查看文章

Objective

To assess the effect of implementation of pharmacist-led customised ASP and to compare with historical control on usage of antibiotics as well as COT in our PICU.

Methods

We conducted a multidisciplinary-team pilot project of pharmacist-led prospective-audit-with-feedback ASP from April to June 2016 in our closed multidisciplinary-cardiothoracic PICU. The team members of ASP were paediatric intensivist, critical care pharmacist (KH) specially trained in ASP and paediatric infectious disease physician. The four main components of this programme were 1: selection of appropriate agent, based on the patient characteristics’ like where the patient came from (community or another hospital/ward), previous antibiotics received in current illness, nature of disease/infection and microbiological details available if any before the PICU admission 2 appropriate dose, 3 de-escalation/discontinuation (stop or change …