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Antibiotics 2016, 5(1), 8; doi:10.3390/antibiotics5010008

Antimicrobial Stewardship for a Geriatric Behavioral Health Population

1
Banner Medical University Center South, 2800 E Ajo Way, Tucson, AZ 85713, USA
2
University of Arizona College of Pharmacy, 1295 N Martin PO Box 210202, Tucson, AZ 85721-0202, USA
These authors contributed equally to this work.
*
Author to whom correspondence should be addressed.
Academic Editors: Jerod Nagel and Angela Huang
Received: 30 September 2015 / Revised: 14 December 2015 / Accepted: 29 December 2015 / Published: 19 January 2016
(This article belongs to the Special Issue Antimicrobial Stewardship)
View Full-Text   |   Download PDF [176 KB, uploaded 19 January 2016]

Abstract

Antimicrobial resistance is a growing public health concern. Antimicrobial stewardship and multi-disciplinary intervention can prevent inappropriate antimicrobial use and improve patient care. Special populations, especially older adults and patients with mental health disorders, can be particularly in need of such intervention. The purpose of this project was to assess the impact of pharmacist intervention on appropriateness of antimicrobial prescribing on a geriatric psychiatric unit (GPU). Patients ≥18 years old prescribed oral antibiotics during GPU admission were included. Antimicrobial appropriateness was assessed pre- and post-pharmacist intervention. During the six-month pre- and post-intervention phase, 63 and 70 patients prescribed antibiotics were identified, respectively. Subjects in the post-intervention group had significantly less inappropriate doses for indication compared to the pre-intervention group (10.6% vs. 23.9%, p = 0.02), and significantly less antibiotics prescribed for an inappropriate duration (15.8% vs. 32.4%, p < 0.01). There were no significant differences for use of appropriate drug for indication or appropriate dose for renal function between groups. Significantly more patients in the post intervention group had medications prescribed with appropriate dose, duration, and indication (51% vs. 66%, p = 0.04). Pharmacist intervention was associated with decreased rates of inappropriate antimicrobial prescribing on a geriatric psychiatric unit. View Full-Text
Keywords: antimicrobial stewardship; pharmacist; geriatric; mental health antimicrobial stewardship; pharmacist; geriatric; mental health
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Ellis, K.; Rubal-Peace, G.; Chang, V.; Liang, E.; Wong, N.; Campbell, S. Antimicrobial Stewardship for a Geriatric Behavioral Health Population. Antibiotics 2016, 5, 8.

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