Antimicrobial stewardship programs in pediatrics

Adam L. Hersh, Susan E. Beekmann, Philip M. Polgreen, Theoklis E. Zaoutis, Jason G. Newland

Research output: Contribution to journalArticlepeer-review

75 Scopus citations


Objective. To describe the prevalence, characteristics, and barriers to implementation of antimicrobial stewardship programs (ASPs) in pediatrics. design and participants. In December 2008, we surveyed the pediatric members of the Emerging Infections Network, a network of infectious diseases consultants located throughout North America. Participants responded regarding whether their hospital had or planned to develop an ASP, its characteristics, barriers to improvement or implementation, and perceptions about antimicrobial resistance. results. Of 246 pediatric infectious disease consultants surveyed, 147 (60%) responded. Forty-five respondents (33%) reported having an ASP, and 25 (18%) were planning a program. The percentage of respondents from freestanding children's hospitals who were planning ASPs was higher than the percentage of respondents from other settings who were planning ASPs (P =.04). Most existing programs were developed before 2000 and had a limited number of full-time equivalent staff, and few programs used a prospective audit-and-feedback structure. Many programs were not monitoring important end points associated with ASPs, including cost and number of antibiotic-days. The major barriers to implementation of an ASP were lack of resources, including funding, time, and personnel, noted by more than 50% of respondents. Regardless of the presence of an ASP, respondents perceived antibiotic resistance as a more significant problem nationally than at their local hospital (P <.001). conclusions. The prevalence of ASPs in pediatrics is limited, and opportunities exist to improve current programs.

Original languageEnglish
Pages (from-to)1211-1217
Number of pages7
JournalInfection Control and Hospital Epidemiology
Issue number12
StatePublished - Dec 2009


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