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Association between meeting core elements for inpatient antimicrobial stewardship and antibiotic utilization

Published online by Cambridge University Press:  24 June 2019

Shaina R. Bernard ,
Kristi M. Kuper ,
Kimberly B. Lee ,
Michael P. Stevens ,
Samuel F. Hohmann ,
Natalie Nguyen  and
Amy L. Pakyz Open the ORCID record for Amy L. Pakyz [Opens in a new window]
Shaina R. Bernard
Affiliation:
Division of Surveillance and Investigation, Virginia Department of Health, Richmond, Virginia
Kristi M. Kuper
Affiliation:
Vizient, Irving, Texas
Kimberly B. Lee
Affiliation:
Virginia Commonwealth University Health, Richmond, Virginia
Michael P. Stevens
Affiliation:
Department of Hospital Epidemiology and Infection Control, Virginia Commonwealth University, Richmond, Virginia
Samuel F. Hohmann
Affiliation:
Vizient, Irving, Texas Department of Health Systems Management, Rush University, Chicago, Illinois
Natalie Nguyen
Affiliation:
Virginia Commonwealth University Health, Richmond, Virginia
Amy L. Pakyz*
Affiliation:
Department of Pharmacotherapy and Outcomes Science, Virginia Commonwealth University Richmond, Virginia
*
Author for correspondence: Amy L. Pakyz, PhD, 410 North 12th Street, Box 980533, Richmond, VA, 23298, USA. Email: [email protected]
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Abstract

We used multivariable analyses to assess whether meeting core elements was associated with antibiotic utilization. Compliance with 7 elements versus not doing so was associated with higher use of broad-spectrum agents for community-acquired infections [days of therapy per 1,000 patient days: 155 (39) vs 133 (29), P = .02] and anti-methicillin-resistant S. aureus agents [days of therapy per 1,000 patient days: 145 (37) vs 124 (30), P = .03].

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 9 , September 2019 , pp. 1050 - 1052
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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References

Core elements of hospital antibiotic stewardship programs: antibiotic use. Centers for Disease Control and Prevention website. https://www.cdc.gov/antibiotic-use/healthcare/implementation/core-elements.html. Published December 12, 2017. Accessed January 8, 2019.Google Scholar
Antimicrobial stewardship. Joint Commission website. http://www.jointcommission.org/topics/hai_antimicrobial_stewardship.aspx. Accessed January 8, 2019.Google Scholar
Moehring, RW, Anderson, DJ, Cochran, RL, et al. Expert consensus on metrics to assess the impact of patient-level antimicrobial stewardship interventions in acute-care settings. Clin Infect Dis 2017;64:377–383.CrossRefGoogle ScholarPubMed
O’Leary, EN, van Santen, KL, Webb, AK, Pollock, DA, Edwards, JR, Srinivasan, A. Uptake of antibiotic stewardship programs in US acute care hospitals: findings from the 2015 National Healthcare Safety Network Annual Hospital Survey. Clin Infect Dis 2017;65:1748–1750.CrossRefGoogle ScholarPubMed
van Santen, KL, Edwards, JR, Webb, AK, et al. The standardized antimicrobial administration ratio: a new metric for measuring and comparing antibiotic use. Clin Infect Dis 2018;67:179–185.CrossRefGoogle ScholarPubMed
Patterson, JA, Edmond, MB, Hohmann, SF, Pakyz, AL. Association between high-risk medication usage and healthcare facility-onset C. difficile infection. Infect Control Hosp Epidemiol 2016;37:909–915.CrossRefGoogle ScholarPubMed
Pakyz, AL, Moczygemba, LR, Wang, H, Stevens, MP, Edmond, MB. An evaluation of the association between an antimicrobial stewardship score and antimicrobial usage. J Antimicrob Chemother 2015;70:1588–1591.Google ScholarPubMed