any question of appropriate antibiotic usage by any provider including an ID certified physician,...

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Infectious Disease · Yale New Haven Hospital

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Yes.

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