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Implementation of an Antimicrobial Stewardship Program at a 60-Bed Long-Term Acute Care Hospital

Published online by Cambridge University Press:  02 January 2015

Perry G. Pate ,
Donald F. Storey  and
Donna L. Baum
Perry G. Pate*
Affiliation:
Dallas ID Associates, Dallas, Texas
Donald F. Storey
Affiliation:
Dallas ID Associates, Dallas, Texas
Donna L. Baum
Affiliation:
Vibra Specialty Hospital, Dallas, Texas
*
5939 Harry Hines Boulevard, Suite 845, Dallas, TX 75235 ([email protected])
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Abstract

We implemented an antimicrobial stewardship program at an urban, 60-bed long-term acute care hospital using a strategy of weekly postprescriptive chart audit with intervention and feedback. The results for the first 15 months demonstrated 80% acceptance of recommendations, a 21% reduction in use, and a 28% reduction in cost per patient-day.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 33 , Issue 4: Special Topic Issue: Antimicrobial Stewardship , April 2012 , pp. 405 - 408
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

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Footnotes

a.

P.G.P. and D.ES. contributed equally to this article

References

1. Medicare Payment Advisory Commission. Report to the Congress: Medicare Payment Policy Report. March 2011. http://medpac.gov/documents/Marll_EntireReport.pdf. Accessed August 26, 2011.Google Scholar
2. Gould, CV, Rothenberg, R, Steinberg, J. Antibiotic resistance in long-term acute care hospitals: the perfect storm. Infect Control Hosp Epidemiol 2006;27:920–925.Google Scholar
3. Weinstein, RA, Munoz-Price, LS. Long-term acute care hospitals. Clin Infect Dis 2009;49:438–443.Google Scholar
4. Goldstein, EJ, Polonsky, J, Touzani, M, Citron, DM. C. difficile infection (CDI) in a long-term acute care facility (LTAC). Anaerobe 2009;15:241–243.Google Scholar
5. Bonilla, H, Huband, MD, Seidel, J, et al. Multicity outbreak of linezolid-resistant Staphylococcus epidermidis associated with clonal spread of a c/r-containing strain. Clin Infect Dis 2010;51:796–800.Google Scholar
6. Jump, RL, Riggs, MM, Sethi, AK, et al. Multihospital outbreak of Clostridium difficile infection, Cleveland, Ohio, USA. Emerg Infect Dis 2010;16:827–829.Google Scholar
7. Won, SY, Munoz-Price, LS, Lolans, K, Hota, B, Weinstein, RA, Hayden, MK. Emergence and rapid regional spread of Klebsiella pneumoniae carbapenemase-producing Enterobacteriaceae. Clin Infect Dis 2011;53:532–540.Google Scholar
8. Kravitz, GR, Glynn, PF, Bornstein, PF, Eirtz, JJ, Krason, DA, Kahn, MA. Implementation of an antibiotic stewardship program (ASP) at a long-term acute care hospital (LTACH): fertile ground. In: Program and Abstracts of the 19th Annual Scientific Meeting of the Society for Healthcare Epidemiology of America. San Diego: March 18-22, 2009. Abstract 72.Google Scholar
9. National Healthcare Safety Network. Multidrug-Resistant Organism and Clostridium difficile Infection (MDRO/CDI) Module . June 2011. http://www.cdc.gov/nhsn/PDFs/pscManual/12pscMDRO_CDADcurrent.pdf. Accessed September 4, 2011.Google Scholar
10. Cohen, SH, Gerding, DN, Johnson, S, et al. Clinical practice guidelines for Clostridium difficile infection in adults: 2010 update by the Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA). Infect Control Hosp Epidemiol 2010;31:431–455.CrossRefGoogle Scholar