Antimicrobial Stewardship & Healthcare Epidemiology (Jan 2022)

The impact of coronavirus disease 2019 (COVID-19) on the antimicrobial stewardship pharmacist workforce: A multicenter survey

  • Megan R. Wimmer,
  • Lucas T. Schulz,
  • Ashlee G. Hamel,
  • Rebecca J. Schwei,
  • Karen Fong,
  • Donna R. Burgess,
  • Meghan Brett,
  • Cory M. Hale,
  • Marisa Holubar,
  • Rupali Jain,
  • Rachel Larry,
  • Emily S. Spivak,
  • Helen Newland,
  • Jessica Njoku,
  • Michael Postelnick,
  • Carla Walraven,
  • Michael S. Pulia

DOI
https://doi.org/10.1017/ash.2022.37
Journal volume & issue
Vol. 2

Abstract

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Abstract Objective: The coronavirus disease 2019 (COVID-19) pandemic has required healthcare systems and hospitals to rapidly modify standard practice, including antimicrobial stewardship services. Our study examines the impact of COVID-19 on the antimicrobial stewardship pharmacist. Design: A survey was distributed nationally to all healthcare improvement company members. Participants: Pharmacist participants were mostly leaders of antimicrobial stewardship programs distributed evenly across the United States and representing urban, suburban, and rural health-system practice sites. Results: Participants reported relative increases in time spent completing tasks related to medication access and preauthorization (300%; P = .018) and administrative meeting time (34%; P = .067) during the COVID-19 pandemic compared to before the pandemic. Time spent rounding, making interventions, performing pharmacokinetic services, and medication reconciliation decreased. Conclusion: A shift away from clinical activities may negatively affect the utilization of antimicrobials.