Differences in stewardship strategies between hospitals performing well and poorly on a risk-adjusted metric for post-discharge antibiotic use
Stewardship processes were compared across 123 hospitals that differed on a risk-adjusted post-discharge antibiotic use metric. Low-performing hospitals were less likely than high-performing hospitals to report routine interactions between their stewardship physician and pharmacist(s) (OR 0.12, 95% CI 0.03-0.55) and to have local antibiotic-prescribing guidelines (OR 0.21, 95% CI 0.05-0.93).
Authors
- BRUCE K. ALEXANDER (ORCID: https://orcid.org/0000-0002-4090-2274)
- Michihiko Goto (ORCID: https://orcid.org/0000-0001-6612-5613)
- James A. Merchant (ORCID: https://orcid.org/0000-0001-8709-7914)
- Daniel J. Livorsi (ORCID: https://orcid.org/0000-0001-8523-214X)
- Hyunkeun Cho (ORCID: https://orcid.org/0000-0002-6735-2487)
- Brice Beck
- Matthew Bidwell Goetz (ORCID: https://orcid.org/0000-0003-4542-992X)
Institutions
- University of Iowa (US)
- University of California, Los Angeles (US)
- Iowa City VA Health Care System (US)
- VA Greater Los Angeles Healthcare System (US)
Publication Details
- Journal
- Infection Control and Hospital Epidemiology
- Published
- 2025-02-12
- DOI
- https://doi.org/10.1017/ice.2024.237
- Primary Topic
- Antibiotic Use and Resistance
- Type
- article
- Field-Weighted Citation Impact
- 0.00