Health System and Tele-Antimicrobial Stewardship: The Role of Building Networks

Area of Science:

• Health Services Research
• Infectious Diseases
• Telemedicine

Background:

• Antimicrobial stewardship programs (ASPs) are crucial for combating antimicrobial resistance.
• Traditional ASPs face challenges with resource allocation and geographic reach.
• Telemedicine offers a potential solution to extend ASP services.

Purpose of the Study:

• To explore effective models for tele-antimicrobial stewardship programs (tele-ASPs).
• To identify key components for successful implementation and workforce optimization.
• To address limitations in current tele-ASP models.

Main Methods:

• Review of existing literature and evidence on tele-ASPs.
• Analysis of different tele-ASP structural models (workforce multiplying vs. extending).
• Identification of essential elements for program success, including interpersonal dynamics.

Main Results:

• Tele-ASPs utilize technology for remote access to expertise, expanding antimicrobial services.
• Optimal tele-ASP models involve remote infectious disease (ID) specialists collaborating with local pharmacists.
• Program success is contingent on building strong interpersonal networks and rapport.

Conclusions:

• Tele-ASPs can significantly enhance the reach and impact of antimicrobial stewardship.
• The integration of remote ID expertise with local pharmacy implementation is a promising model.
• Addressing the time and cost constraints associated with specialist involvement is critical for widespread adoption.