Antimicrobial Stewardship in Pediatric Intensive Care

Team Composition IDSA recommends that ASPs be multidisciplinary, including a pediatric infectious disease physician leader, a clinical pharmacist (preferably with infectious disease training), a clinical microbiologist, an information system specialist, an infection prevention specialist, and a hospital epidemiologist.1,2 Nguyen-Ha et al2 described a more limited ASP team with decreased drug starts, decreased drug use, and decreased costs. These teams work in concert with primary teams, even when not technically consulted, often constantly surveying positive cultures and surveying use of broad-spectrum antibiotics.