Antibiotic Use at Hospital Discharge and Outpatient Antimicrobial Stewardship

Fishman N, America S for HE of, America IDS of, Society PID. Policy Statement on Antimicrobial Stewardship by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA), and the Pediatric Infectious Diseases Society (PIDS). Infect Control Hosp Epidemiol. 2012;33(4):322–7.

Antimicrobial resistance. World Health Organization. Updated November 17, 2021. Accessed 2 Aug 2023. https://www.who.int/news-room/fact-sheets/detail/antimicrobial-resistance.

Tamma PD, Avdic E, Li DX, Dzintars K, Cosgrove SE. Association of adverse events with antibiotic use in hospitalized patients. JAMA Intern Med. 2017;177(9):1308–15.

Article  PubMed  PubMed Central  Google Scholar 

The biggest antibiotic-resistant threats in the U.S. centers for disease control and prevention. Updated November 23, 2021. Accessed 2 Aug 2023. https://www.cdc.gov/drugresistance/biggest-threats.html.

Shehab N, Patel PR, Srinivasan A, Budnitz DS. Emergency department visits for antibiotic-associated adverse events. Clin Infect Dis Off Publ Infect Dis Soc Am. 2008;47(6):735–43.

Article  Google Scholar 

Barlam TF, Cosgrove SE, Abbo LM, MacDougall C, Schuetz AN, Septimus EJ, et al. Implementing an Antibiotic Stewardship Program: guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. Clin Infect Dis. 2016;62(10):e51–77.

Article  PubMed  PubMed Central  Google Scholar 

R3 Report Issue 23: Antimicrobial stewardship in ambulatory health care. The Joint Commission. Accessed 2 Aug 2023. https://www.jointcommission.org/standards/r3-report/r3-report-issue-23-antimicrobial-stewardship-in-ambulatory-health-care/.

Shively NR, Buehrle DJ, Clancy CJ, Decker BK. Prevalence of inappropriate antibiotic prescribing in primary care clinics within a Veterans Affairs health care system. Antimicrob Agents Chemother. 2018;62(8). https://doi.org/10.1128/aac.00337-18.

Fleming-Dutra KE, Hersh AL, Shapiro DJ, Bartoces M, Enns EA, File TM Jr, et al. Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011. JAMA. 2016;315(17):1864–73.

Article  CAS  PubMed  Google Scholar 

Marcelin JR, Chung P, Schooneveld TCV. Antimicrobial stewardship in the outpatient setting: a review and proposed framework. Infect Control Hosp Epidemiol. 2020;41(7):833–40.

Article  PubMed  Google Scholar 

Durkin MJ, Keller M, Butler AM, Kwon JH, Dubberke ER, Miller AC, et al. An assessment of inappropriate antibiotic use and guideline adherence for uncomplicated urinary tract infections. Open Forum Infect Dis. 2018;5(9):ofy198.

• Cawcutt KA, Patel R, Gerber J, Caliendo AM, Cosgrove SE, Ashley ED, et al. Leveraging existing and soon-to-be-available novel diagnostics for optimizing outpatient antibiotic stewardship in patients with respiratory tract infections. Clin Infect Dis Off Publ Infect Dis Soc Am. 2021;72(12):e1115–21. This is an excellent review on the currently available rapid diagnostic tests available for use in the diagnosis of respiratory tract infections that may be useful in ARI management. The article discusses different considerations based on testing platform and where they may fit into patient care.

May L, Sickler J, Robbins EM, Tang S, Chugh K, Tran N. The impact of point-of-care polymerase chain reaction testing on prescribing practices in primary care for management of strep A: a retrospective before–after study. Open Forum Infect Dis. 2022;9(5):ofac147.

Shulman ST, Bisno AL, Clegg HW, Gerber MA, Kaplan EL, Lee G, et al. Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. Clin Infect Dis Off Publ Infect Dis Soc Am. 2012;55(10):e86–102.

Article  Google Scholar 

Metlay JP, Waterer GW, Long AC, Anzueto A, Brozek J, Crothers K, et al. Diagnosis and treatment of adults with community-acquired pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America. Am J Respir Crit Care Med. 2019;200(7):e45–67.

Andrade A, Bang H, Reddick K, Villaseñor B, Tran NK, May L. Evaluation of pharmacist guided intervention using procalcitonin and respiratory virus testing. Am J Emerg Med. 2023;66:146–51.

Article  PubMed  PubMed Central  Google Scholar 

Huang DT, Yealy DM, Filbin MR, Brown AM, Chang CCH, Doi Y, et al. Procalcitonin-guided use of antibiotics for lower respiratory tract infection. N Engl J Med. 2018;379(3):236–49.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Schuetz P, Christ-Crain M, Thomann R, Falconnier C, Wolbers M, Widmer I, et al. Effect of procalcitonin-based guidelines vs standard guidelines on antibiotic use in lower respiratory tract infections: the ProHOSP randomized controlled trial. JAMA. 2009;302(10):1059–66.

Article  CAS  PubMed  Google Scholar 

Dyer AP, Dodds Ashley E, Anderson DJ, Sarubbi C, Wrenn R, Hicks LA, et al. Total duration of antimicrobial therapy resulting from inpatient hospitalization. Infect Control Hosp Epidemiol. 2019;40(8):847–54.

Article  PubMed  Google Scholar 

Vaughn VM, Hersh AL, Spivak ES. Antibiotic overuse and stewardship at hospital discharge: the reducing overuse of antibiotics at discharge home framework. Clin Infect Dis Off Publ Infect Dis Soc Am. 2021;74(9):1696–702.

Article  Google Scholar 

Hiryak KM, Kludjian GA, Gallagher JC, Cavaretta MJ. Improving antibiotic utilization through an outpatient stewardship initiative. Antimicrob Steward Healthc Epidemiol ASHE. 2023;3(1):e120.

PubMed  Google Scholar 

Sribenjalux W, Larbsida N, Khamsai S, Panyapornsakul B, Deawtrakulchai P, Meesing A. Insertion of a clinical pathway pop-up window into a computer-based prescription system: a method to promote antibiotic stewardship in upper respiratory tract infection. Antibiotics. 2021;10(12):1479.

Article  PubMed  PubMed Central  Google Scholar 

Vuong L, Kenney RM, Thomson JM, Faison DJ, Church BM, McCollom R, et al. Implementation of indication-based antibiotic order sentences improves antibiotic use in emergency departments. Am J Emerg Med. 2023;69:5–10.

Article  PubMed  Google Scholar 

Goss FR, Bookman K, Barron M, Bickley D, Landgren B, Kroehl M, et al. Improved antibiotic prescribing using indication-based clinical decision support in the emergency department. J Am Coll Emerg Physicians Open. 2020;1(3):214–21.

Article  PubMed  PubMed Central  Google Scholar 

Foreman BJ, Westerhof L, Benzer J, Eid K, Egwuatu NE, Dumkow LE. Impact of order sentence implementation on outpatient antibiotic prescribing for urinary tract infection and skin and soft tissue infection. JACCP J Am Coll Clin Pharm. 2022;5(3):283–90.

Article  Google Scholar 

Meeker D, Linder JA, Fox CR, Friedberg MW, Persell SD, Goldstein NJ, et al. Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial. JAMA. 2016;315(6):562–70.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Mangione-Smith R, Zhou C, Robinson JD, Taylor JA, Elliott MN, Heritage J. Communication practices and antibiotic use for acute respiratory tract infections in children. Ann Fam Med. 2015;13(3):221–7.

Article  PubMed  PubMed Central  Google Scholar 

Meeker D, Knight TK, Friedberg MW, Linder JA, Goldstein NJ, Fox CR, et al. Nudging guideline-concordant antibiotic prescribing: a randomized clinical trial. JAMA Intern Med. 2014;174(3):425–31.

Article  PubMed  PubMed Central  Google Scholar 

Rui P, Okeyode T. 2016. National Ambulatory Medical Care Survey: 2016 national summary tables. https://www.cdc.gov/nchs/data/ahcd/namcs_summary/2016_namcs_web_tables.pdf. Accessed 1 September 2023.

Rui P, Kang K, Ashman J. 2016. National Hospital Ambulatory Medical Care Survey: 2016 emergency department summary tables. https://www.cdc.gov/nchs/data/nhamcs/web_tables/2016_ed_web_tables.pdf. Accessed 1 September 2023.

White AT, Clark CM, Sellick JA, Mergenhagen KA. Antibiotic stewardship targets in the outpatient setting. Am J Infect Control. 2019;47(8):858–63.

Article  PubMed  Google Scholar 

• Goebel MC, Trautner BW, Grigoryan L. The five Ds of outpatient antibiotic stewardship for urinary tract infections. Clin Microbiol Rev. 2021;34(4):e0000320. This article serves as an excellent review of outpatient ASP practices related to UTI, focusing on tactics to help improve diagnosis, drug selection, dose optimization, duration, and de-escalation.

Claeys KC, Trautner BW, Leekha S, Coffey KC, Crnich CJ, Diekema DJ, et al. Optimal urine culture diagnostic stewardship practice—results from an expert modified-Delphi procedure. Clin Infect Dis Off Publ Infect Dis Soc Am. 2022;75(3):382–9.

Article  Google Scholar 

Gupta K, Hooton TM, Naber KG, Wullt B, Colgan R, Miller LG, et al. International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: a 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clin Infect Dis Off Publ Infect Dis Soc Am. 2011;52(5):e103–120.

Article  Google Scholar 

Eudaley ST, Mihm AE, Higdon R, Jeter J, Chamberlin SM. Development and implementation of a clinical decision support tool for treatment of uncomplicated urinary tract infections in a family medicine resident clinic. J Am Pharm Assoc. 2019;59(4):579–85.

Article  Google Scholar 

Zalmanovich A, Katzir M, Chowers M, Matar A, Rodrig J, Alon D. Improving urinary tract infection treatment through a multifaceted antimicrobial stewardship intervention in the emergency department. Am J Emerg Med. 2021;49:10–3.

Article  PubMed  Google Scholar 

Jaggi P, Wang L, Gleeson S, Moore-Clingenpeel M, Watson JR. Outpatient antimicrobial stewardship targets for treatment of skin and soft-tissue infections. Infect Control Hosp Epidemiol. 2018;39(8):936–40.

Article  PubMed  Google Scholar 

Westerhof LR, Dumkow LE, Hanrahan TL, McPharlin SV, Egwuatu NE. Outcomes of an ambulatory care pharmacist-led antimicrobial stewardship program within a family medicine resident clinic. Infect Control Hosp Epidemiol. 2021;42(6):715–21.

Article  PubMed  Google Scholar 

Stevens DL, Bisno AL, Chambers HF, Dellinger EP, Goldstein EJC, Gorbach SL, et al. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis Off Publ Infect Dis Soc Am. 2014;59(2):e10–52.

Article  Google Scholar 

Stoll K, Feltz E, Ebert S. Pharmacist-driven implementation of outpatient antibiotic prescribing algorithms improves guideline adherence in the emergency department. J Pharm Pract. 2021;34(6):875–81.

Article  PubMed  Google Scholar 

Kaye KS, Petty LA, Shorr AF, Zilberberg MD. Current epidemiology, etiology, and burden of acute skin infections in the United States. Clin Infect Dis Off Publ Infect Dis Soc Am. 2019;68(Suppl 3):S193–9.

Article  Google Scholar 

King LM, Hersh AL, Hicks LA, Fleming-Dutra KE. Duration of outpatient antibiotic therapy for common outpatient infections, 2017. Clin Infect Dis Off Publ Infect Dis Soc Am. 2021;72(10):e663–6.

Article  Google Scholar 

Lee P, Rico M, Muench S, Yost C, Zimmerman LH. Impact of outpatient antimicrobial stewardship guideline implementation in an urgent care setting. J Am Pharm Assoc. 2022;62(6):1792–8.

Article  Google Scholar 

Hamner M, Nedved A, Austin H, Wyly D, Burns A, Berg K, et al. Improving duration of antibiotics for skin and soft-tissue infections in pediatric urgent cares. Pediatrics. 2022;150(6):e2022057974.

Article  PubMed  Google Scholar 

Palit J, Cole J, Durojaiye OC. Clinical and operational factors associated with treatment duration for cellulitis in outpatient parenteral antimicrobial therapy (OPAT). Diagn Microbiol Infect Dis. 2021;100(1):115305.

Article  PubMed  Google Scholar 

Burgess DR, Baum RA, Bailey A, Myint T, Wallace KL. Impact of an antimicrobial stewardship and emergency department initiated dalbavancin guideline for patients with acute bacterial skin and soft-tissue infections. Open Forum Infect Dis. 2017;4(Suppl 1):S267.

Article  PubMed Central  Google Scholar 

Mahoney MV, Childs-Kean LM, Khan P, Rivera CG, Stevens RW, Ryan KL. Recent updates in antimicrobial stewardship in outpatient parenteral antimicrobial therapy. Curr Infect Dis Rep. 2021;23(12):24.

Article  PubMed  PubMed Central 

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