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Experiences from the Missouri Antimicrobial Stewardship Collaborative: A mixed methods study

Published online by Cambridge University Press:  04 August 2020

Sena J. Sayood*
Affiliation:
Department of Medicine, Washington University School of Medicine, St Louis, Missouri
Chinmayi Venkatram
Affiliation:
University of Pittsburgh, Pittsburgh, Pennsylvania
Jason G. Newland
Affiliation:
Department of Medicine, Washington University School of Medicine, St Louis, Missouri
Hilary M. Babcock
Affiliation:
BJC Infection Prevention and Epidemiology Consortium, BJC Healthcare, St Louis, Missouri
David K. Warren
Affiliation:
Department of Medicine, Washington University School of Medicine, St Louis, Missouri
George Turabelidze
Affiliation:
Missouri Department of Health and Senior Services, St Louis, Missouri
Virginia R. McKay
Affiliation:
Department of Medicine, Washington University School of Medicine, St Louis, Missouri
Erin C. Rachmiel
Affiliation:
Department of Medicine, Washington University School of Medicine, St Louis, Missouri
Kate Peacock
Affiliation:
Department of Medicine, Washington University School of Medicine, St Louis, Missouri
Tracey Habrock-Bach
Affiliation:
Department of Medicine, Washington University School of Medicine, St Louis, Missouri
Kevin Hsueh*
Affiliation:
Department of Medicine, Washington University School of Medicine, St Louis, Missouri
Michael J. Durkin
Affiliation:
Department of Medicine, Washington University School of Medicine, St Louis, Missouri
*
Author for correspondence: Sena J. Sayood, E-mail: sjsayood@wustl.edu. Or Kevin Hsueh, E-mail: kevin.hsueh@wustl.edu.
Author for correspondence: Sena J. Sayood, E-mail: sjsayood@wustl.edu. Or Kevin Hsueh, E-mail: kevin.hsueh@wustl.edu.

Abstract

We performed a mixed-methods study to evaluate antimicrobial stewardship program (ASP) uptake and to assess variability of program implementation in Missouri hospitals. Despite increasing uptake of ASPs in Missouri, there is wide variability in both the scope and sophistication of these programs.

Type
Concise Communication
Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved.

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Footnotes

a

Senior authors of equal contribution.

PREVIOUS PRESENTATION: Preliminary results of survey portion of study presented at IDWeek 2019 on October 5, 2019, in Washington, DC.

References

Pollack, LA, Srinivasan, A. Core Elements of hospital antibiotic stewardship programs from the Centers for Disease Control and Prevention. Clin Infect Dis 2014;59 suppl 3:S97S100.Google ScholarPubMed
Stenehjem, E, Hyun, DY, Septimus, E, et al. Antibiotic stewardship in small hospitals: barriers and potential solutions. Clin Infect Dis 2017;65:691696.CrossRefGoogle ScholarPubMed
Stenehjem, E, Hersh, AL, Buckel, WR, et al. Impact of implementing antibiotic stewardship programs in 15 small hospitals: a cluster-randomized intervention. Clin Infect Dis 2018;67:525532.Google ScholarPubMed
Medicare and Medicaid Programs. Regulatory provisions to promote program efficiency, transparency, and burden reduction; fire safety requirements for certain dialysis facilities; hospital and critical access hospital (CAH) changes to promote innovation, flexibility, and improvement in patient care. Federal Register website. https://www.federalregister.gov/documents/2019/09/30/2019-20736/medicare-and-medicaid-programs-regulatory-provisions-to-promote-program-efficiency-transparency-and. Published September 30, 2019. Accessed February 17, 2020.Google Scholar
Supplementary material: PDF

Sayood et al. Supplementary Materials

Sayood et al. Supplementary Materials 1

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Supplementary material: PDF

Sayood et al. Supplementary Materials

Sayood et al. Supplementary Materials 2

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