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

  • Norihiro Yogo (a1) (a2), Michelle K. Haas (a1) (a2) (a3) (a4), Bryan C. Knepper (a5) (a4), William J. Burman (a1) (a2) (a3) (a4), Philip S. Mehler (a1) (a2) (a4) and Timothy C. Jenkins (a1) (a2) (a4)...

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

Copyright

Corresponding author

Address correspondence to Norihiro Yogo, University of Colorado Anschutz Medical Campus, 12700 E. 19th Avenue, B168, Aurora, CO 80045 (Norihiro.Yogo@ucdenver.edu).

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

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References

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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.
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7. Johnson, L, Sabel, A, Burman, WJ, et al. Emergence of fluoroquinolone resistance in outpatient urinary Escherichia coli isolates. Am J Med 2008;121:876884.
8. Vardakas, KZ, Konstantelias, AA, Loizidis, G, et al. Risk factors for the development of Clostridium difficile infection due to BI/NAP1/027 strain: a meta-analysis. Int J Infect Dis 2012;16:e768e773.

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