Practices to improve antimicrobial use at 47 US hospitals: the status of the 1997 SHEA/IDSA position paper recommendations. Society for Healthcare Epidemiology of America/Infectious Diseases Society of America.
Infect Control Hosp Epidemiol
; 21(4): 256-9, 2000 Apr.
Article
in En
| MEDLINE
| ID: mdl-10782587
ABSTRACT
OBJECTIVE:
To determine the status of programs to improve antimicrobial prescribing at select US hospitals.DESIGN:
Cross-sectional survey. PARTICIPANTS ANDSETTING:
Pharmacy and infection control staff at all 47 hospitals participating in phase 3 of Project Intensive Care Antimicrobial Resistance Epidemiology.RESULTS:
All 47 hospitals had some programs to improve antimicrobial use, but the practices reported varied considerably. All used a formulary, and 43 (91%) used it in conjunction with at least one of the other three antimicrobial-use policies evaluated stop orders, restriction, and criteria-based clinical practice guidelines (CPGs). CPGs were reported most commonly (70%), followed by stop orders (60%) and restriction policies (40%). Although consultation with an infectious disease physician (70%) or pharmacist (66%) was commonly used to influence initial antimicrobial choice, few (40%) reported a system to measure compliance with these consultations.CONCLUSIONS:
In most hospitals surveyed, practices to improve antimicrobial use, although present, were inadequate based on recommendations in a Society for Healthcare Epidemiology of America and Infectious Disease Society of America joint position paper. There is room to improve antimicrobial-use stewardship at US hospitals.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Drug Resistance, Microbial
/
Cross Infection
/
Infection Control
/
Practice Guidelines as Topic
/
Guideline Adherence
Type of study:
Guideline
/
Qualitative_research
/
Risk_factors_studies
/
Screening_studies
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Infect Control Hosp Epidemiol
Journal subject:
DOENCAS TRANSMISSIVEIS
/
ENFERMAGEM
/
EPIDEMIOLOGIA
/
HOSPITAIS
Year:
2000
Document type:
Article
Affiliation country:
United States