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Antibiotic Prescribing at the Transition from Hospitalization to Discharge: A Target for Antibiotic Stewardship

Published online by Cambridge University Press:  20 January 2015

Norihiro Yogo
Affiliation:
Department of Medicine, Division of Infectious Diseases, University of Colorado, Aurora, Colorado University of Colorado School of Medicine, Aurora, Colorado
Michelle K. Haas
Affiliation:
Department of Medicine, Division of Infectious Diseases, University of Colorado, Aurora, Colorado University of Colorado School of Medicine, Aurora, Colorado Denver Public Health, Denver Health, Denver, Colorado Denver Health, Denver, Colorado.
Bryan C. Knepper
Affiliation:
Department of Patient Safety and Quality, Denver Health, Denver, Colorado Denver Health, Denver, Colorado.
William J. Burman
Affiliation:
Department of Medicine, Division of Infectious Diseases, University of Colorado, Aurora, Colorado University of Colorado School of Medicine, Aurora, Colorado Denver Public Health, Denver Health, Denver, Colorado Denver Health, Denver, Colorado.
Philip S. Mehler
Affiliation:
Department of Medicine, Division of Infectious Diseases, University of Colorado, Aurora, Colorado University of Colorado School of Medicine, Aurora, Colorado Denver Health, Denver, Colorado.
Timothy C. Jenkins
Affiliation:
Department of Medicine, Division of Infectious Diseases, University of Colorado, Aurora, Colorado University of Colorado School of Medicine, Aurora, Colorado Denver Health, Denver, Colorado.
Corresponding

Abstract

Of 300 patients prescribed oral antibiotics at the time of hospital discharge, urinary tract infection, community-acquired pneumonia, and skin infections accounted for 181 of the treatment indications (60%). Half of the prescriptions were antibiotics with broad Gram-negative activity. Discharge prescriptions were inappropriate in 79 of 150 cases reviewed (53%).

Infect Control Hosp Epidemiol 2015;00(0): 1–5

Type
Concise Communications
Copyright
© 2015 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

Previous Presentation. This work was presented as a poster abstract at IDWeek 2014, Philadelphia, Pennsylvania.

References

1. Society for Healthcare Epidemiology of America, Infectious Diseases Society of America, Pediatric Infectious Diseases Society. Policy statement on antimicrobial stewardship by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA), and the Pediatric Infectious Diseases Society (PIDS). Infect Control Hosp Epidemiol 2012;33:322327.CrossRefGoogle Scholar
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