Activities per year
Abstract
Background: Antimicrobial resistance rates are increasing. This is, among others, caused by incorrect or inappropriate use of antimicrobials. To target this, a multidisciplinary antimicrobial stewardship-team (A-Team) was implemented at the University Medical Center Groningen on a urology ward. Goal of this study is to evaluate the clinical effects of the case-audits done by this team, looking at length of stay (LOS) and antimicrobial use.
Methods: Automatic e-mail alerts were sent after 48 h of consecutive antimicrobial use triggering the case-audits, consisting of an A-Team member visiting the ward, discussing the patient's therapy with the bed-side physician and together deciding on further treatment based on available diagnostics and guidelines. Clinical effects of the audits were evaluated through an Interrupted Time Series analysis and a retrospective historic cohort.
Results: A significant systemic reduction of antimicrobial consumption for all patients on the ward, both with and without case-audits was observed. Furthermore, LOS for patients with case-audits who were admitted primarily due to infections decreased to 6.20 days (95% CI: 5.59-6.81) compared to the historic cohort (7.57 days; 95% CI: 6.92-8.21; p = 0.012). Antimicrobial consumption decreased for these patients from 8.17 DDD/patient (95% CI: 7.10-9.24) to 5.93 DDD/patient (95% CI: 5.02-6.83; p = 0.008). For patients with severe underlying diseases (e.g., cancer) these outcome measures remained unchanged.
Conclusion: The evaluation showed a considerable positive impact. Antibiotic use of the whole ward was reduced, transcending the intervened patients. Furthermore, LOS and mean antimicrobial consumption for a subgroup was reduced, thereby improving patient care and potentially lowering resistance rates.
Original language | English |
---|---|
Article number | 546 |
Number of pages | 8 |
Journal | Frontiers in Microbiology |
Volume | 6 |
DOIs | |
Publication status | Published - 3-Jun-2015 |
Keywords
- A-Teams
- antimicrobial prescription
- antimicrobial stewardship
- antimicrobial resistance
- intervention study
- ANTIBIOTIC-THERAPY
- REASSESSMENT
- PRESCRIPTION
- INFECTIONS
- PROGRAM
Fingerprint
Dive into the research topics of 'Automatic day-2 intervention by a multidisciplinary antimicrobial stewardship-team leads to multiple positive effects'. Together they form a unique fingerprint.Activities
- 2 Professional or public presentation
-
Smart data retrieval/management system can be used to facilitate stewardship programs
Dik, J.-W. (Speaker)
15-Sept-2018Activity: Talk and presentation › Professional or public presentation › Professional
-
Cost-minimization model of a multidisciplinary Antibiotic Team based on a successful implementation on the urology ward of an academic hospital
Dik, J.-W. (Speaker)
14-Sept-2018Activity: Talk and presentation › Professional or public presentation › Professional