Skip to main content Accessibility help
×
×
Home

Changes in antibiotic use following implementation of a telehealth stewardship pilot program

  • Brigid M. Wilson (a1) (a2), Richard E. Banks (a2), Christopher J. Crnich (a3) (a4), Emma Ide (a3), Roberto A. Viau (a5), Nadim G. El Chakhtoura (a5), Yvonne R. Jones (a6), Jason B. Cherry (a6), Brett A. Anderson (a7) and Robin L. P. Jump (a8) (a9) (a10) (a11)...

Abstract

Starting in 2016, we initiated a pilot tele-antibiotic stewardship program at 2 rural Veterans Affairs medical centers (VAMCs). Antibiotic days of therapy decreased significantly (P < .05) in the acute and long-term care units at both intervention sites, suggesting that tele-stewardship can effectively support antibiotic stewardship practices in rural VAMCs.

Copyright

Corresponding author

Author for correspondence: Robin L. P. Jump, E-mail: robinjump@gmail.com

Footnotes

Hide All

PREVIOUS PRESENTATION: This study was presented in part at the 2017 Geriatric Extended Care (GEC) Leads Conference on April 6, 2017, in Orlando, Florida and at IDWeek on October 4, 2017, in San Diego, California.

Footnotes

References

Hide All
1. Siddiqui, J, Herchline, T, Kahlon, S, et al. Infectious Diseases Society of America position statement on telehealth and telemedicine as applied to the practice of infectious diseases. Clin Infect Dis 2017;64:237242.
2. Strymish, J, Gupte, G, Afable, MK, et al. Electronic consultations (E-consults): advancing infectious disease care in a large Veterans Affairs healthcare system. Clin Infect Dis 2017;64:11231125.
3. Beste, LA, Glorioso, TJ, Ho, PM, et al. Telemedicine specialty support promotes hepatitis C treatment by primary care providers in the Department of Veterans Affairs. Am J Med 2017;130:432438.
4. Stevenson, LD, Banks, RE, Stryczek, KC, et al. A pilot study using telehealth to implement antimicrobial stewardship at two rural Veterans Affairs medical centers. Infect Control Hosp Epidemiol 2018;39:11631169.
5. Gerber, JS, Hersh, AL, Kronman, MP, Newland, JG, Ross, RK, Metjian, TA. Development and application of an antibiotic spectrum index for benchmarking antibiotic selection patterns across hospitals. Infect Control Amp Hosp Epidemiol 2017;38:993997.
6. R Development Core Team. R: A Language and Environment for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing; 2017.
7. Beaulac, K, Corcione, S, Epstein, L, Davidson, LE, Doron, S. Antimicrobial stewardship in a long-term acute care hospital using offsite electronic medical record audit. Infect Control Hosp Epidemiol 2016;37:433439.
8. Dos Santos, RP, Dalmora, CH, Lukasewicz, SA, et al. Antimicrobial stewardship through telemedicine and its impact on multidrug resistance. J Telemed Telecare 2018. doi: 10.1177/1357633X18767702
9. Wood, ZH, Nicolsen, NC, Allen, N, Cook, PP. Remote antimicrobial stewardship in community hospitals. Antibiotics 2015;4:605616.
10. Yam, P, Fales, D, Jemison, J, Gillum, M, Bernstein, M. Implementation of an antimicrobial stewardship program in a rural hospital. Am J Health Syst Pharm 2012;69:11421148.
11. Ceradini, J, Tozzi, AE, D’Argenio, P, et al. Telemedicine as an effective intervention to improve antibiotic appropriateness prescription and to reduce costs in pediatrics. Ital J Pediatr 2017;43:105.
12. Zhou, Y, Lynch, JB, Pottinger, PS, et al. University of Washington Tele-Antimicrobial Stewardship Program (UW-TASP/ECHO): collaboration across Washington state to improve antimicrobial use. Open Forum Infect Dis 2017;4:S271S271.
13. Veillette, JJ, Vento, T, Gelman, S, et al. Implementation of a centralized telehealth-based antimicrobial stewardship program (ASP) for 16 small community hospitals (SCHs). Open Forum Infect Dis 2017;4:S278S279.
14. Morquin, D, Ologeanu-Taddei, R, Koumar, Y, Reynes, J. Tele-expertise system based on the use of the electronic patient record to support real-time antimicrobial use. Int J Technol Assess Health Care 2018;34(2):156162.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×
Type Description Title
UNKNOWN
Supplementary materials

Wilson et al. supplementary material
Tables S1-S4

 Unknown (24 KB)
24 KB

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed