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Performance of a Novel Antipseudomonal Antibiotic Consumption Metric Among Academic Medical Centers in the United States

Published online by Cambridge University Press:  14 January 2018

John Daniel Markley ,
Amy L. Pakyz ,
Roy T. Sabo ,
Gonzalo Bearman ,
Samuel F. Hohmann  and
Michael P. Stevens
John Daniel Markley*
Affiliation:
Department of Internal Medicine, Division of Infectious Diseases, Virginia Commonwealth University Medical Center, Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond, Virginia
Amy L. Pakyz
Affiliation:
Department of Pharmacotherapy and Outcomes Science, Virginia Commonwealth University, Richmond, Virginia
Roy T. Sabo
Affiliation:
Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia
Gonzalo Bearman
Affiliation:
Department of Internal Medicine, Division of Infectious Diseases, Virginia Commonwealth University Medical Center, Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond, Virginia
Samuel F. Hohmann
Affiliation:
Vizient, Inc, Irving, Texas Department of Health Systems Management, Rush University, Chicago, Illinois.
Michael P. Stevens
Affiliation:
Department of Internal Medicine, Division of Infectious Diseases, Virginia Commonwealth University Medical Center, Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond, Virginia
*
Address correspondence to J. Daniel Markley, DO, MPH, MCV Campus, VMI Building, Suite 205, 1000 East Marshall Street, PO Box 980049, Richmond, VA 23298-0049, (john.markley@vcuhealth.org).
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Abstract

A metric was developed to identify hospital proportion of carbapenem consumption (PoCC) among antipseudomonal antibiotics. The PoCC varied significantly among academic medical centers by Census Bureau geographic division after adjusting for patient mix. This metric may be useful in identifying disproportionate carbapenem use and potential carbapenem overuse.

Infect Control Hosp Epidemiol 2018;39:229–232

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 39 , Issue 2 , February 2018 , pp. 229 - 232
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

REFERENCES

1. Baggs, J, Fridkin, SK, Pollack, LA, Srinivasan, A, Jernigan, JA. Estimating national trends in inpatient antibiotic use among US hospitals from 2006 to 2012. JAMA Intern Med 2016;176:1639–1648.Google Scholar
2. Van Buul, LW, van der Steen, JT, Doncker, S MMM, et al. Factors influencing antibiotic prescribing in long-term care facilities: a qualitative in-depth study. BMC Geriatr 2014;14:136.Google Scholar
3. Brookes-Howell, L, Hood, K, Cooper, L, et al. Clinical influences on antibiotic prescribing decisions for lower respiratory tract infection: a nine-country qualitative study of variation in care. BMJ Open 2012;2:e000795.Google Scholar
4. Charani, E, Castro-Sanchez, E, Sevdalis, N, et al. Understanding the determinants of antimicrobial prescribing within hospitals: the role of prescribing etiquette. Clin Infect Dis 2013;57:188–196.Google Scholar
5. Hulscher, MEJL, Grol, RPTM, van der Meer, JWM. Antibiotic prescribing in hospitals: a social and behavioural scientific approach. Lancet Infect Dis 2010;10:167–175.CrossRefGoogle ScholarPubMed
6. Zhang, Y, Steinman, MA, Kaplan, CM. Geographic variation in outpatient antibiotic prescribing among older adults. Arch Intern Med 2012;172:1465–1471.Google Scholar
7. Hicks, LA, Bartoces, MG, Roberts, RM, et al. US outpatient antibiotic prescribing variation according to geography, patient population, and provider specialty in 2011. Clin Infect Dis 2015;60:1308–1316.Google ScholarPubMed
8. Hicks, LA, Taylor, TH, Hunkler, RJ. US outpatient antibiotic prescribing, 2010. New Engl J Med 2013;368:1461–1462.Google Scholar
9. Wilson, APR. Sparing carbapenem usage. J Antimicrob Chemother 2017;72:2410–2417.CrossRefGoogle ScholarPubMed
10. Geographic terms and concepts—census divisions and census regions. United States Census Bureau website. https://www.census.gov/geo/reference/gtc/gtc_census_divreg.html. Updated 2015. Accessed May 20, 2017.Google Scholar
11. Antibiotic resistance patient safety atlas. Centers for Disease Control and Prevention website. https://www.cdc.gov/hai/surveillance/ar-patient-safety-atlas.html. Updated 2016. Accessed May 25, 2017.Google Scholar
12. Surveillance for antimicrobial use and antimicrobial resistance options. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/acute-care-hospital/aur/index.html. Updated 2017. Accessed May 1, 2017.Google Scholar