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Inappropriate intravenous antimicrobial starts: An antimicrobial stewardship metric for hemodialysis facilities

Published online by Cambridge University Press:  29 July 2019

Phillip D. Hahn Open the ORCID record for Phillip D. Hahn [Opens in a new window] ,
Mary Figgatt ,
Tiina Peritz  and
Susan E. Coffin
Phillip D. Hahn*
Affiliation:
Division of Disease Control, Philadelphia Department of Public Health, Philadelphia, Pennsylvania Council of State and Territorial Epidemiologists, Atlanta, Georgia
Mary Figgatt
Affiliation:
Division of Disease Control, Philadelphia Department of Public Health, Philadelphia, Pennsylvania
Tiina Peritz
Affiliation:
Division of Disease Control, Philadelphia Department of Public Health, Philadelphia, Pennsylvania
Susan E. Coffin*
Affiliation:
Division of Disease Control, Philadelphia Department of Public Health, Philadelphia, Pennsylvania Division of Infectious Diseases, Department of Pediatrics, Perelman School of Medicine at University of Pennsylvania, Philadelphia, Pennsylvania
*
Author for correspondence: Phillip D. Hahn, MPH, CPH, Division of Disease Control, Philadelphia Department of Public Health, 1101 Market St, 12th Floor, Philadelphia, PA 19131. Email: Phillip.Hahn@phila.gov. Or Susan E. Coffin, MD, MPH, Division of Disease Control, Philadelphia Department of Public Health, 1101 Market St, 12th Floor, Philadelphia, PA 19131. Email: Susan.Coffin@phila.gov
Author for correspondence: Phillip D. Hahn, MPH, CPH, Division of Disease Control, Philadelphia Department of Public Health, 1101 Market St, 12th Floor, Philadelphia, PA 19131. Email: Phillip.Hahn@phila.gov. Or Susan E. Coffin, MD, MPH, Division of Disease Control, Philadelphia Department of Public Health, 1101 Market St, 12th Floor, Philadelphia, PA 19131. Email: Susan.Coffin@phila.gov
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Abstract

We assessed the appropriateness of intravenous antimicrobial starts (IVASs) in Philadelphia County hemodialysis facilities using only National Healthcare Safety Network data. We classified 57.5% of IVASs as inappropriate. These findings warrant further investigation into the determinants of inappropriate IVASs in hemodialysis facilities to enhance antimicrobial stewardship.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 10 , October 2019 , pp. 1178 - 1180
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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References

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