Hostname: page-component-76fb5796d-vfjqv Total loading time: 0 Render date: 2024-04-26T11:24:37.205Z Has data issue: false hasContentIssue false
  • English
  • Français

A Novel Metric to Monitor the Influence of Antimicrobial Stewardship Activities

Published online by Cambridge University Press:  05 May 2017

Daniel J. Livorsi ,
Erin O’Leary ,
Tamra Pierce ,
Lindsey Reese ,
Katharina L. van Santen ,
Daniel A. Pollock ,
Jonathan R. Edwards  and
Arjun Srinivasan
Daniel J. Livorsi*
Affiliation:
Iowa City VA Health Care System, Iowa City, Iowa Division of Infectious Diseases, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa
Erin O’Leary
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Tamra Pierce
Affiliation:
Richard Roudebush VA Medical Center, Indianapolis, Indiana.
Lindsey Reese
Affiliation:
Richard Roudebush VA Medical Center, Indianapolis, Indiana.
Katharina L. van Santen
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Daniel A. Pollock
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Jonathan R. Edwards
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Arjun Srinivasan
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
*
Address correspondence to Daniel Livorsi, MD, MSc, Assistant Professor, Division of Infectious Diseases, University of Iowa Carver College of Medicine, Iowa VA Health Care System, 601 Highway 6 West, Iowa City, IA 52246 (daniel-livorsi@uiowa.edu).
Get access Rights & Permissions [Opens in a new window]

Abstract

The antimicrobial use (AU) option within the National Healthcare Safety Network summarizes antimicrobial prescribing data as a standardized antimicrobial administration ratio (SAAR). A hospital’s antimicrobial stewardship program found that greater involvement of an infectious disease physician in prospective audit and feedback procedures was associated with reductions in SAAR values across multiple antimicrobial categories.

Infect Control Hosp Epidemiol 2017;38:721–723

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 38 , Issue 6 , June 2017 , pp. 721 - 723
Copyright
© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved 

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

REFERENCES

1. Solomon, DH, Van Houten, L, Glynn, RJ, et al. Academic detailing to improve use of broad-spectrum antibiotics at an academic medical center. Arch Intern Med 2001;161:1897–1902.Google Scholar
2. 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
3. Antimicrobial use and resistance module. Centers for Disease Control and Prevention website. http://www.cdc.gov/nhsn/pdfs/pscmanual/11pscaurcurrent.pdf. Published 2017. Accessed March 10, 2017.Google Scholar
4. NHSN statistics calculator for comparing two standardized infection ratios protocol. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/pdfs/ps-analysis-resources/statscalc.pdf. Published 2015. Accessed April 1, 2016.Google Scholar
5. Compare 2 SIRs by exact binomial test. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/sas/binom.sas. Published 2014. Accessed April 1, 2016.Google Scholar
6. Lesprit, P, Landelle, C, Brun-Buisson, C. Clinical impact of unsolicited post-prescription antibiotic review in surgical and medical wards: a randomized controlled trial. Clin Microbiol Infect 2013;19:E91–E97.Google Scholar
7. Banerjee, R, Teng, CB, Cunningham, SA, et al. Randomized trial of rapid multiplex polymerase chain reaction-based blood culture identification and susceptibility testing. Clin Infect Dis 2015;61:1071–1080.CrossRefGoogle ScholarPubMed
8. Camins, BC, King, MD, Wells, JB, et al. Impact of an antimicrobial utilization program on antimicrobial use at a large teaching hospital: a randomized controlled trial. Infect Control Hosp Epidemiol 2009;30:931–938.Google Scholar
9. Fraser, GL, Stogsdill, P, Dickens, JD Jr, Wennberg, DE, Smith, RP Jr, Prato, BS. Antibiotic optimization. An evaluation of patient safety and economic outcomes. Arch Intern Med 1997;157:1689–1694.Google Scholar
10. Aagaard, EM, Gonzales, R, Camargo, CA Jr., et al. Physician champions are key to improving antibiotic prescribing quality. Joint Comm J Qual Patient Safety 2010;36:109–116.CrossRefGoogle ScholarPubMed