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#StewardTip: The Myths and Realities of Antibiotic Use

Contagion® is talking to antimicrobial stewardship experts to explore the myths and realities of antibiotic use. We'll share a #StewardTip twice a week, so be sure to check back as we add to our list. 

Conan MacDougall, PharmD, MAS, BCPS, BCIDP, Professor of Clinical Pharmacy, University of California, San Francisco

"There's a belief that only "inappropriate" antibiotic use can lead to antibiotic resistance. That's not the case - even antimicrobials used for the right indication, dose, and duration can select for resistant organisms." 

Brad Langford, BScPhm, ACPR, PharmD, BCPS, Pharmacist Consultant, Public Health Ontario

"In addition to knowledge gaps, think about cognitive biases and behavoiral factors that drive inappropriate prescribing. The answer is not always more education."

Madeline King, PharmD, Professor of Clinical Pharmacy, University of the Sciences in Philadelphia

"Myth: longer is better. Truth: Shorter is almost always better."

"Treating 'just one more day' can have serious consequences (eg C. diff)."

Ryan Stevens, PharmD, BCIDP, Infectious Diseases/Antimicrobial Stewardship Pharmacist, Mayo Clinic - Rochester, Minnesota 

"Get to know your local antimicrobial stewardship team. They aren't just trying to police your antimicrobial usage, but rather are trying to help optimize the care of your patient and others that will require antimicrobials as part of your routine care in the future. No matter your speciality, you have a unique perspective that can be valuably applied to the specialty of antimicrobial stewardship."

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