Impact of an antimicrobial stewardship program on patients with acute bacterial skin and skin structure infections

Abstract

Interventions made by an ASP including a clinical pharmacist were associated with significant reductions in the mean LOS and 30-day all-cause readmission rate for patients with an ABSSSI compared with historical data.

Verbal Communication With Providers Improves Acceptance of Antimicrobial Stewardship Interventions

“…[7][8][9][10] We believe this gap in the current literature to be important and worthy of exploration because less effective methods of communication for AMS may be detrimental to patient care. In an effort to optimize patient care through our AMS services, we recently retrospectively evaluated the acceptance of all verbal and EMR interventions made by the AMS team at the Providence Veterans Affairs Medical Center between March 1, 2014, and February 28, 2015.…”

The Evolving Role of Antimicrobial Stewardship in Management of Multidrug Resistant Infections

“…In addition to showing a reduction in antimicrobial use and cost, we have observed a reduction of 30-day readmission rates (from 16.7% to 6.5% for all cause readmissions; P 5 .05) and antimicrobial resistance to most Gram-negative bacilli as listed in our yearly antibiograms. 5,45 Duration of therapy is important; each additional day of unnecessary antibiotics increases a patients' risk of acquiring CDI. 46,47 The appropriate duration of therapy for intraabdominal infections is unclear.…”

“…These programs can improve patient outcomes, reduce adverse events (including Clostridium difficile infection), reduce readmission rates, and reduce antibiotic resistance. [2][3][4][5][6] The proven benefits of ASPs have led to increasing calls for their implementation in all hospitals.…”

Seamless Suits: Reducing Personnel Contamination Through Improved Personal Protective Equipment Design

“…We recently proposed that oral wounds can be a route of transmission for HBV, and this hypothesis explains various observations regarding HBV epidemiology. 10 Clinical practice guidelines play an important role in preventing the transmission of infectious diseases. Here, we present a striking inconsistency in the current HBV and HCV clinical practice guidelines regarding oral transmission.…”