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

Authors

Monika Pogorzelska-Maziarz, Thomas Jefferson University, Jefferson School of NursingFollow
Carolyn T A Herzig, Columbia University, Mailman School of Public Health, School of Nursing, Center for Health PolicyFollow
Elaine L Larson, Columbia University, Mailman School of Public Health, School of Nursing, Center for Health Policy
E Yoko Furuya, Columbia University College of Physicians and Surgeons, NewYork-Presbyterian HospitalFollow
Eli N Perencevich, University of Iowa, Carver College of Medicine
Patricia W Stone, Columbia University, School of Nursing, Center for Health PolicyFollow

Document Type

Article

Publication Date

3-1-2015

Comments

This article has been peer reviewed. It was published in: Infection Control and Hospital Epidemiology.

Volume 36, Issue 3, 1 March 2015, Pages 261-264.

The published version is available at DOI: 10.1017/ice.2014.50

Copyright © 2015 by The Society for Healthcare Epidemiology of America

Abstract

OBJECTIVE: To describe the use of antimicrobial stewardship policies and to investigate factors associated with implementation in a national sample of acute care hospitals.

DESIGN: Cross-sectional survey.

PARTICIPANTS: Infection Control Directors from acute care hospitals participating in the National Healthcare Safety Network (NHSN).

METHODS: An online survey was conducted in the Fall of 2011. A subset of hospitals also provided access to their 2011 NHSN annual survey data.

RESULTS: 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

CONCLUSION: 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.

Recommended Citation

Pogorzelska-Maziarz, Monika; Herzig, Carolyn T A; Larson, Elaine L; Furuya, E Yoko; Perencevich, Eli N; and Stone, Patricia W, "Implementation of antimicrobial stewardship policies in U.S. hospitals: findings from a national survey." (2015). Department of Obstetrics and Gynecology Faculty Papers. Paper 33.
https://jdc.jefferson.edu/obgynfp/33

PubMed ID

25695166