IDSA GUIDELINES Bundle (free trial)

Antibiotic Stewardship 2016

IDSA GUIDELINES Apps brought to you free of charge courtesy of Guideline Central. All of these titles are available for purchase on our website, GuidelineCentral.com. Enjoy!

Issue link: https://eguideline.guidelinecentral.com/i/662041

Contents of this Issue

Navigation

Page 6 of 7

Table 2. Possible Metrics for Evaluation of Interventions to Improve Antibiotic Use and Clinical Outcomes in Patients with Specific Infectious Diseases Syndromes Process Measures Outcome Measures • Excess days of therapy (i.e., unnecessary days of therapy avoided based on accepted targets and benchmarks) a • Hospital length of stay • Duration of therapy • 30-day mortality • Proportion of patients compliant with facility-based guideline or treatment algorithm a • Unplanned hospital readmission within 30 days • Proportion of patients with revision of antibiotics based on microbiolog y data • Proportion of patients diagnosed with hospital-acquired CDI or other adverse events related to antibiotic treatment a • Proportion of patients converted to oral therapy • Proportion of patients with clinical failure (e.g., need to broaden therapy, recurrence of infection) a ese metrics are applicable for ASP interventions to reduce antibiotic treatment of asymptomatic bacteriuria, which, in most cases, should not be treated, and therefore the other metrics do not apply. Special Populations Î We suggest ASPs develop facility-specific guidelines for fever and neutropenia management in hematology-oncology patients over no such approach (W-L). Î We suggest implementation of ASP interventions to improve the appropriate prescribing of antifungal treatment in immunocompromised patients (W-L). Î In nursing homes and skilled nursing facilities, we suggest implementation of antibiotic stewardship strategies to decrease unnecessary use of antibiotics (GPR). Î We suggest implementation of antibiotic stewardship interventions to reduce inappropriate antibiotic and/or resistance in the neonatal intensive care unit (GPR). Î In terminally ill patients, we suggest ASPs provide support to clinical care providers in decisions related to antibiotic treatments (GPR). Measurement

Articles in this issue

Archives of this issue

view archives of IDSA GUIDELINES Bundle (free trial) - Antibiotic Stewardship 2016