A systematic review of inpatient antimicrobial stewardship programmes involving clinical pharmacists in small-to-medium-sized hospitals.

Objective: Antimicrobial stewardship programmes (ASPs) have been widely implemented in large hospitals but little is known regarding small-to-medium-sized hospitals. This literature review evaluates outcomes described for ASPs participated in by clinical pharmacists and implemented in small-to-medium-sized hospitals (<500 beds).

Methods: Following PRISMA principles, PubMed and Cochrane Library databases were searched in early 2016 for English language articles describing implementation and outcomes for inpatient ASPs participated in by clinical pharmacists in small-to-medium-sized hospitals.

Impact of clinical pharmacist intervention on antimicrobial use in a small 164-bed hospital.

Objectives: To study the impact of clinical pharmacist interventions (PIs) on antimicrobial prescriptions in terms of physician acceptance rates, clinical benefits and antimicrobial use/cost outcomes.

Methods: This study retrospectively analysed the impact of antimicrobial PIs over a 2-year period (October 2012 to October 2014) in a private non-teaching 164-bed hospital without a formal antimicrobial stewardship programme. Excluded from the study were outpatients and patients admitted to the intensive care unit or the emergency department.

Frequency and outcomes of concomitant use of proton pump inhibitors and clopidogrel after hospital discharge.

Objective: To assess the frequency of concomitant use of proton pump inhibitors (PPI) in patients treated with clopidogrel, and the potential impact of this use on cardiovascular events.

Method: Three-month prospective observational study. All patients taking clopidogrel who were admitted to the study hospital were included in the study.