An electronic antimicrobial stewardship intervention reduces inappropriate parenteral antibiotic therapy

To the Editor—A peripherally inserted central catheter (PICC) provides outpatient access to long-term parenteral antibiotics.1,2 Most antimicrobial stewardship systems do not have an outpatient parenteral antibiotic therapy (OPAT) program or mandatory infectious diseases (ID) consultation prior to p...

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Bibliographic Details
Published in:	Infection control and hospital epidemiology Vol. 39; no. 11; pp. 1396 - 1397
Main Authors:	Liu, Sean T H, Bailey, Mark J, Zheng, Allen, Saunders-Hao, Patricia, Bassily-Marcus, Adel, Harding, Maureen, Rana, Meenakshi, Kohli-Seth, Roopa, Patel, Gopi, Huprikar, Shirish, Swartz, Talia H
Format:	Journal Article
Language:	English
Published:	United States Cambridge University Press 01-11-2018
Subjects:	Academic Medical Centers Anti-Bacterial Agents - administration & dosage Antibiotics Antimicrobial Stewardship - organization & administration Catheterization, Peripheral Counseling Humans Inappropriate Prescribing - prevention & control Inappropriate Prescribing - statistics & numerical data Infectious diseases Infusions, Parenteral Medical instruments Medical Order Entry Systems Nursing Patients Quality improvement New York United States > US
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Summary:	To the Editor—A peripherally inserted central catheter (PICC) provides outpatient access to long-term parenteral antibiotics.1,2 Most antimicrobial stewardship systems do not have an outpatient parenteral antibiotic therapy (OPAT) program or mandatory infectious diseases (ID) consultation prior to patient discharge.3 Such programs ensure that PICC insertions are appropriate to avoid excessive antibiotic usage, line-associated complications, and antimicrobial resistance4–6. [...]1 patient (among the 7 instances) was discharged with a PICC insertion without ID consultation and had an unfavorable outcome. 1 of 7 patients was discharged with an inappropriate PICC insertion without an ID consultation, a reduction of 89% (8 of 9 patients) before the intervention. [...]the EMR intervention resulted in an 84% relative risk reduction of inappropriate PICC insertions. [...]this intervention provides a sustainable and cost-effective antimicrobial stewardship approach to reduce inappropriate parenteral antibiotics usage.
Bibliography:	SourceType-Other Sources-1 ObjectType-Article-2 content type line 63 ObjectType-Correspondence-1
ISSN:	0899-823X 1559-6834
DOI:	10.1017/ice.2018.220