Implementation and first-year results of an antimicrobial stewardship program at a community hospital

American Journal of Health-System Pharmacy

Volumn 71, Issue 11, 2014, Pages 943-949

  Bartlett, James M ^a,b   Siola, Patricia L ^c  

^a Kenmore Mercy Hospital   (United States)

^b Cancer Care of Western New York   (United States)

^c CATHOLIC HEALTH SYSTEM   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIINFECTIVE AGENT; VANCOMYCIN;

ACCOUNTABLE CARE ORGANIZATION; ANTIMICROBIAL THERAPY; ARTICLE; CLINICAL PHARMACY; COMMUNITY HOSPITAL; COST CONTROL; DRUG COST; HEALTH CARE PLANNING; HEALTH PROGRAM; MEDICAL STAFF; PARTTIME EMPLOYMENT; PHARMACIST; PHYSICIAN; PROGRAM DEVELOPMENT; RESIDENCY EDUCATION; RESPONSIBILITY; TREATMENT DURATION; COMMUNICABLE DISEASES; DRUG USE; ECONOMICS; HOSPITAL PHARMACY; HUMAN;

ANTI-INFECTIVE AGENTS; COMMUNICABLE DISEASES; COST SAVINGS; DRUG COSTS; DRUG UTILIZATION REVIEW; HOSPITALS, COMMUNITY; HUMANS; PHARMACISTS; PHARMACY SERVICE, HOSPITAL;

EID: 84907187874     PISSN: 10792082     EISSN: 15352900     Source Type: Journal    
DOI: 10.2146/ajhp130602     Document Type: Article

References (21)

1. Infectious Diseases Society of America. Combating antimicrobial resistance: policy recommendations to save lives. Clin Infect Dis. 2011; 52:S397-428.
2. Dellit TH, Owens RC, McGowan JE et al. Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Infect Dis. 2007; 44:159-77.
3. Nowak MA, Nelson RE, Breidenbach JL et al. Clinical and economic outcomes of a prospective antimicrobial stewardship program. Am J Health-Syst Pharm. 2012; 69:1500-8.
4. Palmer HR, Weston J, Gentry L et al. Improving patient care through implementation of an antimicrobial stewardship program. Am J Health-Syst Pharm. 2011; 68:2170-4.
5. Carling PM, Fung TP, Ann Killion RN et al. Favorable impact of a multidisciplinary antibiotic management program conducted during 7 years. Infect Control Hosp Epidemiol. 2003; 24:699-706.
6. Klevens RM, Edwards JR, Gaynes RP, for the National Nosocomial Infections Surveillance System. The impact of antimicrobial-resistant, health care-associated infections on mortality in the United States. Clin Infect Dis. 2008; 47:927-30.
7. Dudeck MA, Horan TC, Peterson KD et al. National Healthcare Safety Network report, data summary for 2011, device-associated module. Am J Infect Control. 2013; 41:286-300.
8. Johannsson B, Beekmann SE, Srinivasan A et al. Improving antimicrobial stewardship: the evolution of programmatic strategies and barriers. Infect Control Hosp Epidemiol. 2011; 32:367-74.
9. Septimus EJ, Owens RC. Need and potential of antimicrobial stewardship in community hospitals. Clin Infect Dis. 2011; 53:S8-14.
10. Ohl CA, Dodds Ashley ES. Antimicrobial stewardship programs in community hospitals: the evidence base and case studies. Clin Infect Dis. 2011; 53:S23-8.
11. File TM, Solomkin JS, Cosgrove SE. Strategies for improving antimicrobial use and the role of antimicrobial stewardship programs. Clin Infect Dis. 2011; 53:S15-22.
12. Bartlett JG. A call to arms: the imperative for antimicrobial stewardship. Clin Infect Dis. 2011; 53:S4-7.
13. LaRocco A. Concurrent antibiotic review programs - a role for infectious diseases specialists at small community hospitals. Clin Infect Dis. 2003; 37:742-3. Letter.
14. Yam P, Fales D, Jemison J et al. Implementation of an antimicrobial stewardship program in a rural hospital. Am J Health-Syst Pharm. 2012; 69:1142-8.
15. Storey DF, Pate PG, Nguyen AT, Chang F. Implementation of an antimicrobial stewardship program on the medical-surgical service of a 100-bed community hospital. Antimicrob Resist Infect Control. 2012; 1:32.
16. Pate PG, Storey DF, Baum DR. Implementation of an antimicrobial stewardship program at a 60-bed long-term acute care hospital. Infect Control Hosp Epidemiol. 2012; 33:405-8.
17. American Society of Health-System Pharmacists. ASHP statement on the pharmacist's role in antimicrobial stewardship and infection prevention and control. Am J Health-Syst Pharm. 2010; 67:575-7.
18. Centers for Medicare and Medicaid Services. First accountable care organizations under the Medicare Shared Savings Program. www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-Sheets/2012-Fact-Sheets-Items/2012-04-10.html (accessed 2013 Jun 2).
19. Bratzler DW, Dellinger EP, Olsen KM et al. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Health-Syst Pharm. 2013; 70:195-283.
20. Lodise TP, Lomaestro BM, Drusano GL, for the Society of Infectious Diseases Pharmacists. Application of antimicrobial pharmacodynamic concepts into clinical practice: focus on beta-lactam antibiotics: insights from the Society of Infectious Diseases Pharmacists. Pharmacotherapy. 2006; 26:1320-32.
21. Cohen Stuart HM, Gerding Dale NM, Stuart Johnson MD et al. Clinical practice guidelines for Clostridium difficile infection in adults: 2010 update by the Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA). Infect Control Hosp Epidemiol. 2010; 31:431-55.