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

  • Shaina R. Bernard (a1), Kristi M. Kuper (a2), Kimberly B. Lee (a3), Michael P. Stevens (a4), Samuel F. Hohmann (a2) (a5), Natalie Nguyen (a3) and Amy L. Pakyz (a6)...

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].

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Corresponding author

Author for correspondence: Amy L. Pakyz, PhD, 410 North 12th Street, Box 980533, Richmond, VA, 23298, USA. Email: apakyz@vcu.edu

References

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1. 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.
2. Antimicrobial stewardship. Joint Commission website. http://www.jointcommission.org/topics/hai_antimicrobial_stewardship.aspx. Accessed January 8, 2019.
3. 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;64:377383.
4. 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;65:17481750.
5. 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;67:179185.
6. 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;37:909915.
7. 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;70:15881591.

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

  • Shaina R. Bernard (a1), Kristi M. Kuper (a2), Kimberly B. Lee (a3), Michael P. Stevens (a4), Samuel F. Hohmann (a2) (a5), Natalie Nguyen (a3) and Amy L. Pakyz (a6)...

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