Hostname: page-component-77c89778f8-n9wrp Total loading time: 0 Render date: 2024-07-20T18:59:56.316Z Has data issue: false hasContentIssue false
  • English
  • Français

Antimicrobial stewardship intervention bundle decreases outpatient fluoroquinolone prescribing for urinary tract infections

Published online by Cambridge University Press:  11 April 2022

Ashley L. Cubillos Open the ORCID record for Ashley L. Cubillos [Opens in a new window] ,
Megan E. Patch ,
Elisabeth L. Chandler Open the ORCID record for Elisabeth L. Chandler [Opens in a new window] ,
Leah W. Lynch ,
Morris R. Gieselman Open the ORCID record for Morris R. Gieselman [Opens in a new window] ,
Mary Beth Saunders  and
Karen E. Calkins
Ashley L. Cubillos*
Affiliation:
Department of Pharmacy, Lee Health, Fort Myers, Florida
Megan E. Patch
Affiliation:
Department of Pharmacy, Lee Health, Fort Myers, Florida
Elisabeth L. Chandler
Affiliation:
Department of Pharmacy, Lee Health, Fort Myers, Florida
Leah W. Lynch
Affiliation:
Lee Physician Group, Lee Health, Fort Myers, Florida
Morris R. Gieselman
Affiliation:
Lee Physician Group, Lee Health, Fort Myers, Florida
Mary Beth Saunders
Affiliation:
Department of Infection Prevention and Epidemiology, Lee Health, Fort Myers, Florida
Karen E. Calkins
Affiliation:
Lee Physician Group, Lee Health, Fort Myers, Florida
*
Author for correspondence: Ashley L. Cubillos, PharmD, Lee Memorial Hospital, 2776 Cleveland Avenue, Fort Myers, FL 33901. E-mail: Ashley.Cubillos@leehealth.org
Get access Rights & Permissions [Opens in a new window]

Abstract

An antimicrobial stewardship bundle was implemented in 23 community health system urgent care and primary care clinics to reduce fluoroquinolone prescribing in urinary tract infections. The percentage of urinary tract infection (UTI) visits prescribed a fluoroquinolone subsequently decreased from 17.6% to 3% in urgent care and from 23.8% to 6.8% in primary care.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 44 , Issue 3 , March 2023 , pp. 488 - 490
Check for updates
Copyright
© Lee Health, 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

FDA Drug Safety Communication: FDA updates warnings for oral and injectable fluoroquinolone antibiotics due to disabling side effects. US Food and Drug Administration website. https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-fda-updates-warnings-oral-and-injectable-fluoroquinolone-antibiotics. Published 2016. Accessed February 21, 2021.Google Scholar
Sanchez, GV, Master, RN, Karlowsky, JA, Bordon, JM. In vitro antimicrobial resistance of urinary Escherichia coli isolates among US outpatients from 2000 to 2010. Antimicrob Agents Chemother 2012;56:2181–2183.10.1128/AAC.06060-11CrossRefGoogle ScholarPubMed
Kobayashi, M, Shapiro, DJ, Hersh, AL, Sanchez, GV, Hicks, LA. Outpatient antibiotic prescribing practices for uncomplicated urinary tract infection in women in the United States, 2002–2011. Open Forum Infect Dis 2016;3:ofw159.10.1093/ofid/ofw159CrossRefGoogle Scholar
Milani, RV, Wilt, JK, Entwisle, J, Hand, J, Cazabon, P, Bohan, JG. Reducing inappropriate outpatient antibiotic prescribing: normative comparison using unblinded provider reports. BMJ Open Qual 2019;8:e000351.10.1136/bmjoq-2018-000351CrossRefGoogle ScholarPubMed
Meeker, D, Linder, JA, Fox, CR, et al. Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial. JAMA 2016;315:562–570.10.1001/jama.2016.0275CrossRefGoogle ScholarPubMed
Lin, K, Zahlanie, Y, Ortwine, JK, et al. Decreased fluoroquinolone prescribing using a multimodal antimicrobial stewardship initiative. Open Forum Infect Dis 2020;7:ofaa182.10.1093/ofid/ofaa182CrossRefGoogle ScholarPubMed
Eudaley, ST, Mihm, AE, Higdon, R, Jeter, J, Chamberlin, SM. Development and implementation of a clinical decision support tool for treatment of uncomplicated urinary tract infections in a family medicine resident clinic. J Am Pharm Assoc 2019;59:579–585.10.1016/j.japh.2019.03.006CrossRefGoogle Scholar
Shively, NR, Buehrle, DJ, Wagener, MM, Clancy, CJ, Decker, BK. Improved antibiotic prescribing within a Veterans’ Affairs primary care system through a multifaceted intervention centered on peer comparison of overall antibiotic prescribing rates. Antimicrob Agents Chemother 2019;64:e00928–19.10.1128/AAC.00928-19CrossRefGoogle ScholarPubMed
Barlam, TF, Cosgrove, SE, Abbo, LM, et al. Implementing an antibiotic stewardship program: guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. Clin Infect Dis 2016;62:e51–e77.CrossRefGoogle Scholar
Buehrle, DJ, Shively, NR, Wagener, MM, Clancy, CJ, Decker, BK. Sustained reductions in overall and unnecessary antibiotic prescribing at primary care clinics in a Veterans’ Affairs healthcare system following a multifaceted stewardship intervention. Clin Infect Dis 2020;71:e316–e322.10.1093/cid/ciz1180CrossRefGoogle Scholar
Supplementary material: PDF

Cubillos et al. supplementary material

Cubillos et al. supplementary material 1
Download Cubillos et al. supplementary material(PDF)
PDF 446.9 KB
Supplementary material: PDF

Cubillos et al. supplementary material

Cubillos et al. supplementary material 2
Download Cubillos et al. supplementary material(PDF)
PDF 474.5 KB