Impact of a Multifaceted Intervention on Antibiotic Prescribing for Cystitis and Asymptomatic Bacteriuria in 23 Community Hospital Emergency Departments
| Autor: | Emily M. Ingalls, John J. Veillette, Jared Olson, Stephanie S. May, C. Dustin Waters, Stephanie S. Gelman, George Vargyas, Mary Hutton, Nick Tinker, Gabriel V. Fontaine, Rachel A. Foster, Jena Stallsmith, Ali Earl, Whitney R. Buckel, Todd J. Vento |
|---|---|
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Hospital Pharmacy. :001857872311595 |
| ISSN: | 1945-1253 0018-5787 |
| Popis: | Background: Urinary tract infections (UTIs) are over-diagnosed and over-treated in the emergency department (ED) leading to unnecessary antibiotic exposure and avoidable side effects. However, data describing effective large-scale antimicrobial stewardship program (ASP) interventions to improve UTI and asymptomatic bacteriuria (ASB) management in the ED are lacking. Methods: We implemented a multifaceted intervention across 23 community hospital EDs in Utah and Idaho consisting of in-person education for ED prescribers, updated electronic order sets, and implementation/dissemination of UTI guidelines for our healthcare system. We compared ED UTI antibiotic prescribing in 2021 (post-intervention) to baseline data from 2017 (pre-intervention). The primary outcomes were the percent of cystitis patients prescribed fluoroquinolones or prolonged antibiotic durations (>7 days). Secondary outcomes included the percent of patients treated for UTI who met ASB criteria, and 14-day UTI-related readmissions. Results: There was a significant decrease in prolonged treatment duration for cystitis (29% vs 12%, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|