Implementation of antimicrobial stewardship policies in U.S. hospitals: findings from a national survey

Monika Pogorzelska-Maziarz; Carolyn T A Herzig; Elaine L Larson; E Yoko Furuya; Eli N Perencevich; Patricia W Stone

doi:10.1017/ice.2014.50

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Implementation of antimicrobial stewardship policies in U.S. hospitals: findings from a national survey

Journal article

Open access

Peer reviewed

Implementation of antimicrobial stewardship policies in U.S. hospitals: findings from a national survey

Monika Pogorzelska-Maziarz, Carolyn T A Herzig, Elaine L Larson, E Yoko Furuya, Eli N Perencevich and Patricia W Stone

Infection control and hospital epidemiology, Vol.36(3), pp.261-264

03/2015

DOI: 10.1017/ice.2014.50

PMCID: PMC4356111

PMID: 25695166

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https://www.ncbi.nlm.nih.gov/pmc/articles/4356111View

Open Access

Abstract

To describe the use of antimicrobial stewardship policies and to investigate factors associated with implementation in a national sample of acute care hospitals. Cross-sectional survey. Infection Control Directors from acute care hospitals participating in the National Healthcare Safety Network (NHSN). An online survey was conducted in the Fall of 2011. A subset of hospitals also provided access to their 2011 NHSN annual survey data. Responses were received from 1,015 hospitals (30% response rate). The majority of hospitals (64%) reported the presence of a policy; use of antibiograms and antimicrobial restriction policies were most frequently utilized (83% and 65%, respectively). Respondents from larger, urban, teaching hospitals and those that are part of a system that shares resources were more likely to report a policy in place (P<.01). Hospitals located in California were more likely to have policy in place than in hospitals located in other states (P=.014). This study provides a snapshot of the implementation of antimicrobial stewardship policies in place in U.S. hospitals and suggests that statewide efforts in California are achieving their intended effect. Further research is needed to identify factors that foster the adoption of these policies.

Hospitals - standards

Cross-Sectional Studies

Cross Infection - prevention & control

United States

Humans

Anti-Infective Agents - therapeutic use

Inappropriate Prescribing - prevention & control

Organizational Policy

Infection Control - methods

Infection Control - statistics & numerical data

Drug Resistance, Microbial

Infection Control - standards

Hospitals - statistics & numerical data

Health Care Surveys

Details

Title: Subtitle: Implementation of antimicrobial stewardship policies in U.S. hospitals: findings from a national survey
Creators: Monika Pogorzelska-Maziarz - 1Thomas Jefferson University,Jefferson School of Nursing,Philadelphia,Pennsylvania
Carolyn T A Herzig - 2Columbia University,Mailman School of Public Health,School of Nursing,Center for Health Policy,New York,New York
Elaine L Larson - 3Columbia University,Mailman School of Public Health,School of Nursing,Center for Health Policy,New York,New York
E Yoko Furuya - 4Columbia University College of Physicians & Surgeons,NewYork-Presbyterian Hospital,New York,New York
Eli N Perencevich - 5University of Iowa,Carver College of Medicine,Iowa City,VA,Iowa City,Iowa
Patricia W Stone - 6Columbia University,School of Nursing,Center for Health Policy,New York,New York
Resource Type: Journal article
Publication Details: Infection control and hospital epidemiology, Vol.36(3), pp.261-264
DOI: 10.1017/ice.2014.50
PMID: 25695166
PMCID: PMC4356111
NLM abbreviation: Infect Control Hosp Epidemiol
ISSN: 0899-823X
eISSN: 1559-6834
Publisher: United States
Grant note: R01 NR010107 / NINR NIH HHS R01NR010107 / NINR NIH HHS
Language: English
Date published: 03/2015
Academic Unit: Epidemiology; Internal Medicine
Record Identifier: 9983779288902771

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