Exploring unintended consequences of adult antimicrobial stewardship programs: An Emerging Infections Network survey

Area of Science:

• Infectious Diseases
• Healthcare Management
• Antimicrobial Resistance

Background:

• Antimicrobial stewardship programs (ASPs) are crucial for combating antimicrobial resistance.
• Understanding physician perspectives on ASPs is vital for effective implementation.
• Previous research has not fully explored the unintended consequences of ASPs from the physician's viewpoint.

Purpose of the Study:

• To investigate the unintended consequences of antimicrobial stewardship programs (ASPs) as perceived by adult infectious diseases (ID) physicians.
• To identify specific concerns related to ASP implementation and guidance.

Main Methods:

• A survey was conducted among adult infectious diseases (ID) physicians.
• Physicians were queried about their experiences and concerns regarding antimicrobial stewardship programs (ASPs).

Main Results:

• ID physicians involved in ASPs worried about professional disagreements, loss of provider autonomy, and challenges with remote recommendations.
• Physicians not directly involved in ASPs showed greater concern about program focus on cost-efficiency and the unforeseen impacts of ASP guidelines.

Conclusions:

• Antimicrobial stewardship programs (ASPs) may lead to unintended consequences impacting physician practice and professional relationships.
• Addressing physician concerns regarding autonomy, collaboration, and guideline practicality is essential for successful ASPs.
• Further research should explore strategies to mitigate these unintended consequences and optimize ASP effectiveness.