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Reality Check: How Should We Control Antimicrobial Use? Current Practices and Controversies

Published online by Cambridge University Press:  02 January 2015

Bruno Coignard ,
Jane D. Siegel ,
Robert A. Weinstein ,
Annette H. Sohn ,
Ronda L. Sinkowitz-Cochran  and
William R. Jarvis
Bruno Coignard*
Affiliation:
Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention (CDC), Public Health Service, United States Department of Health and Human Services, Atlanta, Georgia Epidemic Intelligence Service, Division of Applied Public Health Training, Epidemiology Program Office, CDC, Public Health Service, United States Department of Health and Human Services, Atlanta, Georgia
Jane D. Siegel
Affiliation:
University of Texas Southwestern Medical Center, Dallas, Texas
Robert A. Weinstein
Affiliation:
Cook County Bureau of Health Services, Chicago, Illinois
Annette H. Sohn
Affiliation:
Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention (CDC), Public Health Service, United States Department of Health and Human Services, Atlanta, Georgia Epidemic Intelligence Service, Division of Applied Public Health Training, Epidemiology Program Office, CDC, Public Health Service, United States Department of Health and Human Services, Atlanta, Georgia
Ronda L. Sinkowitz-Cochran
Affiliation:
Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention (CDC), Public Health Service, United States Department of Health and Human Services, Atlanta, Georgia
William R. Jarvis
Affiliation:
Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention (CDC), Public Health Service, United States Department of Health and Human Services, Atlanta, Georgia
*
Centers for Disease Control and Prevention, 1600 Clifton Rd, Mail Stop E69, Atlanta, GA 30333
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Abstract

The infectious diseases community shares a wide consensus about the need for control of antimicrobial use. However, current practices toward this goal remain controversial. This “Reality Check” session assessed attendees of the 4th Decennial Conference regarding their knowledge and practices about control of antimicrobial use in hospitals.

Type
From the 4th Decennial International Conference
Information
Infection Control & Hospital Epidemiology , Volume 21 , Issue 12 , December 2000 , pp. 792 - 795
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2000

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References

1.Kunin, CM, Tupasi, T, Craig, WA. Use of antibiotics. A brief exposition of the problem and some tentative solutions. Ann Intern Med 1973;79:555–560.Google Scholar
2.Simmons, HE, Stolley, PD. This is medical progress? Trends and consequences of antibiotic use in the United States. J AMA 1974;227:1023–1028.Google ScholarPubMed
3.Buckwold, FJ, Ronald, AR. Antimicrobial misuse—effects and suggestions for control. J Antimicrob Chemother 1979;5:129–136.CrossRefGoogle ScholarPubMed
4.Cooke, DM, Salter, AJ, Phillips, I. Antimicrobial misuse, antibiotic policies and information resources. J Antimicrob Chemother 1980;6:435–443.CrossRefGoogle ScholarPubMed
5.Geddes, AM. Good antimicrobial prescribing. Introduction. Lancet 1982;2:82.Google Scholar
6.Cooke, DM, Salter, AJ, Phillips, I. The impact of antibiotic policy on prescribing in a London teaching hospital. A one-day prevalence survey as an indicator of antibiotic use. J Antimicrob Chemother 1983;11:447–453.Google Scholar
7.Massari, P, Czernichow, P, Manouvrier, C, Lecomte, F, Auger, MP, Humbert, G, et al. Evaluation and utilization patterns of antibiotic therapy. A study in 4 hospital departments. Rev Epidemiol Sante Publique 1993;41:161–168.Google Scholar
8.Gould, IM. Stewardship of antibiotic use and resistance surveillance: the international scene. J Hosp Infect 1999;43:S253–S260.Google Scholar
9.Jarvis, WR. Preventing the emergence of multidrug-resistant microorganisms through antimicrobial use controls: the complexity of the problem. Infect Control Hosp Epidemiol 1996;17:490–495.CrossRefGoogle ScholarPubMed
10.McGowan, JE Jr. Antimicrobial resistance in hospital organisms and its relation to antibiotic use. Rev Infect Dis 1983;5:1033–1048.CrossRefGoogle ScholarPubMed
11.Marr, JJ, Moffet, HL, Kunin, CM. Guidelines for improving the use of antimicrobial agents in hospitals: a statement by the Infectious Diseases Society of America. J Infect Dis 1988;157:869–876.CrossRefGoogle ScholarPubMed
12.Shlaes, DM, Gerding, DN, John, JF Jr, Craig, WA, Bornstein, DL, Duncan, RA, et al. Society for Healthcare Epidemiology of America and Infectious Diseases Society of America Joint Committee on the Prevention of Antimicrobial Resistance: guidelines for the prevention of antimicrobial resistance in hospitals. Infect Control Hosp Epidemiol 1997;18:275–291.Google Scholar
13.Nicolle, LE, Bentley, D, Garibaldi, R, Neuhaus, E, Smith, P, SHEA Long-Term-Care Committee. Antimicrobial use in long-term-care facilities. Infect Control Hosp Epidemiol 1996;17:119–128.Google Scholar
14.Goldmann, DA, Weinstein, RA, Wenzel, RP, Tablan, AC, Duma, RJ, Gaynes, RP, et al. Strategies to prevent and control the emergence and spread of antimicrobial-resistant microorganisms in hospitals: a challenge to hospital leadership. JAMA 1996;275:234–240.Google Scholar
15.Sohn, AH, Sinkowitz-Cochran, RL, Jarvis, WR. Program Overview: the Reality Check Sessions at the 4th Decennial International Conference on Nosocomial and Healthcare-Associated Infections. Infect Control Hosp Epidemiol 2000;21:742–744.Google Scholar
16.Duncan, RAControlling use of antimicrobial agents. Infed Control Hosp Epidemiol 1997;18:260–266.Google Scholar
17.Coignard, B, Trick, WE, DeMarais, PL, Vernon, M, Schwartz, D, Wojslaw, Aet al. Analysis of antibiotic use in a long-term care facility: identifying opportunities for improvement. Infect Control Hosp Epidemiol 2000;21:115. Abstract.Google Scholar
18.Burke, JP, Pestotnik, SL. Antibiotic use and microbial resistance in intensive care units: impact of computer-assisted decision support. J Chemother 1999;11:530–535.Google Scholar
19.John, JF Jr, Fishman, NO. Programmatic role of the infectious diseases physician in controlling antimicrobial costs in the hospital. Clin Infed Dis 1997;24:471–485.Google Scholar
20.Sturm, AW. Effects of a restrictive antibiotic policy on clinical efficacy of antibiotics and susceptibility patterns of organisms. Eur J Clin Microbiol Infect Dis 1990;9:381–389.Google Scholar
21.Sturm, AW. Rational use of antimicrobial agents and diagnostic microbiology facilities. J Antimicrob Chemother 1988;22:257–260.Google Scholar
22.Campo, L, Mylotte, JM. Use of microbiology reports by physicians in prescribing antimicrobial agents. Am J Med Sci 1988;296:392–398.CrossRefGoogle ScholarPubMed
23.Chren, MM, Landefeld, CS. Physician's behavior and their interactions with drug companies. A controlled study of physicians who requested additions to a hospital drug formulary. JAMA 1994;271:684–689.Google Scholar
24.Evans, RS, Pestotnik, SL, Burke, JP, Gardner, RM, Larsen, RA, Classen, DC. Reducing duration of prophylactic antibiotic use through computer monitoring of surgical patients. DICP Ann Pharmacother 1990;24:351–354.Google Scholar
25.Singer, MV, Haft, R, Barlam, T, Aronson, M, Shafer, A, Sands, KE. Vancomycin control measures at a tertiary-care hospital: impact of interventions on volume and patterns of use. Infect Control Hosp Epidemiol 1998;19:248–253.CrossRefGoogle Scholar
26.Sanchez, PJ, Mohamed, WA, Gard, JW, Gaffney, D, Byrd, L, Zeray, F, et al. Vancomycin-reduction protocol in a neonatal intensive care unit: what's the outcome? Presented at the 37th Annual Meeting of the Infectious Diseases Society of America; 1999; Philadelphia, PA. Abstract 550.Google Scholar
27.Durbin, WA Jr, Lapidas, B, Goldmann, DA. Improved antibiotic usage following introduction of a novel prescription system. JAMA 1981;246:1796–1800.Google Scholar
28.McGowan, JE. Do intensive hospital antibiotic control programs prevent the spread of antibiotic resistance? Infect Control Hosp Epidemiol 1994;15:478–483.Google Scholar