Skip to main content Accessibility help
×
Home
Hostname: page-component-55597f9d44-qcsxw Total loading time: 0.308 Render date: 2022-08-15T01:15:07.664Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "useNewApi": true } hasContentIssue true

Exploring unintended consequences of adult antimicrobial stewardship programs: An Emerging Infections Network survey

Published online by Cambridge University Press:  20 April 2022

Michael J. Durkin*
Affiliation:
Division of Adult Infectious Diseases, Department of Internal Medicine Washington University in St. Louis, St. Louis, Missouri
Jason Lake
Affiliation:
Division of Infectious Diseases, Department of Pediatrics, Washington University in St. Louis, St. Louis, Missouri
Philip M. Polgreen
Affiliation:
Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa Department of Internal Medicine, University of Iowa, Iowa City, Iowa
Susan E. Beekmann
Affiliation:
Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa Department of Internal Medicine, University of Iowa, Iowa City, Iowa
Adam L. Hersh
Affiliation:
Division of Pediatric Infectious Diseases, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah
Jason G. Newland*
Affiliation:
Division of Infectious Diseases, Department of Pediatrics, Washington University in St. Louis, St. Louis, Missouri
*
Author for correspondence: Michael J. Durkin, E-mail: mdurkin@wustl.edu. Or Jason G. Newland, E-mail: jgnewland@wustl.edu
Author for correspondence: Michael J. Durkin, E-mail: mdurkin@wustl.edu. Or Jason G. Newland, E-mail: jgnewland@wustl.edu

Abstract

We performed a survey of adult infectious diseases (ID) physicians to explore unintended consequences of antimicrobial stewardship programs (ASP). ID physicians worried about disagreement with colleagues, provider autonomy, and remote recommendations. Non-ASP ID physicians expressed more concern regarding ASPs focus on costs, provider efficiency, and unintended consequences of ASP guidance.

Type
Concise Communication
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Perozziello, A, Routelous, C, Charani, E, et al. Experiences and perspectives of implementing antimicrobial stewardship in five French hospitals: a qualitative study. Int J Antimicrob Agents 2018;51:829835.CrossRefGoogle ScholarPubMed
Broom, J, Broom, A, Plage, S, Adams, K, Post, JJ. Barriers to uptake of antimicrobial advice in a UK hospital: a qualitative study. J Hosp Infect 2016;93:418422.CrossRefGoogle Scholar
Bannan, A, Buono, E, McLaws, ML, Gottlieb, T. A survey of medical staff attitudes to an antibiotic approval and stewardship programme. Intern Med J 2009;39:662668.CrossRefGoogle Scholar
Steinberg, M, Dresser, LD, Daneman, N, et al. A national survey of critical care physicians’ knowledge, attitudes, and perceptions of antimicrobial stewardship programs. J Intensive Care Med 2016;31:6165.CrossRefGoogle ScholarPubMed
Seemungal, IA, Bruno, CJ. Attitudes of housestaff toward a prior-authorization–based antibiotic stewardship program. Infect Control Hosp Epidemiol 2012;33:429431.CrossRefGoogle Scholar
Szymczak, JE, Kitt, E, Hayes, M, et al. Threatened efficiency not autonomy: prescriber perceptions of an established pediatric antimicrobial stewardship program. Infect Control Hosp Epidemiol 2019;40:522527.CrossRefGoogle Scholar
Broom, J, Broom, A, Kirby, E, Gibson, AF, Post, JJ. How do hospital respiratory clinicians perceive antimicrobial stewardship (AMS)? A qualitative study highlighting barriers to AMS in respiratory medicine. J Hosp Infect 2017;96:316322.CrossRefGoogle ScholarPubMed
LaRosa, LA, Fishman, NO, Lautenbach, E, Koppel, RJ, Morales, KH, Linkin, DR. Evaluation of antimicrobial therapy orders circumventing an antimicrobial stewardship program: investigating the strategy of “stealth dosing.” Infect Control Hosp Epidemiol 2007;28:551556.CrossRefGoogle Scholar
Hurst, AL, Child, J, Pearce, K, Palmer, C, Todd, JK, Parker, SK. Handshake stewardship: a highly effective rounding-based antimicrobial optimization service. Pediatr Infect Dis J 2016;35:11041110 CrossRefGoogle ScholarPubMed
Hurst, AL, Child, J, Parker, SK. Intervention and acceptance rates support handshake-stewardship strategy. J Pediatric Infect Dis Soc 2019;8:162165.CrossRefGoogle ScholarPubMed
Supplementary material: File

Durkin et al. supplementary material

Durkin et al. supplementary material

Download Durkin et al. supplementary material(File)
File 91 KB

Save article to Kindle

To save this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Exploring unintended consequences of adult antimicrobial stewardship programs: An Emerging Infections Network survey
Available formats
×

Save article to Dropbox

To save this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about saving content to Dropbox.

Exploring unintended consequences of adult antimicrobial stewardship programs: An Emerging Infections Network survey
Available formats
×

Save article to Google Drive

To save this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about saving content to Google Drive.

Exploring unintended consequences of adult antimicrobial stewardship programs: An Emerging Infections Network survey
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *