Outcomes and Metrics for Antimicrobial Stewardship: Survey of Physicians and Pharmacists

被引：22

作者：

Bumpass, J. Brock ^{[1
,2
]}

McDaneld, Patrick M. ^{[1
,2
,3
]}

DePestel, Daryl D. ^{[1
]}

Lamp, Kenneth C. ^{[1
]}

Chung, Thomas J. ^{[1
]}

McKinnon, Peggy S. ^{[1
]}

Crompton, Monica G. ^{[1
]}

Hermsen, Elizabeth D. ^{[1
,4
]}

机构：

[1] Cubist Pharmaceut, Global Med Affairs Dept, Lexington, MA 02421 USA

[2] Massachusetts Coll Pharm & Hlth Sci, Worcester, MA USA

[3] Massachusetts Coll Pharm & Hlth Sci, Dept Pharm Practice, Worcester, MA USA

[4] Univ Nebraska Med Ctr, Coll Pharm, Dept Pharm Practice, Omaha, NE USA

来源：

CLINICAL INFECTIOUS DISEASES | 2014年 / 59卷

关键词：

antimicrobial stewardship; survey; metrics; outcomes; antimicrobial use;

D O I：

10.1093/cid/ciu545

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

We conducted a survey to compare antimicrobial stewardship outcomes considered to be most important with those used in practice as metrics. Respondent opinion of important outcomes compared with those collected as metrics were antimicrobial use (15% vs 73%), antimicrobial cost (10% vs 73%), appropriateness of antimicrobial use (56% vs 51%), infection-related mortality rate (34% vs 7%), and antibiotic-associated length of stay (22% vs 12%). Patient outcomes are important to many practitioners but are rarely used as metrics.

引用

页码：S108 / S111

页数：4

共 6 条

[1] Bad Bugs, No Drugs: No ESKAPE! An Update from the Infectious Diseases Society of America [J].

Boucher, Helen W. ;

Talbot, George H. ;

Bradley, John S. ;

Edwards, John E., Jr. ;

Gilbert, David ;

Rice, Louis B. ;

Scheld, Michael ;

Spellberg, Brad ;

Bartlett, John .

CLINICAL INFECTIOUS DISEASES, 2009, 48 (01) :1-12

[2]

Centers for Disease Control and Prevention, 2013, Antibiotic Resistance Threats in the United States, 2013

[3] Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship [J].

Dellit, Timothy H. ;

Owens, Robert C. ;

McGowan, John E., Jr. ;

Gerding, Dale N. ;

Weinstein, Robert A. ;

Burke, John P. ;

Huskins, W. Charles ;

Paterson, David L. ;

Fishman, Neil O. ;

Carpenter, Christopher F. ;

Brennan, P. J. ;

Billeter, Marianne ;

Hooton, Thomas M. .

CLINICAL INFECTIOUS DISEASES, 2007, 44 (02) :159-177

[4] Policy Statement on Antimicrobial Stewardship by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA), and the Pediatric Infectious Diseases Society (PIDS) [J].

Fishman, Neil ;

Patterson, Jan ;

Saiman, Lisa ;

Srinivasan, Arjun ;

Trivedi, Kavita K. ;

van Schooneveld, Trevor ;

Lynfield, Ruth ;

Gerding, Dale ;

Septimus, Edward ;

Schwartz, David ;

Daum, Robert ;

Englund, Janet A. ;

Harrison, Christopher J. ;

Bradley, John S. ;

Newland, Jason .

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2012, 33 (04) :322-327

[5] Improving Antimicrobial Stewardship: The Evolution of Programmatic Strategies and Barriers [J].

Johannsson, Birgir ;

Beekmann, Susan E. ;

Srinivasan, Arjun ;

Hersh, Adam L. ;

Laxminarayan, Ramanan ;

Polgreen, Philip M. .

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2011, 32 (04) :367-374

[6] Federal funding for the study of antimicrobial resistance in nosocomial pathogens: No ESKAPE [J].

Rice, Louis B. .

JOURNAL OF INFECTIOUS DISEASES, 2008, 197 (08) :1079-1081

← 1 →