Literature DB >> 28371928

Does electronic stewardship work?

Barbara B Lambl1, Nathan Kaufman1, Janice Kurowski1, W O'Neill1, Frederick Buckley1, Maureen Duram1, Barbara Swartz1, Duncan Phillips1, Mitchell Rein1, Marc Rubin1.   

Abstract

Faced with national requirements to promote antimicrobial stewardship and reduce drug-resistant infections, community hospitals are challenged to make the best use of existing resources. Eighteen months after building antibiotic decision support into our electronic order platform, high-risk antibiotic use decreased by 83% (P < .001) at our community hospital. Hospital-acquired Clostridium difficile infections declined 24% (P = .07).
© The Author 2017. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Entities:  

Keywords:  Clostridium difficile infections; antibiotic stewardship; community hospitals; decision support

Mesh：

Substances：

Year:  2017        PMID： 28371928      PMCID： PMC7651978          DOI： 10.1093/jamia/ocx024

Source DB:  PubMed          Journal:  J Am Med Inform Assoc        ISSN： 1067-5027            Impact factor:   4.497


  13 in total

1.  Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship.

Authors:  Timothy H Dellit; Robert C Owens; John E McGowan; Dale N Gerding; Robert A Weinstein; John P Burke; W Charles Huskins; David L Paterson; Neil O Fishman; Christopher F Carpenter; P J Brennan; Marianne Billeter; Thomas M Hooton
Journal:  Clin Infect Dis       Date:  2006-12-13       Impact factor: 9.079

2.  Impact of a reduction in the use of high-risk antibiotics on the course of an epidemic of Clostridium difficile-associated disease caused by the hypervirulent NAP1/027 strain.

Authors:  Louis Valiquette; Benoit Cossette; Marie-Pierre Garant; Hassan Diab; Jacques Pépin
Journal:  Clin Infect Dis       Date:  2007-09-01       Impact factor: 9.079

3.  An evaluation of the impact of antibiotic stewardship on reducing the use of high-risk antibiotics and its effect on the incidence of Clostridium difficile infection in hospital settings.

Authors:  Mamoon A Aldeyab; Mary P Kearney; Michael G Scott; Motasem A Aldiab; Yaser M Alahmadi; Feras W Darwish Elhajji; Fidelma A Magee; James C McElnay
Journal:  J Antimicrob Chemother       Date:  2012-08-16       Impact factor: 5.790

4.  Core elements of hospital antibiotic stewardship programs from the Centers for Disease Control and Prevention.

Authors:  Loria A Pollack; Arjun Srinivasan
Journal:  Clin Infect Dis       Date:  2014-10-15       Impact factor: 9.079

5.  Impact of guidelines and enhanced antibiotic stewardship on reducing broad-spectrum antibiotic usage and its effect on incidence of Clostridium difficile infection.

Authors:  Moïra Joëlle Talpaert; Guduru Gopal Rao; Ben Symons Cooper; Paul Wade
Journal:  J Antimicrob Chemother       Date:  2011-06-14       Impact factor: 5.790

Review 6.  Effect of antibiotic stewardship programmes on Clostridium difficile incidence: a systematic review and meta-analysis.

Authors:  Leah M Feazel; Ashish Malhotra; Eli N Perencevich; Peter Kaboli; Daniel J Diekema; Marin L Schweizer
Journal:  J Antimicrob Chemother       Date:  2014-03-14       Impact factor: 5.790

7.  Use of electronic health records and clinical decision support systems for antimicrobial stewardship.

Authors:  Graeme N Forrest; Trevor C Van Schooneveld; Ravina Kullar; Lucas T Schulz; Phu Duong; Michael Postelnick
Journal:  Clin Infect Dis       Date:  2014-10-15       Impact factor: 9.079

Review 8.  Community-associated Clostridium difficile infection and antibiotics: a meta-analysis.

Authors:  Abhishek Deshpande; Vinay Pasupuleti; Priyaleela Thota; Chaitanya Pant; David D K Rolston; Thomas J Sferra; Adrian V Hernandez; Curtis J Donskey
Journal:  J Antimicrob Chemother       Date:  2013-04-25       Impact factor: 5.790

9.  Implementation of antimicrobial stewardship policies in U.S. hospitals: findings from a national survey.

Authors:  Monika Pogorzelska-Maziarz; Carolyn T A Herzig; Elaine L Larson; E Yoko Furuya; Eli N Perencevich; Patricia W Stone
Journal:  Infect Control Hosp Epidemiol       Date:  2015-03       Impact factor: 3.254

10.  Burden of Clostridium difficile infection in the United States.

Authors:  Fernanda C Lessa; Yi Mu; Wendy M Bamberg; Zintars G Beldavs; Ghinwa K Dumyati; John R Dunn; Monica M Farley; Stacy M Holzbauer; James I Meek; Erin C Phipps; Lucy E Wilson; Lisa G Winston; Jessica A Cohen; Brandi M Limbago; Scott K Fridkin; Dale N Gerding; L Clifford McDonald
Journal:  N Engl J Med       Date:  2015-02-26       Impact factor: 91.245
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  1 in total

Review 1.  Antimicrobial stewardship using electronic prescribing systems in hospital settings: a scoping review of interventions and outcome measures.

Authors:  J A Jenkins; S K Pontefract; K Cresswell; R Williams; A Sheikh; J J Coleman
Journal:  JAC Antimicrob Resist       Date:  2022-06-28
  1 in total

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