Are United States hospitals following national guidelines for the analysis and presentation of cumulative antimicrobial susceptibility data?

Erika J Ernst; Daniel J Diekema; Bonnie J BootsMiller; Thomas Vaughn; Jon W Yankey; Stephen D Flach; Marcia M Ward; Carrie L J Franciscus; Elise Acosta; Michael A Pfaller; Bradley N Doebbeling

doi:10.1016/j.diagmicrobio.2004.03.007

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Are United States hospitals following national guidelines for the analysis and presentation of cumulative antimicrobial susceptibility data?

Journal article

Peer reviewed

Are United States hospitals following national guidelines for the analysis and presentation of cumulative antimicrobial susceptibility data?

Erika J Ernst, Daniel J Diekema, Bonnie J BootsMiller, Thomas Vaughn, Jon W Yankey, Stephen D Flach, Marcia M Ward, Carrie L J Franciscus, Elise Acosta, Michael A Pfaller, …

Diagnostic microbiology and infectious disease, Vol.49(2), pp.141-145

06/2004

DOI: 10.1016/j.diagmicrobio.2004.03.007

PMID: 15183864

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Abstract

The National Committee for Clinical Laboratory Standards recently published guidelines for analysis and presentation of cumulative antimicrobial susceptibility test data (antibiograms). We sought to determine how well US hospitals already adhere to standards for antibiogram compilation, and to examine the relationship between hospital characteristics and guideline adherence. We surveyed laboratory directors at 670 hospitals and examined 3 guideline criteria: compilation of an antibiogram, annual updating, and distribution to infection control staff and medical staff yearly; 494 surveys were returned (74%). Almost all of the hospitals surveyed publish an antibiogram (95%, n = 481); however, only 60% (n = 296) met all three criteria. Hospital laboratories meeting criteria were more likely to serve as referral laboratories (OR = 1.82; 95% CI = 1.26-2.63), perform susceptibility testing on site (OR = 4.47; 95% CI = 1.84-10.84), use confirmatory tests to detect extended-spectrum beta-lactamases (OR = 1.8; 95% CI = 1.2-2.6), and have more laboratory personnel per bed (3.0 vs. 2.0 FTEs/bed, p = 0.0031). Adherence to guidelines for preparation and dissemination of antibiograms could be improved. Institutional commitment to high quality, on-site microbiology laboratory services will improve adherence to these guidelines.

Laboratories, Hospital

Total Quality Management

Confidence Intervals

Guidelines as Topic

Guideline Adherence

Microbial Sensitivity Tests - standards

United States

Humans

Anti-Bacterial Agents - pharmacology

Health Care Surveys

Details

Title: Subtitle: Are United States hospitals following national guidelines for the analysis and presentation of cumulative antimicrobial susceptibility data?
Creators: Erika J Ernst - University of Iowa College of Pharmacy, Iowa City, IA, USA
Daniel J Diekema
Bonnie J BootsMiller
Thomas Vaughn
Jon W Yankey
Stephen D Flach
Marcia M Ward
Carrie L J Franciscus
Elise Acosta
Michael A Pfaller
Bradley N Doebbeling
Resource Type: Journal article
Publication Details: Diagnostic microbiology and infectious disease, Vol.49(2), pp.141-145
Publisher: United States
DOI: 10.1016/j.diagmicrobio.2004.03.007
PMID: 15183864
ISSN: 0732-8893
eISSN: 1879-0070
Language: English
Date published: 06/2004
Academic Unit: Public Health Administration; Infectious Diseases; Health Management and Policy; Epidemiology; Pathology; Nursing; Pharmacy Practice and Science; Internal Medicine
Record Identifier: 9983986260802771

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