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Implementation of Antimicrobial Stewardship Policies in U.S. Hospitals: Findings from a National Survey

Published online by Cambridge University Press:  09 January 2015

Monika Pogorzelska-Maziarz ,
Carolyn T. A. Herzig ,
Elaine L. Larson ,
E. Yoko Furuya ,
Eli N. Perencevich  and
Patricia W. Stone
Monika Pogorzelska-Maziarz*
Affiliation:
Thomas Jefferson University, Jefferson School of Nursing, Philadelphia, Pennsylvania
Carolyn T. A. Herzig
Affiliation:
Columbia University, Mailman School of Public Health, School of Nursing, Center for Health Policy, New York, New York
Elaine L. Larson
Affiliation:
Columbia University, Mailman School of Public Health, School of Nursing, Center for Health Policy, New York, New York
E. Yoko Furuya
Affiliation:
Columbia University College of Physicians & Surgeons, NewYork-Presbyterian Hospital, New York, New York
Eli N. Perencevich
Affiliation:
University of Iowa, Carver College of Medicine, Iowa City, VA, Iowa City, Iowa
Patricia W. Stone
Affiliation:
Columbia University, School of Nursing, Center for Health Policy, New York, New York
*
Address correspondence to Monika Pogorzelska-Maziarz, PhD, MPH, Thomas Jefferson University, Jefferson School of Nursing, 130 South 9th Street, Philadelphia, PA 19107 ([email protected]).
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Abstract

OBJECTIVE

To describe the use of antimicrobial stewardship policies and to investigate factors associated with implementation in a national sample of acute care hospitals.

DESIGN

Cross-sectional survey.

PARTICIPANTS

Infection Control Directors from acute care hospitals participating in the National Healthcare Safety Network (NHSN).

METHODS

An online survey was conducted in the Fall of 2011. A subset of hospitals also provided access to their 2011 NHSN annual survey data.

RESULTS

Responses were received from 1,015 hospitals (30% response rate). The majority of hospitals (64%) reported the presence of a policy; use of antibiograms and antimicrobial restriction policies were most frequently utilized (83% and 65%, respectively). Respondents from larger, urban, teaching hospitals and those that are part of a system that shares resources were more likely to report a policy in place (P<.01). Hospitals located in California were more likely to have policy in place than in hospitals located in other states (P=.014).

CONCLUSION

This study provides a snapshot of the implementation of antimicrobial stewardship policies in place in U.S. hospitals and suggests that statewide efforts in California are achieving their intended effect. Further research is needed to identify factors that foster the adoption of these policies.

Infect Control Hosp Epidemiol 2014;00(0): 1–4

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 36 , Issue 3 , March 2015 , pp. 261 - 264
Copyright
© 2015 by The Society for Healthcare Epidemiology of America. All rights reserved 

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