Use of leading practices in US hospital antimicrobial stewardship programs
| Autor: | Edward A. Stenehjem, Barbara I. Braun, Salome O. Chitavi, David Y. Hyun, Stephen P. Schmaltz, Mohamad G. Fakih, Melinda M. Neuhauser, Lisa E. Davidson, Marc J. Meyer, Pranita D. Tamma, Elizabeth S. Dodds-Ashley, David W. Baker |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Infection control and hospital epidemiology. |
| ISSN: | 1559-6834 0899-823X |
| Popis: | Objective: To determine the proportion of hospitals that implemented 6 leading practices in their antimicrobial stewardship programs (ASPs). Design: Cross-sectional observational survey. Setting: Acute-care hospitals. Participants: ASP leaders. Methods: Advance letters and electronic questionnaires were initiated February 2020. Primary outcomes were percentage of hospitals that (1) implemented facility-specific treatment guidelines (FSTG); (2) performed interactive prospective audit and feedback (PAF) either face-to-face or by telephone; (3) optimized diagnostic testing; (4) measured antibiotic utilization; (5) measured C. difficile infection (CDI); and (6) measured adherence to FSTGs. Results: Of 948 hospitals invited, 288 (30.4%) completed the questionnaire. Among them, 82 (28.5%) had Conclusions: Significant variation exists in the adoption of ASP leading practices. A minority of hospitals have taken action to optimize diagnostic testing and measure adherence to FSTGs. Additional efforts are needed to expand adoption of leading practices across all acute-care hospitals with the greatest need in smaller hospitals. |
| Databáze: | OpenAIRE |
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