Implementation of an Antibiotic Stewardship Program in Long-term Care Facilities Across the US

Katz, Morgan J.; Cosgrove, Sara E.; Miller, Melissa A.; Dullabh, Prashila; Rowe, Therese A; Ahn, Roy; Speck, Kathleen; Gao, Yue; Shah, Savyasachi; Jump, Robin L.P.

doi:10.1001/jamanetworkopen.2022.0181

Cited by 15 publications

(2 citation statements)

References 28 publications

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“…In 2022, an article published in JAMA by Katz et al et al evaluated an AHRQ educational initiative (Safety Program for Improving Antibiotic Use) on overall antibiotic prescribing patterns in long-term care facilities. 9 The initiative included 15 webinars over the course of a year accompanied by tools, activities, posters, and pocket cards. The results of this study were similar to ours with fluoroquinolones prescriptions showing the greatest reduction.…”

Section: Practice Implicationsmentioning

confidence: 99%

“…The results of this study were similar to ours with fluoroquinolones prescriptions showing the greatest reduction. 9 This trial included antibiotic prescriptions for all infection types and did not report specific usage of macrolides. Craddock et al evaluated antibiotic prescribing for upper respiratory infections in the ambulatory care setting before and after implementation of educational and antimicrobial stewardship initiatives and found a significantly reduced rate of inappropriately prescribed antibiotics for upper respiratory infections.…”

Section: Practice Implicationsmentioning

confidence: 99%

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Implementation of Antimicrobial Stewardship Interventions in Primary Care: Acute Bacterial Rhinosinusitis Treatment Strategies

Meier,

Pierce,

Musgrove

et al. 2023

J Prim Care Community Health

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Background: The highest prescribing rates for antibiotics occur in primary care, therefore, ambulatory care pharmacist interventions could play a major role in preventing overuse and misuse of antibiotics. Delegated pharmacists in the SJC primary care setting guided 3 activities with a goal of positively impacting prescribing patterns: monthly webinars provided by Agency for Healthcare Research and Quality (AHRQ), quarterly reporting to physicians of antibiotic prescribing patterns, and development of a clinical decision-making support tool for antibiotic prescribing. Methods: Retrospective, observational data was collected to evaluate antibiotic prescribing patterns in patients diagnosed with acute sinusitis both before initiatives were implemented (July 1, 2019 through June 30, 2020) and after the initiatives were implemented (April 1, 2022 through June 30, 2022). Results: A total of 675 patients were diagnosed with acute bacterial sinusitis during the specified time frame. Of these, 138 patients were excluded. A total of 279 antibiotics were prescribed in the preintervention group out of 298 patient encounters (93.6%) and 225 antibiotics were prescribed in the post-intervention group out of 244 patient encounters (92.9%) ( p = .26). Although the primary outcome was not statistically significant, a significant reduction in patients treated with fluoroquinolones was noted, with 59/298 (20%) of those being prescribed in the pre-intervention group and 20/244 (8%) in the post intervention group ( P = .02). Conclusions: While pharmacist-led antimicrobial stewardship interventions in primary care did not result in a decrease in the overall prescription of antibiotics for acute sinusitis, our study did reveal a notable reduction in the use of fluoroquinolones. This finding highlights a promising avenue for expanding the role of ambulatory care pharmacists.

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Section: Practice Implicationsmentioning

confidence: 99%

Section: Practice Implicationsmentioning

confidence: 99%

Implementation of Antimicrobial Stewardship Interventions in Primary Care: Acute Bacterial Rhinosinusitis Treatment Strategies

Meier,

Pierce,

Musgrove

et al. 2023

J Prim Care Community Health

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Accelerating the Growth of Antibiotic Stewardship in Nursing Homes

Taylor

Crnich

2022

JAMA Netw Open

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To Err Is Human broke the silence around patient safety, bringing awareness to the 98 000 preventable deaths per year caused by medical error in hospitals. 1 Instead of asserting that these deaths were due to bad people working in health care, however, it provided a clear explanation that bad systems were to blame and needed to be made safer. In its wake, efforts to create a culture of patient safety emerged, using systems-based interventions to target multiple issues surrounding diagnostic errors, procedural events, health care-associated infections, and medication management. Antibiotic resistance and misuse are patient-safety issues, too. In response to rising antibiotic resistance and the dangerous consequences of antibiotic overuse and misuse, hospitals have adopted a culture of patient safety around antibiotic use through implementation of antibiotic stewardship programs.Of course, antibiotic resistance is not just a threat in hospitals. Nursing homes are sites of high

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Assessment of Changes in Visits and Antibiotic Prescribing During the Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic

et al. 2022

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Implementation of an Antibiotic Stewardship Program in Long-term Care Facilities Across the US

Cited by 15 publications

References 28 publications

Implementation of Antimicrobial Stewardship Interventions in Primary Care: Acute Bacterial Rhinosinusitis Treatment Strategies

Implementation of Antimicrobial Stewardship Interventions in Primary Care: Acute Bacterial Rhinosinusitis Treatment Strategies

Accelerating the Growth of Antibiotic Stewardship in Nursing Homes

Assessment of Changes in Visits and Antibiotic Prescribing During the Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic

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