For Healthcare Professionals
Demonstrate dedication to and accountability for optimizing antibiotic prescribing and patient safety.
|Reference||Interventions and Outcomes||Methods, Participants, and Settings||Results||Conclusions|
|Meeker D, et al. Nudging guideline-concordant antibiotic prescribing: A randomized clinical trial. JAMA Intern Med 2014. 174(3):425–31.||InterventionsPoster containing a public commitment to use antibiotics judiciously with clinician picture and signature displayed in examination rooms at point of clinician-patient encounter
Antibiotic prescribing rates for acute respiratory infections (ARIs) for which antibiotics are inappropriate
|MethodRandomized clinical trial
15 primary care providers
5 primary care clinics in the United States
|954 adults with ARI
Poster group had a 19.7% decrease in inappropriate prescribing for acute respiratory infections compared with controls, p = 0.02, controlled for baseline rates of antibiotic prescribing.
|Public commitments in a poster are a low-cost intervention that can result in reduced inappropriate prescribing.|
|Pollack LA, et al. Antibiotic stewardship programs in U.S. acute care hospitals: findings from the 2014 National Healthcare Safety Network (NHSN) Annual Hospital Survey. Clinical Infectious Diseases 2016; 63:443-9
|InterventionsNo intervention; observational study
Level of variability in antibiotic stewardship programs (ASPs) by hospital characteristic and location
Hospitals enrolled in the National Healthcare Safety Network
2014 National Healthcare Safety Network Annual Hospital Survey
|4184 US hospitals
On self-report, 39% of hospitals have an ASP meeting all 7 CDC defined core elements of inpatient antibiotic stewardship.
59% of hospitals with more than 200 beds (59%) had an ASP meeting all Core Elements
25% of hospitals with less than 50 beds had an ASP meeting all Core Elements
States reporting a percentage of hospitals with all 7 core elements ranged from 7% to 58%.
Written support and salary support for ASP were significantly associated with having an ASP meeting all Core Elements.
|There is wide variability with ASP implementation.
Hospital leadership support appears crucial for comprehensive ASPs
ASPs can be established in hospitals of all sizes.