Improving fluoroquinolone use in the outpatient setting using a patient safety initiative

Kazuaki Jindai; Michihiko Goto; Kimberly MacKay; Graeme N Forrest; Jackson Musuuza; Nasia Safdar; Christopher D Pfeiffer

doi:10.1017/ice.2018.169

Improving fluoroquinolone use in the outpatient setting using a patient safety initiative

Infect Control Hosp Epidemiol. 2018 Sep;39(9):1108-1111. doi: 10.1017/ice.2018.169. Epub 2018 Aug 17.

Authors

Kazuaki Jindai^{1

2}, Michihiko Goto^{3

4}, Kimberly MacKay², Graeme N Forrest^{2

5}, Jackson Musuuza⁶, Nasia Safdar^{7

8}, Christopher D Pfeiffer^{2

5}

Affiliations

¹ School of Public Health, Oregon Health and Science University, Portland, Orego.
² Department of Hospital and Specialty Medicine, Veterans Affairs Portland Health Care System, Portland, Oregon.
³ Iowa City Veterans Affairs Medical Center, Iowa City, Iowa.
⁴ Division of Infectious Diseases, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa.
⁵ Division of Infectious Disease, Department of Medicine, Oregon Health and Science University, Portland, Oregon.
⁶ Institute of Clinical and Translational Research, University of Wisconsin, Madison, Wisconsin.
⁷ Division of Infectious Disease, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
⁸ The William S. Middleton VA Medical Center, Madison, Wisconsin.

PMID: 30115219
DOI: 10.1017/ice.2018.169

Abstract

We analyzed the impact of a fluoroquinolone patient safety initiative on the weekly fluoroquinolone prescription rate in Veterans Affairs community-based outpatient clinics. We observed a significant initial but unsustained reduction. Such an initiative can function as an antimicrobial stewardship intervention; however, strategies to promote sustainability should be explored.

Publication types

Multicenter Study

MeSH terms

Ambulatory Care Facilities
Anti-Bacterial Agents / therapeutic use*
Antimicrobial Stewardship / methods*
Fluoroquinolones / therapeutic use*
Hospitals, Veterans
Humans
Outpatients / statistics & numerical data*
Patient Safety*
Prescription Drug Overuse / prevention & control
Program Evaluation
Retrospective Studies
United States

Substances

Anti-Bacterial Agents
Fluoroquinolones