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Open AccessArticle

Effects of a Remote Antimicrobial Stewardship Program on Antimicrobial Use in a Regional Hospital System

McLeod Health, 555 East Cheves Street, Florence, SC 29506, USA
Author to whom correspondence should be addressed.
Pharmacy 2020, 8(1), 41;
Received: 28 January 2020 / Revised: 11 March 2020 / Accepted: 11 March 2020 / Published: 16 March 2020
(This article belongs to the Special Issue Antimicrobial Stewardship across the Continuum of Care)
While antimicrobial stewardship programs (ASPs) are well established at most large medical centers, small or rural facilities often do not have the same resources; therefore, different methods must be developed to start or expand ASPs for these hospitals. The purpose of this quality improvement study was to describe the implementation of a pharmacist-led remote ASP and assess the effect on antimicrobial use. Antimicrobial use in days of therapy per 1000 patient days (DOT/1000 PD) was compared between the six months before and after remote ASP implementation. Changes in system-wide, facility-specific, and target antimicrobial use were evaluated. Pharmacist interventions, acceptance rates, and number of times infectious disease (ID) physician assistance was sought were also tracked. System-wide antimicrobial use was 4.6% less in the post-implementation time period than in the pre-implementation time period, with vancomycin, piperacillin/tazobactam, and fluoroquinolones having the greatest reductions in use. Ninety-one percent of interventions made during the post-implementation period were accepted. ID physician review was requested 38 times, and direct ID physician intervention was required six times. Remote ASPs delivered from a central facility to serve a larger system may reduce antimicrobial use, especially against targeted agents, with minimal increase in ID physician workload. View Full-Text
Keywords: antimicrobial stewardship; antibiotic utilization; stewardship interventions; pharmacist antimicrobial stewardship; antibiotic utilization; stewardship interventions; pharmacist
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MDPI and ACS Style

Knight, J.; Michal, J.; Milliken, S.; Swindler, J. Effects of a Remote Antimicrobial Stewardship Program on Antimicrobial Use in a Regional Hospital System. Pharmacy 2020, 8, 41.

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