University of Miami ASP

UHealth Antimicrobial Stewardship Program

Antimicrobial stewardship interventions have been proven to improve individual patient outcomes, reduce the overall burden of antibiotic resistance, and save healthcare dollars. Implementation of an antimicrobial stewardship program regardless of inpatient setting, will help ensure that hospitalized patients receive the right antibiotic, at the right dose, at the right time, and for the right duration. As a result, there is reduced mortality, reduced risks of Clostridium difficile-associated diarrhea, shorter hospital stays, reduced overall antimicrobial resistance within the facility, and cost savings. Despite all of these benefits, antimicrobial stewardship programs and interventions are far from the norm in U.S. hospitals and long term care facilities today.

The University of Miami Hospital is a 550 bed facility in Miami Florida.
The Antimicrobial Stewardship Program was implemented in 2010 and performs daily prospective audit and feedback, reviews vancomycin pharmacokinetics and intravenous to oral conversion of antimicrobials among other initiatives. It has developed surgical prophylaxis protocols and protocols for the extended infusion of antimicrobials.

In a short period of time has been able to accomplish significant quality improvement and patient safety initiatives.