Approximately 45% of cancer patients are affected by sepsis and infection due to high risk therapies and prolonged or repeated healthcare utilisation. Antimicrobial therapy the key element in the management of sepsis and the appropriate antibiotic choice requires careful consideration. Factors that influence antibiotic appropriateness include allergy status, drug, site of infection, underling co-morbidities, microbiology and drug-drug interactions. International evidence demonstrates that nurses are well placed to provide stewardship support to optimise patient care and aid antibiotic appropriateness.
This paper will describe the rationale for an antimicrobial stewardship specialist nursing role in a tertiary cancer centre, report on key role domains and outline the formative evaluation framework for successful implementation.
We developed an antimicrobial stewardship nurse-led role to address the following key domains:
Results and Conclusions
A formative evaluation design has been adopted to iteratively assess feasibility, acceptability, efficacy and sustainability of the AMS nurse specialist role. We will report on the impacts of the AMS nurse specialist role on the key domains of AMS practice.