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Antimicrobial Stewardship at Transition of Care from Hospital to Community

Published online by Cambridge University Press:  02 January 2015

Nabin K. Shrestha*
Affiliation:
Department of Infectious Disease, Cleveland Clinic, Cleveland, Ohio
Archana Bhaskaran
Affiliation:
Department of Infectious Disease, Cleveland Clinic, Cleveland, Ohio
Nikole M. Scalera
Affiliation:
Department of Infectious Disease, Cleveland Clinic, Cleveland, Ohio
Steven K. Schmitt
Affiliation:
Department of Infectious Disease, Cleveland Clinic, Cleveland, Ohio
Susan J. Rehm
Affiliation:
Department of Infectious Disease, Cleveland Clinic, Cleveland, Ohio
Steven M. Gordon
Affiliation:
Department of Infectious Disease, Cleveland Clinic, Cleveland, Ohio
*
9500 Euclid Avenue/G-21, Cleveland, OH 44195 (shrestn@ccf.org)

Abstract

Mandatory infectious disease consultation for parenteral antimicrobials at hospital discharge resulted in avoiding postdischarge parenteral antimicrobials in 28% of patients. No emergency department visit or rehospitalization within 30 days for these patients was a consequence of parenteral antimicrobial avoidance. Antimicrobial stewardship at transition of care is effective in reducing unnecessary antimicrobial use.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

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