Differences in stewardship strategies between hospitals performing well and poorly on a risk-adjusted metric for post-discharge antibiotic use

Daniel J Livorsi; James A Merchant; Hyunkeun Cho; Matthew Bidwell Goetz; Bruce Alexander; Brice Beck; Michihiko Goto

doi:10.1017/ice.2024.237

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Differences in stewardship strategies between hospitals performing well and poorly on a risk-adjusted metric for post-discharge antibiotic use

Journal article

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Differences in stewardship strategies between hospitals performing well and poorly on a risk-adjusted metric for post-discharge antibiotic use

Daniel J Livorsi, James A Merchant, Hyunkeun Cho, Matthew Bidwell Goetz, Bruce Alexander, Brice Beck and Michihiko Goto

Infection control and hospital epidemiology, Vol.46(4), pp.427-430

04/2025

DOI: 10.1017/ice.2024.237

PMCID: PMC12015618

PMID: 39935041

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Abstract

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).

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Details

Title: Subtitle: Differences in stewardship strategies between hospitals performing well and poorly on a risk-adjusted metric for post-discharge antibiotic use
Creators: Daniel J Livorsi - Iowa City VA Health Care System
James A Merchant - University of Iowa, Biostatistics
Hyunkeun Cho - University of Iowa, Biostatistics
Matthew Bidwell Goetz - VA Greater Los Angeles Healthcare System
Bruce Alexander - Iowa City VA Health Care System
Brice Beck - Iowa City VA Health Care System
Michihiko Goto - Iowa City VA Health Care System
Resource Type: Journal article
Publication Details: Infection control and hospital epidemiology, Vol.46(4), pp.427-430
DOI: 10.1017/ice.2024.237
PMID: 39935041
PMCID: PMC12015618
NLM abbreviation: Infect Control Hosp Epidemiol
ISSN: 0899-823X
eISSN: 1559-6834
Publisher: Cambridge University Press
Grant note: United States Department of Veterans Affairs Health Services Research and Development Service: I01 HX003325
This work was supported by an investigator-initiated research grant (I01 HX003325) from the United States Department of Veterans Affairs Health Services Research and Development Service (PI: D. Livorsi).
Language: English
Electronic publication date: 02/12/2025
Date published: 04/2025
Academic Unit: Pharmacy; Psychiatry; Occupational and Environmental Health; Infectious Diseases; Biostatistics; Internal Medicine
Record Identifier: 9984787443502771

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