A Deeper Dive Into Antibiotic Stewardship Needs: A Multihospital Survey

Valerie M Vaughn; Lindsay A Petty; Scott A Flanders; Anurag N Malani; Twisha Patel; Steven J Bernstein; Lama M Hsaiky; Rama Thyagarajan; Danielle Osterholzer; Elizabeth McLaughlin; Jennifer K Horowitz; Tejal N Gandhi

doi:10.1093/ofid/ofaa007

A Deeper Dive Into Antibiotic Stewardship Needs: A Multihospital Survey

Open Forum Infect Dis. 2020 Jan 11;7(3):ofaa007. doi: 10.1093/ofid/ofaa007. eCollection 2020 Mar.

Authors

Valerie M Vaughn^{1

2

3}, Lindsay A Petty¹, Scott A Flanders^{1

3}, Anurag N Malani^{4

5}, Twisha Patel¹, Steven J Bernstein^{1

2}, Lama M Hsaiky⁶, Rama Thyagarajan⁷, Danielle Osterholzer^{8

9}, Elizabeth McLaughlin¹, Jennifer K Horowitz^{1

3}, Tejal N Gandhi¹

Affiliations

¹ Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA.
² Center for Clinical Management Research, Veterans Affairs (VA) Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.
³ VA/University of Michigan Patient Safety Enhancement Program, Ann Arbor, Michigan, USA.
⁴ Department of Internal Medicine, Division of Infectious Diseases, St. Joseph Mercy Health System, Ann Arbor, Michigan, USA.
⁵ Department of Infection Prevention and Control, St. Joseph Mercy Health System, Ann Arbor, Michigan, USA.
⁶ Department of Pharmaceutical Services, Beaumont Hospital, Dearborn, Michigan, USA.
⁷ Department of Internal Medicine, Infectious Diseases Division, Beaumont Hospital, Dearborn, Michigan, USA.
⁸ Department of Internal Medicine, Division of Infectious Diseases, Hurley Medical Center, Flint, Michigan, USA.
⁹ Michigan State University, College of Human Medicine, East Lansing, Michigan, USA.

Abstract

In a 2016 survey of 46 Michigan hospitals, we identified four key needs for antibiotic stewardship: clinically-relevant antibiotic data, monitoring compliance, syndrome-specific interventions, and discharge stewardship. A stewardship initiative now addresses these needs within the Michigan Hospital Medicine Safety Consortium.

Keywords: antibiotic stewardship; infection prevention; survey.