Kikuchi Ken    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position   Professor
Article types	Original article
Language	English
Peer review	Peer reviewed
Title	Antifungal Stewardship Task Shifting Required of Pharmacists.
Journal	Formal name：Medical mycology journal Abbreviation：Med Mycol J ISSN code：18820476
Domestic / Foregin	Domestic
Volume, Issue, Page	63(4),pp.109-117
Author and coauthor	Ebihara Fumiya, Maruyama Takumi, Kikuchi Ken, Kimura Toshimi, Hamada Yukihiro
Publication date	2022
Summary	Similar to antimicrobial stewardship, the concept of antifungal stewardship (AFS) has also received attention. AFS outcomes include reduced healthcare costs, avoidance of adverse events, and increased implementation of therapeutic drug monitoring (TDM). Several processes and outcome measures have recently been reported for implementing AFS and evaluating its effectiveness in healthcare institutions. This review focuses on our AFS efforts to standardize treatment using a template for pharmacist-led patient intervention for candidemia and to evaluate TDM dosage adequacy rates for voriconazole. The importance of "task shifting", in which the physician's work is transferred or shared with pharmacists and other co-medical staff to alleviate concentration of physician workload, has also been advocated. This review focuses on how pharmacists are involved in AFS.
DOI	10.3314/mmj.22.003
PMID	36450563