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Pediatric antimicrobial stewardship practices at discharge: A national survey

Published online by Cambridge University Press:  16 July 2021

Marie E. Wang Open the ORCID record for Marie E. Wang [Opens in a new window] ,
Kimberly Felder ,
Jason G. Newland ,
Adam L. Hersh ,
Nipunie S. Rajapakse ,
Zachary I. Willis ,
Ritu Banerjee ,
Jeffrey S. Gerber ,
Hayden T. Schwenk  and
Louise E. Vaz
Marie E. Wang*
Affiliation:
Department of Pediatrics, Stanford University School of Medicine, Stanford, California
Kimberly Felder
Affiliation:
Department of Pediatrics, Oregon Health & Science University, Portland, Oregon
Jason G. Newland
Affiliation:
Department of Pediatrics, Washington University in St. Louis, Missouri
Adam L. Hersh
Affiliation:
Department of Pediatrics, Division of Infectious Diseases, University of Utah, Salt Lake City, Utah
Nipunie S. Rajapakse
Affiliation:
Department of Pediatrics, Mayo Clinic College of Medicine and Science, Rochester, Minnesota
Zachary I. Willis
Affiliation:
Department of Pediatrics, UNC School of Medicine, Chapel Hill, North Carolina
Ritu Banerjee
Affiliation:
Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee
Jeffrey S. Gerber
Affiliation:
Department of Pediatrics, University of Pennsylvania Perelman School of Medicine and The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
Hayden T. Schwenk
Affiliation:
Department of Pediatrics, Stanford University School of Medicine, Stanford, California
Louise E. Vaz
Affiliation:
Department of Pediatrics, Oregon Health & Science University, Portland, Oregon
*
Author for correspondence: Marie E. Wang, E-mail: [email protected]
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Abstract

We surveyed pediatric antimicrobial stewardship program (ASP) site leaders within the Sharing Antimicrobial Reports for Pediatric Stewardship collaborative regarding discharge stewardship practices. Among 67 sites, 13 (19%) reported ASP review of discharge antimicrobial prescriptions. These findings highlight discharge stewardship as a potential opportunity for improvement during the hospital-to-home transition.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 43 , Issue 11 , November 2022 , pp. 1686 - 1688
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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Footnotes

PREVIOUS PRESENTATION: These findings were presented in an abstract in the Pediatric Academic Societies 2020 Meeting Program Guide on April 30, 2020.

References

Gerber, JS, Jackson, MA, Tamma, PD, Zaoutis, TE. Antibiotic stewardship in pediatrics. Pediatrics 2021;147(1):e2020040295.CrossRefGoogle Scholar
Tribble, AC, Lee, BR, Flett, KB, et al. Appropriateness of antibiotic prescribing in US children’s hospitals: a national point prevalence survey. Clin Infect Dis 2020;71:e226–e234.CrossRefGoogle Scholar
Hersh, AL, Newland, JG, Gerber, JS. Pediatric antimicrobial discharge stewardship: An unmet need. JAMA Pediatr 2016;170:191–192.CrossRefGoogle Scholar
Olson, J, Thorell, EA, Hersh, AL. Evaluation of discharge antibiotic prescribing at a freestanding children’s hospital: opportunities for stewardship. J Pediatr Infect Dis Soc 2019;8:563–566.CrossRefGoogle Scholar
Su, CP, Hidayat, L, Rahman, S, Venugopalan, V. Use of an anti-infective medication review process at hospital discharge to identify medication errors and optimize therapy. J Pharma Pract 2019;32:488–492.CrossRefGoogle ScholarPubMed
Yogo, N, Shihadeh, K, Young, H, et al. Intervention to reduce broad-spectrum antibiotics and treatment durations prescribed at the time of hospital discharge: a novel stewardship approach. Infect Control Hosp Epidemiol 2017;38:534–541.CrossRefGoogle ScholarPubMed
McPherson, C, Lee, BR, Terrill, C, et al. Characteristics of pediatric antimicrobial stewardship programs: current status of the Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS) collaborative. Antibiotics (Basel) 2018;7(1).Google ScholarPubMed
Newland, JG, Stach, LM, De Lurgio, SA, et al. Impact of a prospective-audit-with-feedback antimicrobial stewardship program at a children’s hospital. J Pediatr Infect Dis Soc 2012;1:179–186.Google ScholarPubMed
Mekonnen, AB, McLachlan, AJ, Brien, JA. Effectiveness of pharmacist-led medication reconciliation programmes on clinical outcomes at hospital transitions: a systematic review and meta-analysis. BMJ Open 2016;6(2):e010003.CrossRefGoogle ScholarPubMed
Newman, RE, Hedican, EB, Herigon, JC, Williams, DD, Williams, AR, Newland, JG. Impact of a guideline on management of children hospitalized with community-acquired pneumonia. Pediatrics 2012;129:e597–e604.CrossRefGoogle ScholarPubMed
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