Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship

Purpose: To help assess which ASP elements are currently in place in terms of staff and strategies.

Source: Adapted from Greater New York Health Assocation/United Hospital Fund ASP Chapter 2, "The Antimicrobial Stewardship Core Team," and Chapter 3-B, "Core Strategies."

Instructions: Complete checklist, review responses to ascertain the level of leadership support, and target areas that need strengthening to move forward.

Staff ResourceCheck If Available:
Infectious disease–trained physician___
Clinical pharmacist___
Clinical microbiologist___
Infection control representative___
Hospital epidemiologist___
Information technology___
Strategies in place
Prospective audit with intervention and feedback
___
Education___
Guidelines and clinical pathways___
Antimicrobial cycling___
Antimicrobial order forms___
Formulary restriction and preauthorization___
Combination therapy___
Streamlining or de-escalation of therapy___
Dose optimization___
Parenteral to oral conversion___
Health care information technology___

Return to Question 1

Page last reviewed September 2012
Internet Citation: Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship. September 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/cdifftoolkit/cdiffl2tools1e.html