Hostname: page-component-7c8c6479df-r7xzm Total loading time: 0 Render date: 2024-03-28T18:21:06.042Z Has data issue: false hasContentIssue false

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*
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 (pgpate@aol.com)

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
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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;27:920925.Google Scholar
3. Weinstein, RA, Munoz-Price, LS. Long-term acute care hospitals. Clin Infect Dis 2009;49:438443.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;15:241243.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;51:796800.Google Scholar
6. Jump, RL, Riggs, MM, Sethi, AK, et al. Multihospital outbreak of Clostridium difficile infection, Cleveland, Ohio, USA. Emerg Infect Dis 2010;16:827829.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;53:532540.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;31:431455.CrossRefGoogle Scholar