Antimicrobial Stewardship Program (ASP)

Introduction

An Antimicrobial Stewardship Program (ASP) is a coordinated approach to optimize the use of antimicrobial medications in healthcare settings. Its primary aim is to ensure the appropriate use of antibiotics, antifungals, antivirals, and other antimicrobial agents, enhancing patient outcomes while minimizing the risks of resistance, side effects, and unnecessary costs. ASPs are typically led by a multidisciplinary team that includes physicians, pharmacists, microbiologists, and infection control specialists, working together to ensure evidence-based practices guide antimicrobial prescribing

Importance of an Antimicrobial Stewardship Program in a Hospital:
  1. Reducing Antimicrobial Resistance (AMR): One of the greatest challenges in modernmedicine is antimicrobial resistance, where bacteria evolve to resist the effects of drugs. ASPs play a crucial role slowing the development of AMR by promoting the responsible use of antibiotics and other antimicrobia.
  2. Improving Patient Outcomes: Effective antimicrobial stewardship ensures that patients receive the right medication at the right dose, minimizing the risk of treatment failures, adverse drug reactions, and complications from inappropriate antimicrobial use. This leads to better recovery rates and fewer hospital re-admission.
  3. Decreasing Healthcare costs: By reducing the overuse and misuse of antimicrobials, ASPs help decrease the length of hospital stays, the number of infections, and the need for expensive, broad-spectrum antibiotics. This can lead to substantial cost savings for hospitals and healthcare system.
  4. Preventing the Spread of infections: An ASP not only focuses on treatment but also includes infection prevention strategies. Appropriate antimicrobial prescribing can reduce the transmission of resistant pathogens, which is especially important in hospitals where vulnerable patients are at higher risk for infection.

AMSP Committee Member

For achieving above goals, an Antimicrobial Stewardship Program Committee (AMSP Committee) is constituted as follows:

Sr. No. Name & Designation Position Role
1 LT Gen (Dr) Daljit Singh, AVSM, VSM (RETD), Executive Director Chairperson Monitoring, Mentoring
2 Prof. (Dr.) Dinesh Kumar Verma, MS(O) Vice-chairperson Monitoring & Implementation
3 Prof. (Dr.) Priti Agarwal, HoD, Dept. of Microbiology Member Secretary & Diagnostic Stewardship Officer Implementation and periodic review
4 Prof. (Dr.) Deepti Chopra, HoD, Dept. of Pharmacology Alternate Member secretary Implementation and periodic review
5 Dr. Puneet Kumar Gupta, Associate Professor, Dept. of Microbiology Infection Control Stewardship Officer To assess, develop, update and implement the Infection Control Practices
6 Dr. Avula Naveen, Associate Professor, Dept. of Pharmacology Antimicrobial Stewardship Officer To establish and review the antimicrobial practices
7 HoDs/F I/cs Member/Departmental Stewardship Officer To implement & supervise departmental level AMSP practices
8 Nursing Superintendent Member -
9 AMSP Nurse Member Surveillance and training for AMSP practices

SOP