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Antimicrobial use and opportunities for antimicrobial stewardship in pediatric postacute and long-term care settings

Published online by Cambridge University Press:  30 January 2023

Candace L. Johnson Open the ORCID record for Candace L. Johnson [Opens in a new window] ,
Natalie Neu  and
Lisa Saiman Open the ORCID record for Lisa Saiman [Opens in a new window]
Candace L. Johnson
Affiliation:
Department of Pediatrics, Columbia University Irving Medical Center, New York, New York Department of Infection Prevention and Control, NewYork-Presbyterian Hospital, New York, New York
Natalie Neu
Affiliation:
Department of Pediatrics, Columbia University Irving Medical Center, New York, New York
Lisa Saiman*
Affiliation:
Department of Pediatrics, Columbia University Irving Medical Center, New York, New York Department of Infection Prevention and Control, NewYork-Presbyterian Hospital, New York, New York
*
Author for correspondence: Lisa Saiman, E-mail: ls5@cumc.columbia.edu
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Abstract

We performed a point-prevalence study of antimicrobial prescriptions in 9 pediatric postacute and long-term care (pPALTC) settings. Antimicrobials were prescribed for 5%–7% of residents including infectious (41%), noninfectious (24%), prophylaxis (24%), and unknown (11%) indications. Macrolides were often prescribed for noninfectious indications. Developing treatment guidelines are antimicrobial stewardship opportunities for pPALTC.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 44 , Issue 9 , September 2023 , pp. 1515 - 1517
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Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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Footnotes

PREVIOUS PRESENTATION. The preliminary data from this project were presented as a poster, “Point prevalence survey on antimicrobial use in pediatric postacute care facilities,” at IDWeek 2017 on October 4–8, 2017, in San Diego, California.

References

O’Brien, JE, Berry, J, Humas, H. Pediatric postacute hospital care: striving for identity and value. Hosp Pediatr 2015;5:548–551.10.1542/hpeds.2015-0133CrossRefGoogle ScholarPubMed
Kalil, AC, Metersky, ML, Klompas, M, et al. Management of adults with hospital-acquired and ventilator-associated pneumonia: 2016 clinical practice guidelines by the Infectious Diseases Society of America and the American Thoracic Society. Clin Infect Dis 2016;63:e61–e111.CrossRefGoogle Scholar
Lieberthal, AS, Carroll, AE, Chonmaitree, T, et al. The diagnosis and management of acute otitis media. Pediatrics 2013;131:e964.10.1542/peds.2012-3488CrossRefGoogle ScholarPubMed
Subcommittee on Urinary Tract Infection, Steering Committee on Quality Improvement and Management. Urinary tract infection: clinical practice guideline for the diagnosis and management of the initial UTI in febrile infants and children 2 to 24 months. Pediatrics 2011;128:595–610.CrossRefGoogle Scholar
Stevens, DL, Bisno, AL, Chambers, HF, et al. Practice guidelines for the diagnosis and management of skin and soft-tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis 2014;59:e10–e52.CrossRefGoogle ScholarPubMed
Pakyz, AL, Dwyer, LL. Prevalence of antimicrobial use among United States nursing home residents: results from a national survey. Infect Control Hosp Epidemiol 2010;31:661–662.CrossRefGoogle ScholarPubMed
Hawkyard, CV, Koerner, RJ. The use of erythromycin as a gastrointestinal prokinetic agent in adult critical care: benefits versus risk. J Antimicrob Chemother 2007;59:347–358.CrossRefGoogle Scholar
Schora, DM, Boehm, S, Das, S, et al. Impact of detection, education, research and decolonization without isolation in long-term care (DERAIL) on methicillin-resistant Staphylococcus aureus colonization and transmission at 3 long-term care facilities. Am J Infect Control 2014;42:S269–S273.CrossRefGoogle ScholarPubMed
Johnson, CL, Jain, M, Saiman, L, Neu, N. Antimicrobial stewardship in pediatric post-acute care facilities. Am J Infect Control 2018;46:468–470.CrossRefGoogle ScholarPubMed
Centers for Medicare & Medicaid Services. Medicare and Medicaid programs: reform of requirements for long-term care facilities. Federal Register 2016;81:68688–68872.Google Scholar