Journal article
Antimicrobial Stewardship Programs in Pediatrics
Infection control and hospital epidemiology, Vol.30(12), pp.1211-1217
2009
DOI: 10.1086/648088
PMID: 19852666
Abstract
Objective: To describe the prevalence, characteristics, and barriers to implementation of antimicrobial stewardship programs (ASPs) in pediatrics.
Design and participants: In December 2008, we surveyed the pediatric members of the Emerging Infections Network, a network of infectious diseases consultants located throughout North America. Participants responded regarding whether their hospital had or planned to develop an ASP, its characteristics, barriers to improvement or implementation, and perceptions about antimicrobial resistance.
Results: Of 246 pediatric infectious disease consultants surveyed, 147 (60%) responded. Forty-five respondents (33%) reported having an ASP, and 25 (18%) were planning a program. The percentage of respondents from freestanding children's hospitals who were planning ASPs was higher than the percentage of respondents from other settings who were planning ASPs (P = .04). Most existing programs were developed before 2000 and had a limited number of full-time equivalent staff, and few programs used a prospective audit-and-feedback structure. Many programs were not monitoring important end points associated with ASPs, including cost and number of antibiotic-days. The major barriers to implementation of an ASP were lack of resources, including funding, time, and personnel, noted by more than 50% of respondents. Regardless of the presence of an ASP, respondents perceived antibiotic resistance as a more significant problem nationally than at their local hospital (P < .001).
Details
- Title: Subtitle
- Antimicrobial Stewardship Programs in Pediatrics
- Creators
- Adam L HERSH - University of California, San Francisco, United StatesSusan E BEEKMANN - University of Iowa Carver College of Medicine, Iowa City, United StatesPhilip M POLGREEN - University of Iowa Carver College of Medicine, Iowa City, United StatesTheoklis E ZAOUTIS - University of Pennsylvania School of Medicine, Philadelphia, United StatesJason G NEWLAND - Children's Mercy Hospitals and Clinics, Kansas City, Missouri, United States
- Resource Type
- Journal article
- Publication Details
- Infection control and hospital epidemiology, Vol.30(12), pp.1211-1217
- DOI
- 10.1086/648088
- PMID
- 19852666
- NLM abbreviation
- Infect Control Hosp Epidemiol
- ISSN
- 0899-823X
- eISSN
- 1559-6834
- Publisher
- University of Chicago Press
- Language
- English
- Date published
- 2009
- Academic Unit
- Infectious Diseases; Epidemiology; Injury Prevention Research Center; Internal Medicine
- Record Identifier
- 9984094368402771
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