%0 Journal Article
%T Specialist trainees on rotation cannot replace dedicated consultant clinicians for antimicrobial stewardship of specialty disciplines
%A Yeo Chay Leng
%A Wu Jia En
%A Chung Gladys Wei-Teng
%A Chan Douglas Su-Gin
%J Antimicrobial Resistance and Infection Control
%D 2012
%I BioMed Central
%R 10.1186/2047-2994-1-36
%X Our prospective-audit-and-feedback antimicrobial stewardship (AS) program for hematology and oncology inpatients was switched from one led by dedicated clinicians to a rotating team of infectious diseases trainees in order to provide learning opportunities and attempt a ¡°de-escalation¡± of specialist input towards a more protocol-driven implementation. However, process indicators including the number of recommendations and recommendation acceptance rates fell significantly during the year, with accompanying increases in broad-spectrum antibiotic prescription. The trends were reversed only upon reverting to the original setup. Dedicated clinicians play a crucial role in AS programs involving immunocompromised patients. Structured training and adequate succession/contingency planning is critical for sustainability.
%K Antimicrobial stewardship
%K Antimicrobial resistance
%K Trainee supervision
%K Compliance
%U http://www.aricjournal.com/content/1/1/36