Can intravenous antimicrobial start data reported to the National Healthcare Safety Network determine appropriateness of antibiotic use in hemodialysis patients?

Patel, Priti R.; Novosad, Shannon; Apata, Ibironke W.

doi:10.1017/ice.2021.55

Cited by 1 publication

(2 citation statements)

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“…4,5 However, studies assessing IV antimicrobial starts (IVAS) using national hemodialysis surveillance data are limited. [6][7][8] Analytic models suggest that interventions designed to improve antimicrobial use would result in fewer multidrug-resistant infections and health care expenditures in outpatient dialysis settings. 9 To better characterize prescribing practices for antimicrobials among persons receiving hemodialysis, we estimated the rate of IVAS using surveillance data from the National Healthcare Safety Network (NHSN) for outpatient dialysis facilities.…”

Section: Introductionmentioning

confidence: 99%

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Intravenous Antimicrobial Starts among Hemodialysis Patients in the National Healthcare Safety Network Dialysis Component, 2016–2020

et al. 2023

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Points c NHSN total IV antimicrobial start rates for patients on hemodialysis decreased from 2016 to 2020, but rates unsupported by NHSN surveillance documentation did not. c There were 80% of reporting hemodialysis facilities that had $1 unsupported IV antimicrobial start, and the fraction of facilities with unsupported starts increased yearly. c Accurate reporting and timely review of antimicrobial data is critical to understanding prescribing trends and practices in hemodialysis facilities.

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Section: Introductionmentioning

confidence: 99%

“…4,5 However, studies assessing IV antimicrobial starts (IVAS) using national hemodialysis surveillance data are limited. 6–8 Analytic models suggest that interventions designed to improve antimicrobial use would result in fewer multidrug-resistant infections and health care expenditures in outpatient dialysis settings. 9…”

Section: Introductionmentioning

confidence: 99%