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Updated: Jun 24, 2025

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
How Should Clinicians Navigate Interprofessional Tension in Their Roles as Antimicrobial Stewards?
James B Cutrell1, James M Sanders2
1Infectious diseases physician and associate professor of medicine in the Division of Infectious Diseases and Geographic Medicine at UT Southwestern Medical Center in Dallas, Texas.
Abstract:
Pharmacists and physicians play key roles in antimicrobial stewardship. This commentary on a case describes these health professionals' need to collaborate to optimize therapeutic use of antimicrobials in clinical settings. Prescription preauthorization is one antimicrobial stewardship strategy that can meet with some physicians' frustration and generate conflict between pharmacists and prescribing physicians, particularly when pharmacists make alternative treatment recommendations. This commentary considers interprofessional tension concerning prescription preauthorization and suggests strategies for navigating such conflict.
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