• Find People
  • Campus Map
  • PiratePort
  • A-Z
    • About
    • Submit
    • Browse
    • Login
    View Item 
    •   ScholarShip Home
    • Other Campus Research
    • Open Access
    • View Item
    •   ScholarShip Home
    • Other Campus Research
    • Open Access
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of The ScholarShipCommunities & CollectionsDateAuthorsTitlesSubjectsTypeDate SubmittedThis CollectionDateAuthorsTitlesSubjectsTypeDate Submitted

    My Account

    Login

    Statistics

    View Google Analytics Statistics

    Remote Antimicrobial Stewardship in Community Hospitals

    Thumbnail
    View/ Open
    antibiotics-04-00605.pdf (682.5Kb)

    Show full item record
    
    Author
    Wood, Zachary H.; Nicolsen, Nicole C.; Allen, Nichole; Cook, Paul P.
    Abstract
    Antimicrobial stewardship has become standard practice at university medical centers, but the practice is more difficult to implement in remote community hospitals that lack infectious diseases trained practitioners. Starting in 2011, six community hospitals within the Vidant Health system began an antimicrobial stewardship program utilizing pharmacists who reviewed charts remotely from Vidant Medical Center. Pharmacists made recommendations within the electronic medical record (EMR) to streamline, discontinue, or switch antimicrobial agents. Totals of charts reviewed, recommendations made, recommendations accepted, and categories of intervention were recorded. Linear regression was utilized to measure changes in antimicrobial use over time. For the four larger hospitals, recommendations for changes were made in an average of 45 charts per month per hospital and physician acceptance of the pharmacists’ recommendations varied between 83% and 88%. There was no significant decrease in total antimicrobial use, but much of the use was outside of the stewardship program’s review. Quinolone use decreased by more than 50% in two of the four larger hospitals. Remote antimicrobial stewardship utilizing an EMR is feasible in community hospitals and is generally received favorably by physicians. As more community hospitals adopt EMRs, there is an opportunity to expand antimicrobial stewardship beyond the academic medical center.
    URI
    http://hdl.handle.net/10342/8169
    Subject
    antibiotics; antimicrobials; electronic medical record; stewardship; community hospitals
    Date
    2015-11
    Citation:
    APA:
    Wood, Zachary H., & Nicolsen, Nicole C., & Allen, Nichole, & Cook, Paul P.. (November 2015). Remote Antimicrobial Stewardship in Community Hospitals. Antibiotics, (4:4), p.605-616. Retrieved from http://hdl.handle.net/10342/8169

    Display/Hide MLA, Chicago and APA citation formats.

    MLA:
    Wood, Zachary H., and Nicolsen, Nicole C., and Allen, Nichole, and Cook, Paul P.. "Remote Antimicrobial Stewardship in Community Hospitals". Antibiotics. 4:4. (605-616.), November 2015. March 08, 2021. http://hdl.handle.net/10342/8169.
    Chicago:
    Wood, Zachary H. and Nicolsen, Nicole C. and Allen, Nichole and Cook, Paul P., "Remote Antimicrobial Stewardship in Community Hospitals," Antibiotics 4, no. 4 (November 2015), http://hdl.handle.net/10342/8169 (accessed March 08, 2021).
    AMA:
    Wood, Zachary H., Nicolsen, Nicole C., Allen, Nichole, Cook, Paul P.. Remote Antimicrobial Stewardship in Community Hospitals. Antibiotics. November 2015; 4(4) 605-616. http://hdl.handle.net/10342/8169. Accessed March 08, 2021.
    Collections
    • Open Access

    xmlui.ArtifactBrowser.ItemViewer.elsevier_entitlement

    East Carolina University has created ScholarShip, a digital archive for the scholarly output of the ECU community.

    • About
    • Contact Us
    • Send Feedback