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Impact of the expansion of antimicrobial stewardship services during transitions of care at an academic hospital

  • Stephanie T. Zampino (a1) (a2), Paula A. Politis (a1), Susan M. Fosnight (a1) (a2), Thomas M. File (a3) and M. David Gothard (a4)...

Abstract

Antimicrobial stewardship of anti-infectives prescribed upon hospital discharge was implemented to improve the rate of appropriate prescribing at discharge. Appropriate prescribing significantly improved from 47.5% to 85.2% (P < .001), antimicrobial days of therapy decreased, and 30-day readmission rates decreased. Discharge antimicrobial stewardship was effective in improving anti-infective prescribing practices.

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Corresponding author

Author for correspondence: Stephanie T. Zampino, E-mail: zampinos@summahealth.org

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PREVIOUS PRESENTATION: The data presented here was previously reported in abstract format for presentation at The Ohio Pharmacy Resident Conference in May 2019 and The Ohio College of Clinical Pharmacy meeting in June 2019.

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References

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1.Approved: new antimicrobial stewardship standard. The Joint Commission website. https://www.jointcommission.org/new_antimicrobial_stewardship_standard/. Published 2016. Accessed May 1, 2019.
2.R3 Report 23: Antimicrobial stewardship in ambulatory health care. The Joint Commission website. https://www.jointcommission.org/r3_report_23/. Published June 19, 2019. Accessed November 21, 2019.
3.Barlam, TF, Cosgrove, SE, Abbo, LM, et al.Implementing an antibiotic stewardship program: guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. Clin Infect Dis 2016;62:e51e77.
4.Core elements of outpatient antibiotic stewardship. Centers for Disease Control and Prevention website. https://www.cdc.gov/outpatient/. Updated November 14, 2019. Accessed November 21, 2019.
5.Yogo, N, Haas, MK, Knepper, BC, Burman, WJ, Mehler, PS, Jenkins, TC. Antibiotic prescribing at the transition from hospitalization to discharge: a target for antibiotic stewardship. Infect Control Hosp Epidemiol 2015;36:474478.
6.Scarpato, SJ, Timko, DR, Cluzet, VC, et al.An evaluation of antibiotic prescribing practices upon hospital discharge. Infect Control Hosp Epidemiol 2017;38:353355.
7.Shrestha, NK, Bhaskaran, A, Scalera, NM, Schmitt, SK, Rehm, SJ, Gordon, SM. Antimicrobial stewardship at transition of care from hospital to community. Infect Control Hosp Epidemiol 2012;33:401404.
8.Antonioli, P, Formaglio, A, Gamberoni, D, et al.Hospital discharge in patients at risk of surgical site infection: antimicrobial stewardship at Ferrara University Hospital, Italy. J Prev Med Hyg 2018;59:E139E144.
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Impact of the expansion of antimicrobial stewardship services during transitions of care at an academic hospital

  • Stephanie T. Zampino (a1) (a2), Paula A. Politis (a1), Susan M. Fosnight (a1) (a2), Thomas M. File (a3) and M. David Gothard (a4)...

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