Faculty Opinions recommendation of Hospital and societal costs of antimicrobial-resistant infections in a Chicago teaching hospital: implications for antibiotic stewardship.

2009 ◽  
Author(s):  
Gary Garber ◽  
Gregory Rose
Keyword(s):  
Teaching Hospital ◽  
Antibiotic Stewardship ◽  
Societal Costs

scholarly journals Hospital and Societal Costs of Antimicrobial‐Resistant Infections in a Chicago Teaching Hospital: Implications for Antibiotic Stewardship

2009 ◽  
Vol 49 (8) ◽  
pp. 1175-1184 ◽  
Author(s):  
Rebecca R. Roberts ◽  
Bala Hota ◽  
Ibrar Ahmad ◽  
R. Douglas Scott II ◽  
Susan D. Foster ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Antibiotic Stewardship ◽  
Societal Costs

scholarly journals Evaluation of Vancomycin Usage After Implementation of an Antibiotic Stewardship Program: Experience From a Community-Based Teaching Hospital

2015 ◽  
Vol 2 (suppl_1) ◽  
Author(s):  
Theodora Anagnostou ◽  
Poorani Goundan ◽  
Eric Hoynack ◽  
Margo Delisls ◽  
Paul Le ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Antibiotic Stewardship ◽  
Community Based ◽  
Stewardship Program

15 years of antibiotic stewardship policy in the Nancy Teaching Hospital

2011 ◽  
Vol 41 (10) ◽  
pp. 532-539 ◽  
Author(s):  
S. Bevilacqua ◽  
B. Demoré ◽  
E. Boschetti ◽  
T. Doco-Lecompte ◽  
I. May ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Antibiotic Stewardship

An antibiotic stewardship program in a French teaching hospital

2013 ◽  
Vol 43 (1) ◽  
pp. 17-21 ◽  
Author(s):  
V. Mondain ◽  
F. Lieutier ◽  
S. Dumas ◽  
A. Gaudart ◽  
T. Fosse ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Antibiotic Stewardship ◽  
Stewardship Program

Antibiotic stewardship: sharing experience from a teaching hospital in united kingdom. drugs, bugs, bucks and brains...

Pathology ◽  
2012 ◽  
Vol 44 ◽  
pp. S75-S76
Author(s):  
N. Doshi ◽  
G. Damant ◽  
J. Shatwell ◽  
R. Amelan ◽  
M. Taylor ◽  
...  
Keyword(s):  
United Kingdom ◽  
Teaching Hospital ◽  
Antibiotic Stewardship

scholarly journals Institution of an antibiotic stewardship programme for rationalising antibiotic usage: a quality improvement project in the NICU of a public teaching hospital in rural central India

2021 ◽  
Vol 10 (Suppl 1) ◽  
pp. e001456
Author(s):  
Manish Jain ◽  
Akash Bang ◽  
Payal Meshram ◽  
Prachi Gawande ◽  
Karuna Kawhale ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Teaching Hospital ◽  
Antibiotic Stewardship ◽  
Central India ◽  
Antibiotic Usage ◽  
Management Policy ◽  
Antibiotic Exposure ◽  
Improvement Project ◽  
Nicu Admission ◽  
Antibiotic Stewardship Programme

Antibiotic misuse is the most common cause of antimicrobial resistance—a globally declared emergency. This necessitates the introduction of rational antibiotic usage management policy. The paediatrics department of a public teaching hospital with around 500 neonatal intensive care unit (NICU) admissions annually revealed 75% of NICU admission exposure to any antibiotics. The aim was to institute antibiotic stewardship programme (ASP) to optimise antibiotic usage from existing 75% to 40% in a 6-month period through a quality improvement (QI) project.A root cause analysis using fishbone diagram was performed to identify the possible reasons for the high antibiotic usage. Six Plan-Do-Study-Act cycles were conducted to implement the protocols for usage of antibiotics for well-defined indications; active laboratory engagement to decrease the turnaround time for blood culture results; a hard stop to all antibiotic orders after 72 hours; streamlining of antibiotic usage; strengthening universal aseptic practices; and confidence building of staff. The outcomes monitored were antibiotic exposure rates, average number of antibiotic days in all NICU admissions, sepsis rates and mortality.Institution of ASP had significantly reduced antibiotic exposure in NICU admissions, that is, from 75% in March to 41% in August 2018. Median (IQR) antibiotic days per infant in NICU went down from 3 to 0 (0–6). The per cent of NICU admission with culture-positive sepsis and all-cause mortality rate in NICU declined from 18% to 11.56% and 25% to 16%, respectively, over these 6 months.Thus, ASP for rationalising antibiotic usage was successfully instituted in NICU of a rural medical college in central India through QI, without any adverse effect on sepsis and mortality.

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