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ASSESSMENT OF THE ROLE OF CLINICAL PHARMACIST IN IMPLEMENTATION OF ANTIMICROBIAL STEWARDSHIP IN A TERTIARY CARE HOSPITAL: AN OBSERVATIONAL STUDY

Potu Gayathri, Meharunnisa, B. Gauthami, Mohammad Mohasin Pasha

Background

 A clinical pharmacist plays a key role in the implementation of antimicrobial stewardship by rationalizing antimicrobial use, decreasing the risk of antimicrobial resistance, and improving patient’s health-related quality of life. Objective To emphasize the role of clinical pharmacist in AMSP to develop and manage the optimal use of antimicrobial agents and to promote rational antimicrobial use. To rationalize antimicrobial use, to promote evidence-based medicine, to decrease the occurrence of antimicrobial resistance.

Methods

An observational study was conducted over 6 months in tertiary care hospitals, a total of 152 cases were collected from the patient and patient’s medical record and was assessed.

Results

Among 152 cases, 54 were rational and 98 were irrational irrespective of departments, 48.97% were wrong drug error, 27.55% were inappropriate duration of therapy, 5.1% were drug duplication, 19.38% were multiple antimicrobials for unnecessary use, 3.06% were overdose, 3.06% were subtherapeutic dose and 10.2% were drug without indication. Gram stain 13.26%, culture report 46.93%.

Conclusion

In this observational study, we are concluding that the role of the clinical pharmacist is vital in AMSP. With the implementation of AMSP, there is an opportunity for improvements in the appropriate use of antimicrobials without negatively affecting clinical outcomes.