Antibiotic assessment at hospital discharge-Room for stewardship intervention

Susanne Gapen Barnett; Paul Lata; Meredith Kavalier; Christopher Crnich; Prakash Balasubramanian

doi:10.1017/ice.2019.332

Antibiotic assessment at hospital discharge-Room for stewardship intervention

Infect Control Hosp Epidemiol. 2020 Feb;41(2):209-211. doi: 10.1017/ice.2019.332.

Authors

Susanne Gapen Barnett^{1

2}, Paul Lata¹, Meredith Kavalier³, Christopher Crnich^{1

4}, Prakash Balasubramanian¹

Affiliations

¹ The William S. Middleton VA Medical Center, Madison, Wisconsin.
² University of Wisconsin School of Pharmacy, Madison, Wisconsin.
³ University of Wisconsin Hospitals and Clinics, Madison, Wisconsin.
⁴ Division of Infectious Disease, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

PMID: 31779728
DOI: 10.1017/ice.2019.332

Abstract

Our stewardship team evaluated 19 months of discharge antibiotic prescriptions to determine prescribing appropriateness and to characterize the interventions made. Intervention occurred in 9.7% of patients, with a 58% acceptance rate. Most interventions were educational (antibiotic course was complete at time of intervention). Discharge antibiotic review is a potential stewardship tool.

MeSH terms

Anti-Bacterial Agents / therapeutic use*
Antimicrobial Stewardship / methods
Antimicrobial Stewardship / organization & administration*
Antimicrobial Stewardship / standards*
Guideline Adherence
Hospitals / standards
Hospitals / statistics & numerical data
Humans
Inappropriate Prescribing / statistics & numerical data
Patient Discharge / standards*
Patient Discharge / statistics & numerical data
Practice Patterns, Physicians' / organization & administration
Practice Patterns, Physicians' / standards*
Retrospective Studies

Substances

Anti-Bacterial Agents