Sarah M. Wieczorkiewicz, PharmD, BCPS (AQ-ID), is
a Clinical Infectious Diseases Pharmacist and Residency Program
Director for the Post-Graduate Year 1 (PGY1) Pharmacy Residency at
Advocate Lutheran General Hospital in Park Ridge, IL. Dr.
Wieczorkiewicz received her Doctor of Pharmacy from Midwestern
University Chicago College of Pharmacy followed by PGY1 Pharmacy
Residency training at the Portland VA Medical Center in Portland,
OR and Postdoctoral Fellowship in Infectious Diseases
Pharmacotherapy Fellowship at the University of Illinois at
Chicago.
Dr. Wieczorkiewicz is passionate about antimicrobial stewardship
and has demonstrated this through her leadership and service in
various local initiatives and professional pharmacy organizations.
She has given various national presentations and authored
peer-reviewed manuscripts in the area of infectious diseases. Her
current research interests include antibiogram utilization and
limitations, point-of-care diagnostics, health-system-based
antimicrobial stewardship initiatives, and innovation in pharmacy
education.
Carrie Sincak, PharmD, BCPS, FASHP is Assistant
Dean for Clinical Affairs, and Professor of Pharmacy Practice at
Midwestern University Chicago College of Pharmacy. Dr. Sincak
graduated with her Doctor of Pharmacy from the University of
Illinois at Chicago in 2000 and completed her pharmacy practice
residency at the University of Michigan Medical Center in 2001. She
has been on faculty with Midwestern University Chicago College of
Pharmacy since 2001, where she served as a clinical pharmacist in
internal medicine at the North Chicago VA Medical Center and then
later at Loyola University Medical Center. From 2008 until 2015,
she served as Vice Chair in the Department of Pharmacy Practice and
in March 2015, she became Assistant Dean for Clinical Affairs.
Dr. Sincak has published casebook chapters, book chapters, and
review articles in peer-reviewed publications. She has served as an
appointed member of the ASHP Commission on Affiliate Relations, and
as an elected ASHP Illinois Delegate. She has served as President
and member of numerous other committees for the Illinois Council of
Health System Pharmacists. Dr. Sincak is actively involved in the
didactic and experiential training of pharmacy students and
residents, and has won numerous teaching awards.
The Pharmacist's Guide to Antimicrobial Therapy and Stewardship
By: Sarah M. Wieczorkiewicz and Carrie A. Sincak The Pharmaceutical
Journal13 JUN 2016
Reviewer: Laurence A. Goldberg
The authors of this book define antimicrobial stewardship as the
optimisation of safe, judicious and appropriate use of
antimicrobials in enhancing clinical outcomes while minimising
unintended consequences and reducing overall healthcare costs.
This guide sets out to provide a simplified, comprehensive and
quick reference on the most commonly encountered infectious
diseases and treatment regimens to assist pharmacists to evaluate
and manage patients with suspected or confirmed infections. The
content is divided into five parts: describing the evaluation of
patients with suspected infections; possible sources of infection
and likely causative organisms; treatment programmes; patient or
disease specific factors that affect decision making; and
stewardship interventions, including patient reassessment or
monitoring.
The part of the book devoted to sources of infection and likely
causative organisms is in a tabulated format that includes:
diagnostic criteria, clinical presentation, symptoms, most commonly
offending pathogens, treatment and monitoring recommendations and
duration of therapy. Clinical pearls are found throughout this
section.
Pharmacists have a responsibility to take a prominent role in
antimicrobial stewardship programmes and participate in infection
prevention and control initiatives in healthcare settings. To
support this, the stewardship section of the book covers the
development of an antimicrobial stewardship team and how to
maintain a programme. It begins with the rationale for
antimicrobial stewardship and then goes on to describe the
unintended consequences of antimicrobial misuse or overuse, the
purpose and goals of antimicrobial stewardship, key stakeholders
and their roles, descriptions of specific interventions,
information on how to monitor and report data and a general
approach to the delivery of educational programmes.
A minor irritation is the long-winded titles introducing each part
of the book and the inappropriate use of upper case letters for
each word in the title, for example: "What Is the Suspected Source
of Infection and What Organisms Are Typically Associated with
Infection at This Site?"
This book will be of value to practising pharmacists, enhancing
their knowledge of infectious disease management and influencing
their decision making while offering pharmacy students a
step-by-step guide to good practice in this important area of
healthcare.
--Laurence A. Goldberg "Pharmaceutical Journal" (6/13/2016 12:00:00
AM)
The Pharmacist's Guide to Antimicrobial Therapy and Stewardship
By: Sarah M. Wieczorkiewicz and Carrie A. Sincak
_____________________________________________________________________________________
Doody's Review Services, May 2016 [REVIEWER'S EXPERT OPINION]
Patrick J. McDonnell, PharmD(Temple University School of Pharmacy)
**Description**
This book presents the fundamentals of infectious diseases and
discusses how to assess patients to assure that the proper
antimicrobial therapy is selected and monitored, all within the
scope of a multidisciplinary antibiotic stewardship program.
**Purpose**
The purpose is to provide pharmacists, particularly those who have
not specialized in infectious disease, the basics of assessment of
patients with infections, as well as treatment plans, drug therapy
monitoring, and how to be a part of a formal antibiotic stewardship
program. This is especially important as this spring, the
Infectious Diseases Society of America drafted new antibiotic
stewardship guidelines that specifically name pharmacists as key
members of these programs. **Audience**
As the title states, the audience is pharmacists, but medical
residents, medical students, nursing students, members of hospital
infection control teams, and others could benefit as well. The
authors specialize in infectious disease. **Features**
The first of the book's five parts, an introduction to the
evaluation of patients with potential infectious disease, is very
well written. It includes handy flowcharts and clear explanations
of differentiating infection from colonization or contamination,
community acquired from hospital acquired infections, and other
basics. Section two focuses on the suspected source of the
infection and reviews common infections and the organisms that may
cause them. Section three highlights drug specifics on the spectrum
of these antimicrobials. Part four, which is critical, stresses the
importance of patient specifics, from dosing to pharmacodynamics to
pharmacokinetics, to name just a few. Part five focuses on the
antibiotic stewardship team. For the size of this book, it's rather
comprehensive. **Assessment**
This book reviews the basic facets of infectious diseases as well
as key pointers for initiating or maintaining an institution's
antibiotic stewardship program from a pharmacist's perspective.
There are few other books that provide similar information. The
Sanford Guide to Antimicrobial Therapy, Gilbert (Antimicrobial
Therapy, Incorporated), updated annually, contains much of the
"bug-drug" information, but this book presents it in a more user
friendly format. Weighted Numerical Score: 90 - 4 Stars!--Patrick
J. McDonnell, PharmD(Temple University School of Pharmacy) "Doody
Review Services" (5/6/2016 12:00:00 AM)
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