Outcomes Associated With Antimicrobial De-escalation of Treatment for Pneumonia Within the Veterans Healthcare Administration-Reference-Cited by-同舟云学术

Outcomes Associated With Antimicrobial De-escalation of Treatment for Pneumonia Within the Veterans Healthcare Administration

Published:2016-12-10 Issue:1 Volume:4 Page:
ISSN:2328-8957
Container-title:Open Forum Infectious Diseases
language:en
Short-container-title:

Author:

Bohan Jefferson G.¹,Remington Richard²³,Jones Makoto⁴,Samore Matthew⁴,Madaras-Kelly Karl⁵⁵

Affiliation:

1. Departments of Pharmacy and

2. Research, Boise Veterans Affairs Medical Center, Boise, Idaho

3. Quantified Inc., Boise, Idaho

4. Department of Medicine, George E. Wahlen Veterans Affairs Medical Center and Division of Epidemiology, University of Utah, Salt Lake City, Utah

5. College of Pharmacy, Idaho State University, Meridian, Idaho

Abstract

Abstract De-escalation, an antimicrobial stewardship concept, involves narrowing broad-spectrum empiric antimicrobial therapy based on clinical data. Current health outcomes evidence is lacking to support de-escalation. Studying Veterans Healthcare Administration pneumonia patients, de-escalation was associated with improved length of stay without affecting 30-day readmission or 30-day Clostridium difficile infection rates.

Funder

National Institute of Allergy and Infectious Diseases

National Institutes of Health

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

Link

http://academic.oup.com/ofid/article-pdf/4/1/ofw244/33622297/ofw244.pdf

Reference15 articles.

1. Implementing an Antibiotic Stewardship Program: guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America;Barlam;Clin Infect Dis,2016

2. Audit and feedback processes among antimicrobial stewardship programs: a survey of the Society for Healthcare Epidemiology of America Research Network;Livorsi;Infect Control Hosp Epidemiol,2016