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Article in Japanese

Optimizing infection prevention and treatment: Multidisciplinary approaches in the antimicrobial Stewardship Program

Shinya ITO1)

Antimicrobial Stewardship Program (ASP) is essential for hospital function. Because of its mandate at an institutional level, ASP must be multidisciplinary for its effective operation. At the Hospital for Sick Children in Toronto, Canada, ASP has been one of the hospital operations since 2009. However, correct understanding of activities such as ASP requires knowledge on the background health care systems and human resources of the health professionals in that jurisdiction. In comparison with Canada and other developed countries, the number of hospital beds per capita is 4-5 times higher in Japan, leading to significantly lower numbers of hospital staff per bed in Japan than in other countries such as Canada. This implies significant challenges to implement a new activity such as ASP in the Japanese health care system. In addition, effective ASP must be based on education of medical specialists, who need to collaborate with other professionals and take a leadership role in guiding the program.

1) The Hospital for Sick Children affiliated with the University of Toronto

Key words
Received January 1, 1970
Accepted January 1, 1970

29 (3):281─286,2017