Low hanging fruit
There are many potential strategies, interventions and/or tools that can be used to drive stewardship improvement, but they need to be tailored to your local context and antibiotic stewardship issues.
Many of these are referred to as “low-hanging fruit” strategies. In their article “Is the “Low-Hanging Fruit” Worth Picking for Antimicrobial Stewardship Programs?” Goff et al suggest that:
“A new antimicrobial stewardship program can be overwhelmed at the breadth of interventions and education required to conduct a successful program. The expression “low-hanging fruit,” in reference to stewardship, refers to selecting the most obtainable targets rather than confronting more complicated management issues. These targets include intravenous-to-oral conversions, batching of intravenous antimicrobials, therapeutic substitutions, and formulary restriction. These strategies require fewer resources and less effort than other stewardship activities; however, they are applicable to a variety of healthcare settings, including limited-resource hospitals, and have demonstrated significant financial savings.”
You will hear more about “Low-Hanging Fruit” strategies in Week 6.
© UoD and BSAC