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ANTIMICROBIAL STEWARDSHIP
ICU Bullet Rounds
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Tim T.Y. Lau, PharmD, FCSHP Pharmacy Lead, ASPIRES, VCH
On behalf of the ASPIRES Team: Dr. Jennifer Grant, Salomeh Shajari, Felicia Laing
Conflicts of Interest
• None to declare
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Outline
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1. Antimicrobial Stewardship in the ICU? 2. How were ICU bullet rounds implemented? 3. What is the intent of the ICU bullet rounds? 4. Does It Make a Difference? 5. Future Projects
What is Antimicrobial Stewardship?
• Promote and optimize appropriate antibiotic use • Accreditation Canada Required Organization Practice, Clinical
Care Management • ASPIRES (Antimicrobial Stewardship Programme) under Quality
& Patient Safety at Vancouver Coastal Health
• Education • Prescribing Tools and Resources • Measurement and Evaluation • Clinical Interventions: Audit and Feedback Mainstay of
AMS
Antimicrobial Stewardship Activities?
In the ICU
• Why is Antimicrobial Stewardship needed in the ICU?