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Development and Application of an Antibiotic Spectrum Index for Benchmarking Antibiotic Selection Patterns Across Hospitals

Published online by Cambridge University Press:  31 May 2017

Jeffrey S. Gerber*
Affiliation:
Division of Infectious Diseases and The Center for Pediatric Clinical Effectiveness, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
Adam L. Hersh
Affiliation:
Division of Pediatric Infectious Diseases, Department of Pediatrics, University of Utah, Salt Lake City, Utah
Matthew P. Kronman
Affiliation:
Division of Infectious Diseases, Seattle Children’s Hospital, Seattle, Washington
Jason G. Newland
Affiliation:
Division of Pediatric Infectious Diseases, Washington University, St. Louis, Missouri
Rachael K. Ross
Affiliation:
Division of Infectious Diseases and The Center for Pediatric Clinical Effectiveness, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
Talene A. Metjian
Affiliation:
Antimicrobial Stewardship Program, Office of Safety and Medical Operations, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania.
*
Address correspondence to Jeffrey S. Gerber, MD, PhD, Division of Infectious Diseases, The Children’s Hospital of Philadelphia, CHOP North, Suite 1518, Philadelphia, PA 19104 (gerberj@email.chop.edu).

Abstract

Standard metrics for antimicrobial use consider volume but not spectrum of antimicrobial prescribing. We developed an antibiotic spectrum index (ASI) to classify commonly used antibiotics based on activity against important pathogens. The application of this index to hospital antibiotic use reveals how this tool enhances current antimicrobial stewardship metrics.

Infect Control Hosp Epidemiol 2017;38:993–997

Type
Concise Communications
Copyright
© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

PREVIOUS PRESENTATION: The work reported here was presented at ID Week 2014 on October 10, 2014, in Philadelphia, Pennsylvania.

References

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