Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-17T04:47:59.936Z Has data issue: false hasContentIssue false
  • English
  • Français

Changes in antibiotic use following implementation of a telehealth stewardship pilot program

Published online by Cambridge University Press:  07 June 2019

Brigid M. Wilson ,
Richard E. Banks ,
Christopher J. Crnich ,
Emma Ide ,
Roberto A. Viau ,
Nadim G. El Chakhtoura ,
Yvonne R. Jones ,
Jason B. Cherry ,
Brett A. Anderson  and
Robin L. P. Jump Open the ORCID record for Robin L. P. Jump [Opens in a new window]
Brigid M. Wilson
Affiliation:
Interprofessional Implementation Research Evaluation and Clinical Center (IIRECC), Louis Stokes Cleveland Department of Veterans Affairs (VA) Medical Center, Cleveland, Ohio Geriatric Research Education and Clinical Center (GRECC), Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio
Richard E. Banks
Affiliation:
Geriatric Research Education and Clinical Center (GRECC), Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio
Christopher J. Crnich
Affiliation:
School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin William S. Middleton Veterans Affairs (VA) Hospital, Madison, Wisconsin
Emma Ide
Affiliation:
School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin
Roberto A. Viau
Affiliation:
Medical Section, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio
Nadim G. El Chakhtoura
Affiliation:
Medical Section, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio
Yvonne R. Jones
Affiliation:
Chillicothe VA Medical Center, Chillicothe, Ohio
Jason B. Cherry
Affiliation:
Chillicothe VA Medical Center, Chillicothe, Ohio
Brett A. Anderson
Affiliation:
Tomah VA Medical Center, Tomah, Wisconsin
Robin L. P. Jump*
Affiliation:
Division of Infectious Diseases & HIV Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio Department of Population and Quantitative Health Sciences, Case Western Reserve University School of Medicine, Cleveland, Ohio Specialty Care Center of Innovation at the Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio
*
Author for correspondence: Robin L. P. Jump, E-mail: robinjump@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Starting in 2016, we initiated a pilot tele-antibiotic stewardship program at 2 rural Veterans Affairs medical centers (VAMCs). Antibiotic days of therapy decreased significantly (P < .05) in the acute and long-term care units at both intervention sites, suggesting that tele-stewardship can effectively support antibiotic stewardship practices in rural VAMCs.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 7 , July 2019 , pp. 810 - 814
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

PREVIOUS PRESENTATION: This study was presented in part at the 2017 Geriatric Extended Care (GEC) Leads Conference on April 6, 2017, in Orlando, Florida and at IDWeek on October 4, 2017, in San Diego, California.

References

Siddiqui, J, Herchline, T, Kahlon, S, et al. Infectious Diseases Society of America position statement on telehealth and telemedicine as applied to the practice of infectious diseases. Clin Infect Dis 2017;64:237–242.CrossRefGoogle Scholar
Strymish, J, Gupte, G, Afable, MK, et al. Electronic consultations (E-consults): advancing infectious disease care in a large Veterans Affairs healthcare system. Clin Infect Dis 2017;64:1123–1125.CrossRefGoogle Scholar
Beste, LA, Glorioso, TJ, Ho, PM, et al. Telemedicine specialty support promotes hepatitis C treatment by primary care providers in the Department of Veterans Affairs. Am J Med 2017;130:432–438.CrossRefGoogle ScholarPubMed
Stevenson, LD, Banks, RE, Stryczek, KC, et al. A pilot study using telehealth to implement antimicrobial stewardship at two rural Veterans Affairs medical centers. Infect Control Hosp Epidemiol 2018;39:1163–1169.CrossRefGoogle ScholarPubMed
Gerber, JS, Hersh, AL, Kronman, MP, Newland, JG, Ross, RK, Metjian, TA. Development and application of an antibiotic spectrum index for benchmarking antibiotic selection patterns across hospitals. Infect Control Amp Hosp Epidemiol 2017;38:993–997.CrossRefGoogle ScholarPubMed
R Development Core Team. R: A Language and Environment for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing; 2017.Google Scholar
Beaulac, K, Corcione, S, Epstein, L, Davidson, LE, Doron, S. Antimicrobial stewardship in a long-term acute care hospital using offsite electronic medical record audit. Infect Control Hosp Epidemiol 2016;37:433–439.CrossRefGoogle Scholar
Dos Santos, RP, Dalmora, CH, Lukasewicz, SA, et al. Antimicrobial stewardship through telemedicine and its impact on multidrug resistance. J Telemed Telecare 2018. doi: 10.1177/1357633X18767702 Google Scholar
Wood, ZH, Nicolsen, NC, Allen, N, Cook, PP. Remote antimicrobial stewardship in community hospitals. Antibiotics 2015;4:605–616.CrossRefGoogle ScholarPubMed
Yam, P, Fales, D, Jemison, J, Gillum, M, Bernstein, M. Implementation of an antimicrobial stewardship program in a rural hospital. Am J Health Syst Pharm 2012;69:1142–1148.CrossRefGoogle Scholar
Ceradini, J, Tozzi, AE, D’Argenio, P, et al. Telemedicine as an effective intervention to improve antibiotic appropriateness prescription and to reduce costs in pediatrics. Ital J Pediatr 2017;43:105.CrossRefGoogle Scholar
Zhou, Y, Lynch, JB, Pottinger, PS, et al. University of Washington Tele-Antimicrobial Stewardship Program (UW-TASP/ECHO): collaboration across Washington state to improve antimicrobial use. Open Forum Infect Dis 2017;4:S271–S271.CrossRefGoogle Scholar
Veillette, JJ, Vento, T, Gelman, S, et al. Implementation of a centralized telehealth-based antimicrobial stewardship program (ASP) for 16 small community hospitals (SCHs). Open Forum Infect Dis 2017;4:S278–S279.CrossRefGoogle Scholar
Morquin, D, Ologeanu-Taddei, R, Koumar, Y, Reynes, J. Tele-expertise system based on the use of the electronic patient record to support real-time antimicrobial use. Int J Technol Assess Health Care 2018;34(2):156–162.CrossRefGoogle ScholarPubMed
Supplementary material: File

Wilson et al. supplementary material

Tables S1-S4

Download Wilson et al. supplementary material(File)
File 24.1 KB