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Antibiotics 2018, 7(1), 4; https://doi.org/10.3390/antibiotics7010004

Characteristics of Pediatric Antimicrobial Stewardship Programs: Current Status of the Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS) Collaborative

1
Department of Pharmacy, St. Louis Children’s Hospital, 1 Children’s Place, St. Louis, MO 63110, USA
2
Department of Pediatrics, Washington University School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110, USA
3
Division of Pediatric Infectious Diseases and Health Services and Outcomes Research, Children’s Mercy Hospital and Clinics, 2401 Gillham Rd., Kansas City, MO 64108, USA
4
Division of Pediatric Infectious Diseases, Washington University School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110, USA
5
Division of Pediatric Infectious Diseases, Department of Pediatrics, University of Utah School of Medicine, 295 Chipeta Way, Salt Lake City, UT 84108, USA
6
Division of Infectious Diseases, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, USA
7
Department of Biostatistics and Epidemiology, Perelman School of Medicine of the University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA 19104, USA
8
Division of Pediatric Infectious Diseases, Department of Pediatrics, University of Washington School of Medicine, Seattle Children’s Hospital 4800 Sand Point Way NE, M/S MA.7.226, Seattle, WA 98105, USA
*
Author to whom correspondence should be addressed.
Received: 20 December 2017 / Revised: 17 January 2018 / Accepted: 24 January 2018 / Published: 25 January 2018
(This article belongs to the Special Issue Surveillance of Antimicrobial Use and Resistance in Children)
View Full-Text   |   Download PDF [179 KB, uploaded 25 January 2018]

Abstract

In response to the growing epidemic of antibiotic-resistant bacterial infections, antimicrobial stewardship programs (ASP) have been rapidly implemented in the United States (US). This study examines the prevalence of the Centers for Disease Control and Prevention’s (CDC) seven core elements of a successful ASP within a large subset of US Children’s Hospitals. In 2016, a survey was conducted of 52 pediatric hospitals assessing the presence of the seven core elements: leadership commitment, accountability, drug expertise, action, tracking, reporting, and education. Forty-nine hospitals (94%) had established ASPs and 41 hospitals (79%) included all seven core elements. Physician accountability (87%) and a dedicated ASP pharmacist or drug expert (88%) were present in the vast majority of hospitals. However, substantial variability existed in the financial support allotted to these positions. This variability did not predict program actions, tracking, reporting, and education. When compared with previous surveys, these results document a dramatic increase in the prevalence and resources of pediatric stewardship programs, although continued expansion is warranted. Further research is required to understand the feasibility of various core stewardship activities and the impact on patient outcomes in the setting of finite resources. View Full-Text
Keywords: antibiotic; antimicrobial stewardship; quality improvement antibiotic; antimicrobial stewardship; quality improvement
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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McPherson, C.; Lee, B.R.; Terrill, C.; Hersh, A.L.; Gerber, J.S.; Kronman, M.P.; Newland, J.G. Characteristics of Pediatric Antimicrobial Stewardship Programs: Current Status of the Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS) Collaborative. Antibiotics 2018, 7, 4.

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