Original article: Antimicrobial stewardship in a community hospital: Attacking the more difficult problems

Hospital Pharmacy

Volumn 49, Issue 9, 2014, Pages 839-846

  Smith, Terri ^a   Philmon, Carla ^a   Johnson, Gregory ^a   Ward, William ^a   Rivers, LaToya ^a   Williamson, Sharon ^a   Goodman, Edward ^a  

^a PRESBYTERIAN HOSPITAL OF DALLAS   (United States)

Author keywords

antimicrobial stewardship; data mining tool; patient outcome metrics; process metrics; recommendations

Indexed keywords

AMINOGLYCOSIDE; ANTIFUNGAL AGENT; ANTIINFECTIVE AGENT; CARBAPENEM DERIVATIVE; CEPHALOSPORIN DERIVATIVE; DAPTOMYCIN; LEVOFLOXACIN; LINEZOLID; MACROLIDE; MEROPENEM; PIPERACILLIN PLUS TAZOBACTAM; QUINOLONE DERIVATIVE; SULTAMICILLIN; TIGECYCLINE; VANCOMYCIN;

ANTIBIOTIC PROPHYLAXIS; ANTIBIOTIC RESISTANCE; ANTIBIOTIC SENSITIVITY; ANTIMICROBIAL STEWARDSHIP PROGRAM; ARTICLE; COMMUNITY HOSPITAL; COST CONTROL; DATA MINING; DRUG COST; DRUG USE; ELECTRONIC MEDICAL RECORD; HEALTH CARE COST; HEALTH CARE PERSONNEL; HEALTH CARE PLANNING; HEALTH PROGRAM; HOSPITAL READMISSION; HUMAN; INFECTIOUS DISEASE PHARMACIST; INFECTIOUS DISEASE PHYSICIAN; INTERVENTION STUDY; LENGTH OF STAY; MAJOR CLINICAL STUDY; MORTALITY; PERIOPERATIVE PERIOD; POSTOPERATIVE PERIOD; TREATMENT DURATION; TREATMENT OUTCOME;

EID: 84914167765     PISSN: 00185787     EISSN: 19451253     Source Type: Journal    
DOI: 10.1310/hpj4909-839     Document Type: Article

References (17)

1. Philmon C, Smith T, Williamson S, Goodman E. Controlling use of antimicrobials in a community teaching hospital. Infect Control Hosp Epidemiol. 2006;27:239-244.
2. Fishman N. Antimicrobial stewardship. Am J Med. 2006;119(6 Suppl 1):S53-61; discussion S62-70.
3. Dellit TH, Owens RC, McGowan JE Jr, 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;44:159-177.
4. Kullar R, Goff DA, Sculz LT, et al. The 'Epic challenge of optimizing antimicrobial stewardship: The role of electronic medical records and technology. Clin Infect Dis. 2013;57:1005-1013.
5. Morris AM, Brener S, Dresser L, et al. Use of a structured panel process to define quality metrics for antimicrobial stewardship programs. Infect Control Hosp Epidemiol. 2012;33(5):500-506.
6. American Hospital Directory. Inpatient definitions and methodology. 2012. http://www.ahd.com/definitions/ip-msdrg. html. Accessed July 26, 2013.
7. Centers for Disease Control and Prevention. Antimicrobial use and resistance (AUR) module. 2013. http://www.cdc. gov/nhsn/PDFs/pscManual/11pscAURcurrent.pdf. Assessed July 17, 2013.
8. Hindler JF, Stelling J. Analysis and presentation of cumulative antibiograms: A new consensus guideline from the Clinical and Laboratory Standards Institute. Clin Infect Dis. 2007;44:867-873.
9. Clinical and Laboratory Standards Institute (CLSI). Analysis and Presentation of Cumulative Antimicrobial Susceptibility Test Data. 3rd ed. Approved guideline M39-A3. Wayne, PA: CLSI 2009.
10. Liu C, Bayer A, Cosgrove SE, et al. Clinical practice guidelines by the Infectious Diseases Society of America for the treatment of methicillin-resistant Stapylococcus aureus infections in adults and children. Clin Infect Dis. 2011;52:1-38.
11. Rybak MJ, Lomaestro BM, Rotschafer JC, et al. Vancomycin therapeutic guidelines: A summary of consensus recommendations from the Infectious Diseases Society of America, the American Society of Health-System Pharmacists, and the Society of Infectious Diseases Pharmacists. Clin Infect Dis. 2009;49:325-327.
12. Nowak MA, Nelson RE, Breidenbach JL, Thompson PA, Carson PJ. Clinical and economic outcomes of a prospective antimicrobial stewardship program. Am J Health Syst Pharm. 2012;69:1500-1508.
13. Bantar C, Sartori B, Vesco E, et al. A hospital-wide intervention program to optimize the quality of antibiotic use: Impact on prescribing practice, antibiotic consumption, cost savings, and bacterial resistance. Clin Infect Dis. 2003;37:180-186.
14. Ohl CA, Ashley ES. Antimicrobial stewardship programs in community hospitals: The evidence base and case studies. Clin Infect Dis. 2011;53(Suppl 1):S23-28.
15. Patel D, MacDougall C. How to make antimicrobial stewardship work: Practical considerations for hospitals of all sizes. Hosp Pharm. 2010;45(11 Suppl 1):S10-S18.
16. Making a Difference in Infectious Diseases Pharmacotherapy Web site. http://www.mad-id.org. Assessed December 2, 2013.
17. Society of Infectious Diseases Pharmacists Web site. http:// www.sidp.org. Assessed December 2, 2013.