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

Published online by Cambridge University Press:  07 June 2019

Brigid M. Wilson
Affiliation:
Interprofessional Implementation Research Evaluation and Clinical Center (IIRECC), Louis Stokes Cleveland Department of Veterans Affairs (VA) Medical Center, Cleveland, Ohio Geriatric Research Education and Clinical Center (GRECC), Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio
Richard E. Banks
Affiliation:
Geriatric Research Education and Clinical Center (GRECC), Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio
Christopher J. Crnich
Affiliation:
School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin William S. Middleton Veterans Affairs (VA) Hospital, Madison, Wisconsin
Emma Ide
Affiliation:
School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin
Roberto A. Viau
Affiliation:
Medical Section, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio
Nadim G. El Chakhtoura
Affiliation:
Medical Section, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio
Yvonne R. Jones
Affiliation:
Chillicothe VA Medical Center, Chillicothe, Ohio
Jason B. Cherry
Affiliation:
Chillicothe VA Medical Center, Chillicothe, Ohio
Brett A. Anderson
Affiliation:
Tomah VA Medical Center, Tomah, Wisconsin
Robin L. P. Jump*
Affiliation:
Division of Infectious Diseases & HIV Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio Department of Population and Quantitative Health Sciences, Case Western Reserve University School of Medicine, Cleveland, Ohio Specialty Care Center of Innovation at the Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio
*
Author for correspondence: Robin L. P. Jump, E-mail: robinjump@gmail.com

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.

Type
Concise Communication
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

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.

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