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Evaluation of an initiative to improve prophylactic antimicrobial prescribing in patients on extracorporeal membrane oxygenation (ECMO) through the application of three antimicrobial-spectrum scores

Published online by Cambridge University Press:  09 February 2021

Aditya Shah*
Affiliation:
Division of Infectious Diseases, Department of Medicine, Mayo Clinic, Rochester, Minnesota
Ryan W. Stevens
Affiliation:
Department of Pharmacy Services, Mayo Clinic, Rochester, Minnesota
John C. O’Horo
Affiliation:
Division of Infectious Diseases, Department of Medicine, Mayo Clinic, Rochester, Minnesota Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, Rochester, Minnesota
Ross A. Dierkhising
Affiliation:
Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota
Lynn L. Estes
Affiliation:
Division of Infectious Diseases, Department of Medicine, Mayo Clinic, Rochester, Minnesota Department of Pharmacy Services, Mayo Clinic, Rochester, Minnesota
Elie F. Berbari
Affiliation:
Division of Infectious Diseases, Department of Medicine, Mayo Clinic, Rochester, Minnesota
Aaron J. Tande
Affiliation:
Division of Infectious Diseases, Department of Medicine, Mayo Clinic, Rochester, Minnesota
*
Author for correspondence: Aditya Shah, E-mail: Shah.aditya@mayo.edu

Abstract

Antimicrobial spectrum scoring is a method to quantify the spectrum of antimicrobial utilization. Herein, we applied a locally adapted scoring system, with other pre-existing scoring systems, using a data set of prophylactically administered antibiotics following a 2-stage antimicrobial stewardship program (ASP) intervention in a population of patients on extracorporeal membrane oxygenation (ECMO).

Type
Concise Communication
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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References

Antibiotic use in hospitals, 2017. Centers for Disease Control and Prevention website. https://www.cdc.gov/antibiotic-use/stewardship-report/hospital.html. Published August 8, 2019. Accessed January 19, 2020.Google Scholar
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 Hosp Epidemiol 2017;38:993997.CrossRefGoogle ScholarPubMed
Madaras-Kelly, K, Jones, M, Remington, R, Hill, N, Huttner, B, Samore, M. Development of an antibiotic spectrum score based on veterans affairs culture and susceptibility data for the purpose of measuring antibiotic de-escalation: a modified Delphi approach. Infect Control Hosp Epidemiol 2014;35:11031113.CrossRefGoogle ScholarPubMed
McIntyre, MT, Naik, L, Bell, CM, Morris, AM. Development and assessment of a physician-specific antimicrobial usage and spectrum feedback tool. Open Forum Infect Dis 2017;4:ofx124.CrossRefGoogle ScholarPubMed
Leung, V, Li, M, Wu, JH, et al. Evaluating antimicrobial use and spectrum of activity in ontario hospitals: feasibility of a multicentered point prevalence study. Open Forum Infect Dis 2018;5:ofy110.CrossRefGoogle ScholarPubMed
Madaras-Kelly, K, Jones, M, Remington, R, Caplinger, C, Huttner, B, Samore, M. Description and validation of a spectrum score method to measure antimicrobial de-escalation in healthcare associated pneumonia from electronic medical records data. BMC Infect Dis 2015;15:197.CrossRefGoogle ScholarPubMed
Stenehjem, E, Hersh, AL, Sheng, X, et al. Antibiotic use in small community hospitals. Clin Infect Dis 2016;63:12731280.CrossRefGoogle ScholarPubMed
Moehring, RW, Ashley, ED, Davis, AE, et al. Development of an electronic definition for de-escalation of antibiotics in hospitalized patients. Clin Infect Dis 2020. doi: 10.1093/cid/ciaa932.Google Scholar
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