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Antibiotic overuse after discharge from medical short-stay units

Published online by Cambridge University Press:  24 August 2021

Nathaniel S. Soper*
Affiliation:
Division of Hospital Medicine, Department of Internal Medicine, Michigan Medicine, Ann Arbor, Michigan
Abhinav J. Appukutty
Affiliation:
Department of Internal Medicine, Northwestern Medicine, Chicago, Illinois
David Paje
Affiliation:
Division of Hospital Medicine, Department of Internal Medicine, Michigan Medicine, Ann Arbor, Michigan
Lindsay A. Petty
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, Michigan Medicine, Ann Arbor, Michigan
Scott A. Flanders
Affiliation:
Division of Hospital Medicine, Department of Internal Medicine, Michigan Medicine, Ann Arbor, Michigan
Qisu Zhang
Affiliation:
Division of Hospital Medicine, Department of Internal Medicine, Michigan Medicine, Ann Arbor, Michigan
Jennifer K. Horowitz
Affiliation:
Division of Hospital Medicine, Department of Internal Medicine, Michigan Medicine, Ann Arbor, Michigan
Valerie M. Vaughn
Affiliation:
Division of General Internal Medicine, Department of Internal Medicine, University of Utah Medical School, Salt Lake City, Utah
*
Author for correspondence: Nathaniel S. Soper, E-mail: [email protected]

Abstract

Of 100 patients discharged from short-stay units (SSUs) with antibiotics, 47 had a skin and soft-tissue infection, 22 had pneumonia, and 21 had a urinary tract infection. Among all discharge antibiotic prescriptions, 78% involved antibiotic overuse, most commonly excess duration (54 of 100) and guideline discordant selection (44 of 100).

Type
Concise Communication
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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