scholarly journals When Antimicrobial Stewardship Isn′t Watching: The Educational Impact of Critical Care Prospective Audit and Feedback

2016 ◽  
Vol 3 (3) ◽  
Author(s):  
Dimitra Fleming ◽  
Karim F. Ali ◽  
John Matelski ◽  
Ryan D'Sa ◽  
Jeff Powis
Keyword(s):  
Critical Care ◽  
Antimicrobial Stewardship ◽  
Care Setting ◽  
Audit And Feedback ◽  
Antimicrobial Use ◽  
Prospective Audit ◽  
Educational Impact ◽  
Antimicrobial Prescribing ◽  
Stewardship Program ◽  
Prospective Audit And Feedback

Abstract Prospective audit and feedback (PAF) is an effective strategy to optimize antimicrobial use in the critical care setting, yet whether skills gained during PAF influence future antimicrobial prescribing is uncertain. This multisite study demonstrates that knowledge learned during PAF is translated and incorporated into the practice of critical care physicians even when not supported by an antimicrobial stewardship program.

scholarly journals A Novel Metric to Monitor the Influence of Antimicrobial Stewardship Activities

2017 ◽  
Vol 38 (06) ◽  
pp. 721-723 ◽  
Author(s):  
Daniel J. Livorsi ◽  
Erin O’Leary ◽  
Tamra Pierce ◽  
Lindsey Reese ◽  
Katharina L. van Santen ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Audit And Feedback ◽  
Antimicrobial Use ◽  
Prospective Audit ◽  
Infectious Disease Physician ◽  
Antimicrobial Prescribing ◽  
National Healthcare Safety Network ◽  
Stewardship Program ◽  
Prospective Audit And Feedback ◽  
Antimicrobial Administration

The antimicrobial use (AU) option within the National Healthcare Safety Network summarizes antimicrobial prescribing data as a standardized antimicrobial administration ratio (SAAR). A hospital’s antimicrobial stewardship program found that greater involvement of an infectious disease physician in prospective audit and feedback procedures was associated with reductions in SAAR values across multiple antimicrobial categories. Infect Control Hosp Epidemiol 2017;38:721–723

Point Prevalence Survey of Antimicrobial Prescription Patterns in a Pediatric Tertiary-Care Unit in Thailand 2019

2021 ◽  
Vol 104 (9) ◽  
pp. 1476-1482
Keyword(s):  
Antimicrobial Stewardship ◽  
Point Prevalence ◽  
Audit And Feedback ◽  
Antimicrobial Use ◽  
Prospective Audit ◽  
Prevalence Survey ◽  
Prescription Patterns ◽  
Point Prevalence Survey ◽  
Stewardship Program ◽  
Prospective Audit And Feedback

Background: Surveillance data is an essential part of antimicrobial stewardship programs (ASP). Objective: To describe and compare prescription patterns of antibiotics after a 3-years implementation of an ASP using prospective audit and feedback. Materials and Methods: The authors conducted a point prevalence survey (PPS) of antibiotic prescriptions at a 200-bed pediatric unit at King Chulalongkorn Memorial Hospital. A standardized study protocol from the Global Antimicrobial Resistance, Prescribing, and the Efficacy in Neonates and Children (GARPEC) project was used. The authors reviewed medical charts of hospitalized children of less than 18 years of age, using a point prevalence method on the 15 of February, May, August, and November 2019. Endpoints measures included rate of antimicrobial prescriptions and type of antimicrobial use, stratified by neonatal and pediatric ward types. Rate of antimicrobial prescriptions will be compared with historical data form PPS in the same institute collected in 2016. Results: In 2019, the medical records of 269 neonates and 409 children hospitalized were reviewed. The proportion of children receiving antibiotics in neonatal units overall was 18.6% (95% CI 14.1 to 23.8), of which ampicillin or gentamicin (52.0%) was the most common regimen. Rate of antibiotic prescriptions in general pediatric wards was 46.5%, with third generation cephalosporins being the most used antibiotics. Prescription rate in the oncology ward was 52.9% with antipseudomonal agents or meropenem being the most prescribed antibiotics. Prescription rates in the pediatric intensive care unit (PICU) was 88.9%, with meropenem being the most used antibiotic. Compared to a previous PPS study in 2016, prevalence of antimicrobial use was higher in general pediatric wards at 46.5% versus 37.2% (p=0.02) and PICU at 88.9% versus 67.7% (p=0.007). Conclusion: The prevalence rates of antimicrobial use in pediatric wards increased despite implementation of a prospective audit and feedback antibiotic stewardship program. Other measures are needed to reduce the unnecessary prescriptions. Keywords: Antimicrobial; Antimicrobial stewardship program; Pediatric; Point prevalence survey

Understanding changes in the standardized antimicrobial administration ratio for total antimicrobial use after implementation of prospective audit and feedback

2018 ◽  
Vol 39 (12) ◽  
pp. 1476-1479 ◽  
Author(s):  
Meghan E. Griebel ◽  
Brett Heintz ◽  
Bruce Alexander ◽  
Jason Egge ◽  
Michihiko Goto ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Audit And Feedback ◽  
Antimicrobial Use ◽  
Single Center ◽  
Prospective Audit ◽  
Antimicrobial Prescribing ◽  
Single Center Study ◽  
Prospective Audit And Feedback ◽  
Center Study ◽  
Antimicrobial Administration

AbstractIn this single-center study, the standardized antimicrobial administration ratio (SAAR) for total antimicrobial use decreased in response to a stewardship intervention. Antimicrobial prescribing and clinical outcomes were stable or improved during the period of lower SAARs. Our findings suggest that SAAR values of ~0.8 can be safely achieved.

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