1092. Michigan Hospital Antibiogram Survey: Prevalence, Utilization and Health Care Provider Perceptions
Session: Poster Abstract Session: Surveillance of HAIs: Implementation and National Perspectives
Friday, October 4, 2013
Room: The Moscone Center: Poster Hall C
Posters
  • MI Abgm_IDWeek_FINAL.pdf (224.9 kB)
  • Background: The prevalence of antibiogram use, compilation methods, and attitudes toward antimicrobial resistance and stewardship in Michigan (MI) hospitals is unknown.  Our objectives were to evaluate antibiogram prevalence and use, hospital personnel antibiogram knowledge, and to describe attitudes and opinions of health care providers toward antimicrobial resistance surveillance and stewardship in MI hospitals.

    Methods: A cross-sectional survey research study was conducted using a convenience sample of 425 personnel employed at 134 inpatient acute care hospitals in MI.  The study participants, including physicians, pharmacists, microbiologists and administrators, completed the survey anonymously, available online from February 7-21, 2013.

    Results: Of the 425 surveys electronically distributed to 404 personnel at 134 hospitals, responses from 131 respondents (32%) employed at 74 (55%) MI hospitals were included.  Most (97%) respondents reported an antibiogram at their institution; however, only 7% of northern MI respondents included unit-specific data. Most (78%) respondents had an antimicrobial stewardship program (ASP). The majority (85%) had an infectious diseases (ID) specialist; of the 15% without, all were from hospitals < 250 beds.  Over one-third (39%) of hospitals in northern MI did not have an ID specialist.  The majority (79%) of respondents strongly agreed that antibiotic resistance is a problem in MI and that antimicrobial stewardship can improve clinical outcomes (82%), minimize toxicity (76%), limit emergence of resistance (82%) and reduce expenses attributable to antimicrobial use (79%). We found socio-demographic differences in attitudes and practices of the personnel.

    Conclusion: This is the first state-wide survey to our knowledge to assess antibiogram use and patterns among hospitals.  Among respondents from 74 MI hospitals, the prevalence of antibiogram use was high.  The majority of institutions had an ASP and ID specialty clinician.  Attitudes toward antimicrobial stewardship were overwhelmingly positive. However, gaps in antibiogram use and knowledge were identified in some remote regions.  Outreach programs within the state of MI are needed to improve antibiogram use and knowledge pertaining to antimicrobial resistance in geographically remote regions.

    Ashley Hall, PharmD, MPH, Infectious Diseases, Henry Ford Hospital, Detroit, MI, Kevin Ginsburg, BS, Wayne State University School of Medicine, Detroit, MI, Preethy Samuel, PhD, Wayne State University, Detroit, MI and Keith Kaye, MD, MPH, FIDSA, FSHEA, Infectious Diseases, Detroit Medical Center/ Wayne State University, Detroit, MI

    Disclosures:

    A. Hall, Optimer Pharmaceuticals, Inc.: Employee, Salary
    Cubist Pharmaceuticals: Speaker's Bureau, Speaker honorarium

    K. Ginsburg, None

    P. Samuel, None

    K. Kaye, None

    Findings in the abstracts are embargoed until 12:01 a.m. PST, Oct. 2nd with the exception of research findings presented at the IDWeek press conferences.