TY - JOUR
T1 - Characteristics of pediatric antimicrobial stewardship programs
T2 - Current status of the sharing antimicrobial reports for pediatric stewardship (SHARPS) collaborative
AU - McPherson, Christopher
AU - Lee, Brian R.
AU - Terrill, Cindy
AU - Hersh, Adam L.
AU - Gerber, Jeffrey S.
AU - Kronman, Matthew P.
AU - Newland, Jason G.
N1 - Funding Information:
Acknowledgments: This work was supported by a Pfizer Independent Grant for Learning & Change, and the Joint Commission provided administrative oversight. SHARPS Collaborative members include Josh Courter, Kelley Lee, Hayden Schwenk, Kanokporn Mongkolrattanothai, Rachel Wattier, Amanda Hurst, LeAnne Moore, Adam Brothers, Craig Shapiro, Steve Grapentine, Luis A. Castagnini, Ruston Taylor, Jason Newland, Kristen Nichols, Sara Ogrin, Jennifer Zwiener, Tanaya Bhowmick, Michael Chang, Sameer Patel, Mike Smith, Alison Tribble, Rosanne Thurman, Saul Hymes, Kelly Flett, Katie Namtu, Diana Yu, Terry C. Dixon, Kathryn Merkel, Brenik Kuzmic, Paige Anderson, Erin McCreary, Rebeca Calderon, Preeti Jaggi, Shannon Chan, Rana Hamdy, Jared Olson, Ritu Banerjee, April Yarbrough, Nick Bennet, Rupal Patel, Eliza Dollard, Holly Maples, Talene A. Metjian, Marcela Rodriguez, John Bower, Nipunie Rajapakse, Shira J. Gertz, Ritu Banerjee, Kengo Inagaki, Stefan Hagmann, Tracy Zembles, Scott Weissman and Aaron Miller.
Funding Information:
Abstract: In response to the growing epidemic of antibiotic-resistant bacterial infections, antimicrobial stewardship programs (ASP) have been rapidly implemented in the United States (US). This study examines the prevalence of the Centers for Disease Control and Prevention’s (CDC) seven core elements of a successful ASP within a large subset of US Children’s Hospitals. In 2016, a survey was conducted of 52 pediatric hospitals assessing the presence of the seven core elements: leadership commitment, accountability, drug expertise, action, tracking, reporting, and education. Forty-nine hospitals (94%) had established ASPs and 41 hospitals (79%) included all seven core elements. Physician accountability (87%) and a dedicated ASP pharmacist or drug expert (88%) were present in the vast majority of hospitals. However, substantial variability existed in the financial support allotted to these positions. This variability did not predict program actions, tracking, reporting, and education. When compared with previous surveys, these results document a dramatic increase in the prevalence and resources of pediatric stewardship programs, although continued expansion is warranted. Further research is required to understand the feasibility of various core stewardship activities and the impact on patient outcomes in the setting of finite resources.
Publisher Copyright:
© 2018 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2018/3
Y1 - 2018/3
N2 - In response to the growing epidemic of antibiotic-resistant bacterial infections, antimicrobial stewardship programs (ASP) have been rapidly implemented in the United States (US). This study examines the prevalence of the Centers for Disease Control and Prevention’s (CDC) seven core elements of a successful ASP within a large subset of US Children’s Hospitals. In 2016, a survey was conducted of 52 pediatric hospitals assessing the presence of the seven core elements: leadership commitment, accountability, drug expertise, action, tracking, reporting, and education. Forty-nine hospitals (94%) had established ASPs and 41 hospitals (79%) included all seven core elements. Physician accountability (87%) and a dedicated ASP pharmacist or drug expert (88%) were present in the vast majority of hospitals. However, substantial variability existed in the financial support allotted to these positions. This variability did not predict program actions, tracking, reporting, and education. When compared with previous surveys, these results document a dramatic increase in the prevalence and resources of pediatric stewardship programs, although continued expansion is warranted. Further research is required to understand the feasibility of various core stewardship activities and the impact on patient outcomes in the setting of finite resources.
AB - In response to the growing epidemic of antibiotic-resistant bacterial infections, antimicrobial stewardship programs (ASP) have been rapidly implemented in the United States (US). This study examines the prevalence of the Centers for Disease Control and Prevention’s (CDC) seven core elements of a successful ASP within a large subset of US Children’s Hospitals. In 2016, a survey was conducted of 52 pediatric hospitals assessing the presence of the seven core elements: leadership commitment, accountability, drug expertise, action, tracking, reporting, and education. Forty-nine hospitals (94%) had established ASPs and 41 hospitals (79%) included all seven core elements. Physician accountability (87%) and a dedicated ASP pharmacist or drug expert (88%) were present in the vast majority of hospitals. However, substantial variability existed in the financial support allotted to these positions. This variability did not predict program actions, tracking, reporting, and education. When compared with previous surveys, these results document a dramatic increase in the prevalence and resources of pediatric stewardship programs, although continued expansion is warranted. Further research is required to understand the feasibility of various core stewardship activities and the impact on patient outcomes in the setting of finite resources.
KW - Antibiotic
KW - Antimicrobial stewardship
KW - Quality improvement
UR - http://www.scopus.com/inward/record.url?scp=85041352974&partnerID=8YFLogxK
U2 - 10.3390/antibiotics7010004
DO - 10.3390/antibiotics7010004
M3 - Article
C2 - 29370071
AN - SCOPUS:85041352974
SN - 2079-6382
VL - 7
JO - Antibiotics
JF - Antibiotics
IS - 1
M1 - 4
ER -