1218Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS): A Quality Improvement (QI) Collaborative

Newland, Jason G.; Hersh, Adam L.; Gerber, Jeffrey S.; Meredith, Georgann; Lee, Brian; Thurm, Cary; Metjian, Talene A.; Olson, Jared; Thorell, Emily A.; Weissman, Scott J.; Goldman, Jennifer L.; Yu, Diana; Patel, Sameer; Patel, Rupal; Courter, Joshua; Simonsen, Kari; Varman, Meera; Stec, Robin

doi:10.1093/ofid/ofu051.106

Cited by 2 publications

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“…In light of increasing awareness of the special antimicrobial issues within children, medical associations such as the IDSA, in collaboration with the PIDS, the AAP, and the American Heart Association have released or are developing national pediatric‐specific treatment guidelines . In addition, a group of children's hospitals that provide their data to PHIS formed the Sharing Antimicrobial Reports for Pediatric Stewardship collaborative, a quality improvement organization dedicated to improving antimicrobial use and research . One of the stewardship interventions spurred by these reports involved the improvement of treatment for community‐acquired pneumonia (CAP) .…”

Section: Why Is Pediatric‐focused Antimicrobial Stewardship Needed?mentioning

confidence: 99%

“…[32][33][34] In addition, a group of children's hospitals that provide their data to PHIS formed the Sharing Antimicrobial Reports for Pediatric Stewardship collaborative, a quality improvement organization dedicated to improving antimicrobial use and research. 35,36 One of the stewardship interventions spurred by these reports involved the improvement of treatment for community-acquired pneumonia (CAP). 36 It is hopeful that this collaborative will allow ASPs to continue to identify high-yield targets for ASP interventions.…”

Section: Adverse Drug Eventsmentioning

confidence: 99%

“…35,36 One of the stewardship interventions spurred by these reports involved the improvement of treatment for community-acquired pneumonia (CAP). 36 It is hopeful that this collaborative will allow ASPs to continue to identify high-yield targets for ASP interventions.…”

Section: Adverse Drug Eventsmentioning

confidence: 99%

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Making a Case for Pediatric Antimicrobial Stewardship Programs

et al. 2015

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Although antimicrobials are commonly used in children, it is important to remember that they can have a profound impact on this unique patient population. Inadvertent consequences of antiinfective use in children include antimicrobial resistance, infection caused by Clostridium difficile, increased risk of obesity, and adverse drug events. In addition, compared with adults, children have different dosing requirements, antimicrobial formulation needs, pharmacokinetics, and antimicrobial susceptibility profiles. Therefore, pediatric-specific antimicrobial stewardship efforts are needed to promote appropriate use of antimicrobials in children. The primary purposes of this review article are to provide a rationale behind pediatric-focused antimicrobial stewardship and to describe currently available evidence regarding the initiatives of pediatric antimicrobial stewardship programs (ASPs). A literature search of the Medline database was performed (from inception through March 2015). The studies included in this review focus on antimicrobial stewardship interventions in inpatient pediatric settings. Ten inpatient studies involving pediatric-focused antimicrobial stewardship interventions were identified from the published literature. Four studies used the core strategy of prospective audit with feedback; two used prior approval. The remaining four used supplemental antimicrobial stewardship strategies (guidelines, clinical pathways, and computerized decision support tools). In general, the interventions resulted in decreased antimicrobial use, reduced antimicrobial costs, and fewer prescribing errors. Children have unique medical needs related to antimicrobials and deserve focused ASP efforts. The literature regarding pediatric antimicrobial stewardship interventions is limited, but published interventions may serve as paradigms for developing pediatric ASPs as demonstrated by the general success of these interventions.

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Section: Why Is Pediatric‐focused Antimicrobial Stewardship Needed?mentioning

confidence: 99%

Section: Adverse Drug Eventsmentioning

confidence: 99%

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Making a Case for Pediatric Antimicrobial Stewardship Programs

et al. 2015

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“…3–6 A 2016–2017 point-prevalence survey of antibiotic use in hospitalized US children, conducted by 32 Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS) Collaborative hospitals, documented that 35% of admitted children had at least 1 active antibiotic order at any point in time. 7,8 Of these patients, 26% received antibiotics that were considered suboptimal by antimicrobial stewardship programs (ASPs). This study also reported that routine ASP practices would not have reviewed nearly half of these suboptimal antibiotic orders.…”

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confidence: 99%

Appropriateness of antibiotic prescribing varies by clinical services at United States children’s hospitals

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Rebecca

et al. 2023

Infect. Control Hosp. Epidemiol.

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Objective: To describe patterns of inappropriate antibiotic prescribing at US children’s hospitals and how these patterns vary by clinical service. Design: Serial, cross-sectional study using quarterly surveys. Setting: Surveys were completed in quarter 1 2019–quarter 3 2020 across 28 children’s hospitals in the United States. Participants: Patients at children’s hospitals with ≥1 antibiotic order at 8:00 a.m. on institution-selected quarterly survey days. Methods: Antimicrobial stewardship physicians and pharmacists collected data on antibiotic orders and evaluated appropriateness of prescribing. The primary outcome was percentage of inappropriate antibiotics, stratified by clinical service and antibiotic class. Secondary outcomes included reasons for inappropriate use and association of infectious diseases (ID) consultation with appropriateness. Results: Of 13,344 orders, 1,847 (13.8%) were inappropriate; 17.5% of patients receiving antibiotics had ≥1 inappropriate order. Pediatric intensive care units (PICU) and hospitalists contributed the most inappropriate orders (n = 384 and n = 314, respectively). Surgical subspecialists had the highest percentage of inappropriate orders (22.5%), and 56.8% of these were for prolonged or unnecessary surgical prophylaxis. ID consultation in the previous 7 days was associated with fewer inappropriate orders (15% vs 10%; P < .001); this association was most pronounced for hospitalist, PICU, and surgical and medical subspecialty services. Conclusions: Inappropriate antibiotic use for hospitalized children persists and varies by clinical service. Across 28 children’s hospitals, PICUs and hospitalists contributed the most inappropriate antibiotic orders, and surgical subspecialists’ orders were most often judged inappropriate. Understanding service-specific prescribing patterns will enable antimicrobial stewardship programs to better design interventions to optimize antibiotic use.

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1218Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS): A Quality Improvement (QI) Collaborative

Cited by 2 publications

References 0 publications

Making a Case for Pediatric Antimicrobial Stewardship Programs

Making a Case for Pediatric Antimicrobial Stewardship Programs

Appropriateness of antibiotic prescribing varies by clinical services at United States children’s hospitals

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