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      A Deeper Dive Into Antibiotic Stewardship Needs: A Multihospital Survey

      brief-report

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          Abstract

          In a 2016 survey of 46 Michigan hospitals, we identified four key needs for antibiotic stewardship: clinically-relevant antibiotic data, monitoring compliance, syndrome-specific interventions, and discharge stewardship. A stewardship initiative now addresses these needs within the Michigan Hospital Medicine Safety Consortium.

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          Core elements of hospital antibiotic stewardship programs from the Centers for Disease Control and Prevention.

          Loria Pollack, Arjun Srinivasan (2014)
          The proven benefits of antibiotic stewardship programs (ASPs) for optimizing antibiotic use and minimizing adverse events, such as Clostridium difficile and antibiotic resistance, have prompted the Centers for Disease Control and Prevention (CDC) to recommend that all hospitals have an ASP. This article summarizes Core Elements of Hospital Antibiotic Stewardship Programs, a recently released CDC document focused on defining the infrastructure and practices of coordinated multidisciplinary programs to improve antibiotic use and patient care in US hospitals.
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            Essential Resources and Strategies for Antibiotic Stewardship Programs in the Acute Care Setting

            Philip Robinson, Lilian Abbo, Steven Burdette … (2018)
            Antibiotic stewardship programs improve clinical outcomes and patient safety and help combat antibiotic resistance. Specific guidance on resources needed to structure stewardship programs is lacking. This manuscript describes results of a survey of US stewardship programs and resultant recommendations regarding potential staffing structures in the acute care setting.
            Article 0 comments Cited 38 times – based on 0 reviews     Review now
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              Hospital performance for pharmacologic venous thromboembolism prophylaxis and rate of venous thromboembolism : a cohort study.

              Scott A Flanders, M Todd Greene, Paul Grant … (2014)
              Hospitalization for acute medical illness is associated with increased risk of venous thromboembolism (VTE). Although efforts designed to increase use of pharmacologic VTE prophylaxis are intended to reduce hospital-associated VTE, whether higher rates of prophylaxis reduce VTE in medical patients is unknown.
              Article 0 comments Cited 32 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Open Forum Infect Dis
                Journal ID (iso-abbrev): Open Forum Infect Dis
                Journal ID (publisher-id): ofid
                Title: Open Forum Infectious Diseases
                Publisher: Oxford University Press (US )
                ISSN (Electronic): 2328-8957
                Publication date Collection: March 2020
                Publication date (Electronic): 11 January 2020
                Publication date PMC-release: 11 January 2020
                Volume: 7
                Issue: 3
                Electronic Location Identifier: ofaa007
                Affiliations
                [1 ] Department of Internal Medicine, University of Michigan Medical School , Ann Arbor, Michigan, USA
                [2 ] Center for Clinical Management Research, Veterans Affairs (VA) Ann Arbor Healthcare System , Ann Arbor, Michigan, USA
                [3 ] VA/University of Michigan Patient Safety Enhancement Program , Ann Arbor, Michigan, USA
                [4 ] Department of Internal Medicine, Division of Infectious Diseases, St. Joseph Mercy Health System , Ann Arbor, Michigan, USA
                [5 ] Department of Infection Prevention and Control, St. Joseph Mercy Health System , Ann Arbor, Michigan, USA
                [6 ] Department of Pharmaceutical Services, Beaumont Hospital , Dearborn, Michigan, USA
                [7 ] Department of Internal Medicine, Infectious Diseases Division, Beaumont Hospital , Dearborn, Michigan, USA
                [8 ] Department of Internal Medicine, Division of Infectious Diseases, Hurley Medical Center , Flint, Michigan, USA
                [9 ] Michigan State University, College of Human Medicine , East Lansing, Michigan, USA
                Author notes
                Correspondence: V. M. Vaughn, MD, MSc, Assistant Professor of Medicine, Division of Hospital Medicine, University of Michigan Medical School, 2800 Plymouth Rd., Building 16, Room 472C, Ann Arbor, Michigan 48109 ( valmv@ 123456med.umich.edu ).
                Article
                Publisher ID: ofaa007
                DOI: 10.1093/ofid/ofaa007
                PMC ID: 7047227
                PubMed ID: 32128340
                SO-VID: 86ee7133-75ba-44a1-83ae-15d184f2ce32
                Copyright © © The Author(s) 2020. Published by Oxford University Press on behalf of Infectious Diseases Society of America.
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence ( http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com

                History
                Date received : 01 October 2019
                Date accepted : 08 January 2020
                Date: 28 February 2020
                Page count
                Pages: 7
                Funding
                Funded by: Blue Cross and Blue Shield of Michigan
                Categories
                Subject: Brief Report

                Keywords: antibiotic stewardship,infection prevention,survey
                Data availability:
                Keywords: antibiotic stewardship, infection prevention, survey

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