Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-10T06:36:57.483Z Has data issue: false hasContentIssue false
  • English
  • Français

Antimicrobial Stewardship at Transition of Care from Hospital to Community

Published online by Cambridge University Press:  02 January 2015

Nabin K. Shrestha ,
Archana Bhaskaran ,
Nikole M. Scalera ,
Steven K. Schmitt ,
Susan J. Rehm  and
Steven M. Gordon
Nabin K. Shrestha*
Affiliation:
Department of Infectious Disease, Cleveland Clinic, Cleveland, Ohio
Archana Bhaskaran
Affiliation:
Department of Infectious Disease, Cleveland Clinic, Cleveland, Ohio
Nikole M. Scalera
Affiliation:
Department of Infectious Disease, Cleveland Clinic, Cleveland, Ohio
Steven K. Schmitt
Affiliation:
Department of Infectious Disease, Cleveland Clinic, Cleveland, Ohio
Susan J. Rehm
Affiliation:
Department of Infectious Disease, Cleveland Clinic, Cleveland, Ohio
Steven M. Gordon
Affiliation:
Department of Infectious Disease, Cleveland Clinic, Cleveland, Ohio
*
9500 Euclid Avenue/G-21, Cleveland, OH 44195 (shrestn@ccf.org)
Get access Rights & Permissions [Opens in a new window]

Abstract

Mandatory infectious disease consultation for parenteral antimicrobials at hospital discharge resulted in avoiding postdischarge parenteral antimicrobials in 28% of patients. No emergency department visit or rehospitalization within 30 days for these patients was a consequence of parenteral antimicrobial avoidance. Antimicrobial stewardship at transition of care is effective in reducing unnecessary antimicrobial use.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 33 , Issue 4: Special Topic Issue: Antimicrobial Stewardship , April 2012 , pp. 401 - 404
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. 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.CrossRefGoogle Scholar
2. ASHP statement on the pharmacist's role in antimicrobial stewardship and infection prevention and control. Am J Health-Syst Pharm 2010;67:575–577.CrossRefGoogle Scholar
3. Cusini, A, Rampini, SK, Bansal, V, et al. Different patterns of inappropriate antimicrobial use in surgical and medical units at a tertiary care hospital in Switzerland: a prevalence survey. PLoS ONE 2010;5:el4011.CrossRefGoogle Scholar
4. Camins, BC, King, MD, Wells, JB, et al. Impact of an antimicrobial utilization program on antimicrobial use at a large teaching hospital: a randomized controlled trial. Infect Control Hosp Epidemiol 2009;30:931–938.CrossRefGoogle Scholar
5. Tice, AD, Rehm, SJ, Dalovisio, JR, et al. Practice guidelines for outpatient parenteral antimicrobial therapy: IDSA guidelines. Clin Infect Dis 2004;38:1651–1672.CrossRefGoogle ScholarPubMed
6. Gordon, SM, Shrestha, NK, Rehm, SJ. Transitioning antimicrobial stewardship beyond the hospital: the Cleveland Clinic's community-based parenteral anti-infective therapy (CoPAT) program. J Hosp Med 2011;6(suppl 1):S24–S30.CrossRefGoogle ScholarPubMed
7. Ohl, CA, Dodds Ashley, ES. Antimicrobial stewardship programs in community hospitals: the evidence base and case studies. Clin Infect Dis 2011;53(suppl 1):S23–S28; quiz, S29-S30.CrossRefGoogle ScholarPubMed
8. Ruttimann, S, Keck, B, Hartmeier, C, Maetzel, A, Bucher, HC. Long-term antibiotic cost savings from a comprehensive intervention program in a medical department of a university-affiliated teaching hospital. Clin Infect Dis 2004;38:348–356.CrossRefGoogle Scholar
9. Hoffman-Terry, ML, Fraimow, HS, Fox, TR, Swift, BG, Wolf, JE. Adverse effects of outpatient parenteral antibiotic therapy. Am J Med 1999;106:44–49.CrossRefGoogle ScholarPubMed
10. LaRosa, LA, Fishman, NO, Lautenbach, E, Koppel, RJ, Morales, KH, Linkin, DR. Evaluation of antimicrobial therapy orders circumventing an antimicrobial stewardship program: investigating the strategy of “stealth dosing.” J Infect Control Hosp Epidemiol 2007;28:551–556.CrossRefGoogle Scholar