Antimicrobial stewardship practices in Virginia

Lee, Kimberly B; Ramirez, Jesús; Collins, Rebeccah J.; Bucheit, John D.; Sanogo, Kakotan; Stevens, Michael P.

doi:10.1016/j.ajic.2016.11.009

American Journal of Infection Control

2017

DOI: 10.1016/j.ajic.2016.11.009

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Antimicrobial stewardship practices in Virginia

Kimberly B Lee

Jesús Ramirez

Rebeccah J. Collins

et al.

Abstract: The Society of Healthcare Epidemiology of America, the Centers for Disease Control and Prevention, and the President's Council of Advisors on Science and Technology recognize the need to combat antimicrobial resistance through the promotion of antimicrobial stewardship programs. Health care facilities in Virginia were surveyed using a 23-item survey focused on facility characteristics and antimicrobial stewardship strategies. Antimicrobial stewardship activities were highly variable and many are missing key pe… Show more

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Cited by 3 publications

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“…[ 4 , 5 ] The main objectives of ASP are to determine the appropriate dosage, route, and duration of treatment, to prevent the spread of microorganisms with multiple drug resistance, to reduce the undesirable effects caused by irrational antibiotic use, and to reduce the high cost rates due to unnecessary antibiotic use. [ 1 , 6 , 7 ]…”

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Antibiotic Stewardship Program Experience in a Training and Research Hospital

et al. 2020

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Objectives: Antibiotic Stewardship Programs (ASP) have been developed for the spread of rational antibiotic use. Our hospital is one of the first centers where ASP applications were launched in Turkey. In this study, we aimed to share our experience with ASP which has been applied in our hospital since 2013. Methods: We adapted ASP to our hospital program from Centers for Disease Control and Prevention’s ASP checklist. Revisions on surgical prophylaxis guidelines and practices were performed. Surgical prophylaxis was evaluated from hospital infection surveillance and antibiotic usage by point prevalence surveys. Antibiotic consumption indexes (ACI) were calculated from hospital pharmacy records. Rapid antigen detection test (RADT) for Group A beta-hemolytic streptococcus and influenza rapid antigen test were started to be used. Cumulative antibiotic susceptibility results were prepared annually. Results: Surgical prophylaxis was started to be administered in the operating room within 60 min of incision. Third-generation cephalosporin usage for surgical prophylaxis could be restricted in all clinics but the duration could only be shortened in neurosurgery and general surgery. There was no statistically significant change in antibiotic usage rates and appropriateness between 2014 and 2018. ACI for the class J01 in adult wards was 80.5 daily defined doses (DDD) per 100 patient days in 2014 and reduced to 64.8 DDD per 100 patient days in 2018. 22.445 pediatric patients presenting with complaints of the upper respiratory tract were evaluated with RADT and 75.1% were treated without antibiotics. Conclusion: In this global antimicrobial resistance era, all hospitals should have motivated antimicrobial stewardship teams. Each hospital should establish its own stewardship program and often revise it. Improvement in rational antibiotic use is hard to achieve without multidisciplinary involvement.

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Antibiotic Stewardship Program Experience in a Training and Research Hospital

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Characteristics of antimicrobial stewardship programmes in rural East Texas hospitals

Cho

Dunn

et al. 2018

Journal of Hospital Infection

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The learning hospital: From theory to practice in a hospital infection prevention program

Hess

Srivastava

Pryor

et al. 2019

Infect. Control Hosp. Epidemiol.

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The learning hospital is distinguished by ceaseless evolution of erudition, enhancement, and implementation of clinical best practices. We describe a model for the learning hospital within the framework of a hospital infection prevention program and argue that a critical assessment of safety practices is possible without significant grant funding. We reviewed 121 peer-reviewed manuscripts published by the VCU Hospital Infection Prevention Program over 16 years. Publications included quasi-experimental studies, observational studies, surveys, interrupted time series analyses, and editorials. We summarized the articles based on their infection prevention focus, and we provide a brief summary of the findings. We also summarized the involvement of nonfaculty learners in these manuscripts as well as the contributions of grant funding. Despite the absence of significant grant funding, infection prevention programs can critically assess safety strategies under the learning hospital framework by leveraging a diverse collaboration of motivated nonfaculty learners. This model is a valuable adjunct to traditional grant-funded efforts in infection prevention science and is part of a successful horizontal infection control program.

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Antimicrobial stewardship practices in Virginia

Cited by 3 publications

References 2 publications

Antibiotic Stewardship Program Experience in a Training and Research Hospital

Antibiotic Stewardship Program Experience in a Training and Research Hospital

Characteristics of antimicrobial stewardship programmes in rural East Texas hospitals

The learning hospital: From theory to practice in a hospital infection prevention program

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