Journal article
Improving Antimicrobial Stewardship: The Evolution of Programmatic Strategies and Barriers
Infection control and hospital epidemiology, Vol.32(4), pp.367-374
2011
DOI: 10.1086/658946
PMID: 21460488
Abstract
Objective.
To describe the prevalence and characteristics of antimicrobial stewardship programs (ASPs) in hospitals across the United States and to describe financial support provided for these programs.
Design.
Electronic and paper 14-question survey of infectious diseases physician members of the Infectious Diseases Society of America Emerging Infections Network (IDSA EIN).
Participants.
All 1,044 IDSA EIN members who care for adult patients were invited to participate.
Results.
Five hundred twenty-two (50%) members responded. Seventy-three percent of respondents reported that their institutions had or were planning an ASP, compared with 50% reporting the same thing in an EIN survey 10 years before. A shift was noted from formulary restriction alone to use of a set of tailored strategies designed to provide information and feedback to prescribers, particularly in community hospitals. Lack of funding and lack of personnel were reported as major barriers to implementing a program. Fifty-two percent of respondents with an ASP reported that infectious diseases physicians do not receive direct compensation for their participation in the ASP, compared with 18% 10 years ago.
Conclusions.
The percentage of institutions reporting ASPs has increased over the last decade, although small community hospitals were least likely to have these programs. In addition, ASP strategies have shifted dramatically. Lack of funding remains a key barrier for ASPs, and administrators need additional cost savings data in order to support ASPs. Interestingly, while guidelines and editorials regard compensated participation by an infectious diseases physician in these programs as critical, we found that more than half of the respondents reported no direct compensation for ASP activities.
Details
- Title: Subtitle
- Improving Antimicrobial Stewardship: The Evolution of Programmatic Strategies and Barriers
- Creators
- Birgir JOHANNSSON - Carver College of Medicine, University of Iowa, Iowa City, Iowa, United StatesSusan E BEEKMANN - Carver College of Medicine, University of Iowa, Iowa City, Iowa, United StatesArjun SRINIVASAN - Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United StatesAdam L HERSH - Department of Pediatrics, University of Utah, Salt Lake City, Utah, United StatesRamanan LAXMINARAYAN - Center for Disease Dynamics, Economics and Policy, Washington, DC, and Princeton University, Princeton, New Jersey, United StatesPhilip M POLGREEN - Carver College of Medicine, University of Iowa, Iowa City, Iowa, United StatesInfectious Diseases Society of America Emerging Infections Network
- Resource Type
- Journal article
- Publication Details
- Infection control and hospital epidemiology, Vol.32(4), pp.367-374
- DOI
- 10.1086/658946
- PMID
- 21460488
- NLM abbreviation
- Infect Control Hosp Epidemiol
- ISSN
- 0899-823X
- eISSN
- 1559-6834
- Publisher
- University of Chicago Press
- Language
- English
- Date published
- 2011
- Academic Unit
- Infectious Diseases; Epidemiology; Injury Prevention Research Center; Internal Medicine
- Record Identifier
- 9984094384602771
Metrics
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