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Antibiotic assessment at hospital discharge—Room for stewardship intervention

Published online by Cambridge University Press:  29 November 2019

Susanne Gapen Barnett Open the ORCID record for Susanne Gapen Barnett [Opens in a new window] ,
Paul Lata ,
Meredith Kavalier ,
Christopher Crnich  and
Prakash Balasubramanian
Susanne Gapen Barnett*
Affiliation:
The William S. Middleton VA Medical Center, Madison, Wisconsin University of Wisconsin School of Pharmacy, Madison, Wisconsin
Paul Lata
Affiliation:
The William S. Middleton VA Medical Center, Madison, Wisconsin
Meredith Kavalier
Affiliation:
University of Wisconsin Hospitals and Clinics, Madison, Wisconsin
Christopher Crnich
Affiliation:
The William S. Middleton VA Medical Center, Madison, Wisconsin Division of Infectious Disease, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
Prakash Balasubramanian
Affiliation:
The William S. Middleton VA Medical Center, Madison, Wisconsin
*
Author for correspondence: Susanne Gapen Barnett, Email: [email protected]
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Abstract

Our stewardship team evaluated 19 months of discharge antibiotic prescriptions to determine prescribing appropriateness and to characterize the interventions made. Intervention occurred in 9.7% of patients, with a 58% acceptance rate. Most interventions were educational (antibiotic course was complete at time of intervention). Discharge antibiotic review is a potential stewardship tool.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 41 , Issue 2 , February 2020 , pp. 209 - 211
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved.

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Footnotes

PREVIOUS PRESENTATION. These data were previously presented as a poster presentation (abstract #70092; presentation #237) at IDWeek 2018 on October 4, 2018, in San Francisco, California.

References

File, TM, Srinivasan, A, Bartlett, JG. Antimicrobial stewardship: importance for patient and public health. Clin Infect Dis 2014;59:S93–S96.10.1093/cid/ciu543CrossRefGoogle ScholarPubMed
Dellit, TH, Owens, RC, McGowan, JE, et al.Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Infect Dis 2007;44:159–177.10.1086/510393CrossRefGoogle Scholar
Antibiotic use in the United States, 2017: progress and opportunities. Centers for Disease Control and Prevention website. https://www.cdc.gov/antibiotic-use/stewardship-report/outpatient.html. Published 2017. Accessed May 1, 2019.Google Scholar
Drekonja, DM, Filice, GA, Greer, N, et al.Antimicrobial stewardship in outpatient settings: a systematic review. Infect Control Hosp Epidemiol 2015;36:142–152.CrossRefGoogle ScholarPubMed
Vaughn, VM, Gandhi, T, Conlon, A, Chopra, V, Malani, AN, Flanders, SA. The association of antibiotic stewardship with fluoroquinolone prescribing in Michigan hospitals: a multi-hospital cohort study. Clin Infect Dis 2019;69:1269–1277.10.1093/cid/ciy1102CrossRefGoogle ScholarPubMed
Scarpato, SJ, Timko, DR, Cluzet, VC, et al.An evaluation of antibiotic prescribing practices upon hospital discharge. Infect Control Hosp Epidemiol 2017;38:353–355.10.1017/ice.2016.276CrossRefGoogle ScholarPubMed
Yogo, N, Haas, MK, Knepper, BC, et al.Antibiotic prescribing at the transition from hospitalization to discharge: a target for antibiotic stewardship. Infect Control Hosp Epidemiol 2015;36:474–478.10.1017/ice.2014.85CrossRefGoogle 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;38:534–541.10.1017/ice.2017.10CrossRefGoogle ScholarPubMed
Morton, JB, Curzake, DJ, Morrill, HJ, et al.Verbal communication with providers improves acceptance of antimicrobial stewardship interventions. Infect Control Hosp Epidemiol 2016;37:740–742.10.1017/ice.2016.90CrossRefGoogle ScholarPubMed
Chavada, R, Davey, J, O’ Connor, L, et al.‘Careful goodbye at the door’: is there role for antimicrobial stewardship interventions for antimicrobial therapy prescribed on hospital discharge? BMC Infect Dis 2018;18:225–231.10.1186/s12879-018-3147-0CrossRefGoogle ScholarPubMed