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An Evaluation of Antibiotic Prescribing Practices Upon Hospital Discharge

Published online by Cambridge University Press:  28 November 2016

Sarah J. Scarpato ,
Daniel R. Timko ,
Valerie C. Cluzet ,
Jillian P. Dougherty ,
Jonathan J. Nunez ,
Neil O. Fishman ,
Keith W. Hamilton  and
for the CDC Prevention Epicenters Program
Sarah J. Scarpato*
Affiliation:
Department of Internal Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
Daniel R. Timko
Affiliation:
Pharmacy Department, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
Valerie C. Cluzet
Affiliation:
Division of Infectious Diseases, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
Jillian P. Dougherty
Affiliation:
Pharmacy Department, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
Jonathan J. Nunez
Affiliation:
Philadelphia FIGHT, Philadelphia, Pennsylvania.
Neil O. Fishman
Affiliation:
Division of Infectious Diseases, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
Keith W. Hamilton
Affiliation:
Division of Infectious Diseases, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
*
Address correspondence to Sarah J. Scarpato, MD, 3400 Spruce St, Philadelphia, PA 19104 ([email protected]).
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Abstract

We conducted a retrospective study of the appropriateness of antimicrobial agents prescribed on discharge from an acute care hospital. Seventy percent of discharge antibiotics were inappropriate in antibiotic drug choice, dose, or duration. Our findings suggest there is a significant need for antimicrobial stewardship at transitions in care.

Infect Control Hosp Epidemiol 2017;38:353–355

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 38 , Issue 3 , March 2017 , pp. 353 - 355
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

REFERENCES

1. Coleman, EA, Smith, JD, Raha, D, Min, SJ. Posthospital medication discrepancies: prevalence and contributing factors. Arch Intern Med 2005;165:1842–1847.Google Scholar
2. Gyssens, IC, van den Broek, PJ, Kullberg, BJ, Hekster, Y, van der Meer, JW. Optimizing antimicrobial therapy: a method for antimicrobial drug use evaluation. J Antimicrob Chemother 1992;30:724–727.CrossRefGoogle ScholarPubMed
3. Antimicrobial stewardship program: treatment guidelines. Penn Medicine website. http://www.uphs.upenn.edu/antibiotics. Accessed May 9, 2016.Google Scholar
4. IDSA practice guidelines. Infectious Diseases Society of American website. http://www.idsociety.org/IDSA_Practice_Guidelines. Accessed May 9, 2016.Google Scholar
5. Madaras-Kelly, KJ, Burk, M, Caplinger, C, et al. for the Pneumonia Duration of Therapy Medication Utilization Evaluation Group. Total duration of antimicrobial therapy in veterans hospitalized with uncomplicated pneumonia: results of a national medication utilization evaluation [published online August 16, 2016]. J Hosp Med.Google Scholar
6. Huttner, A, Harbarth, S, Carlet, J, et al. Antimicrobial resistance: a global view from the 2013 World Healthcare-Associated Infections Forum. Antimicrob Resist Infect Control 2013;2:31.CrossRefGoogle ScholarPubMed
7. Hensgens, MP, Goorhuis, A, Dekkers, OM, et al. Time interval of increased risk for Clostridium difficile infection after exposure to antibiotics. J Antimicrob Chemother 2012;67:724–748.Google Scholar
8. Fera, T, Anderson, C, Kanel, KT, Ramusivich, DL. Role of a care transition pharmacist in a primary care resource center. Am J Health Syst Pharm 2014;71:1585–1590.Google Scholar
9. Advic, E, Cushinotto, LA, Hughes, AH, et al. Impact of an antimicrobial stewardship intervention on shortening the duration of therapy for community-acquired pneumonia. Clin Infect Dis 2012;54:1581–1587.Google Scholar