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Antibiotic resistance is now a major issue confronting healthcare providers and their patients. Changing antibiotic resistance patterns, rising antibiotic costs and the introduction of new antibiotics have made selecting optimal antibiotic regimens more difficult now than ever before. Furthermore, history has taught us that if we do not use antibiotics carefully, they will lose their efficacy. As a response to these challenges, the Johns Hopkins Antimicrobial Stewardship Program was created in July 2001.
The mission of the program is to ensure that every patient at Hopkins on antibiotics gets optimal therapy. Our goal is for the Antimicrobial Stewardship Program to be a useful service in optimizing antibiotic use at Hopkins.
The development of JHH specific adult antibiotic guidelines are a step in that direction. The guidelines were initially developed by Arjun Srinivasan, M.D., and Alpa Patel, Pharm.D., in 2002 and have been revised and expanded annually. These guidelines are based on current literature reviews, including national guidelines and consensus statements, current microbiologic data from the Hopkins lab, and Hopkins’ faculty expert opinion. Faculty from various departments have reviewed and approved these guidelines. As you will see, in addition to antibiotic recommendations, the guidelines also contain information about diagnosis and other useful management tips.
As the name implies, these are only guidelines, and we anticipate that occasionally, departures from them will be necessary. When these cases arise, we will be interested in knowing why the departure is necessary. We want to learn about new approaches and new data as they become available so that we may update the guidelines as needed. You should also document the reasons for the departure in the patient’s chart.
Sara E. Cosgrove, M.D., M.S.
Director, Antimicrobial Stewardship Program
Edina Avdic, Pharm.D., M.B.A., BCPS, AQ-ID
Adult ID Pharmacist
Associate Director, Antimicrobial Stewardship Program
Pranita D. Tamma, M.D., M.H.S.
Director, Pediatric Antimicrobial Stewardship Program
Alice Jenh Hsu, Pharm.D., BCPS, AQ-ID
Associate Director, Pediatric Antimicrobial Stewardship Program
Vidhya Gunaseelan, M.S., M.H.A.
Biostatistician and Data Manager, Antimicrobial Stewardship Program