Program Schedule

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Effectiveness of a Pharmacist Driven Antibiotic Stewardship Program at Two Critical Access Hospitals Using a Remote Infectious Diseases Pharmacist

Session: Poster Abstract Session: Antibiotic Stewardship
Thursday, October 9, 2014
Room: The Pennsylvania Convention Center: IDExpo Hall BC
Posters
  • Effectiveness of a Pharmacist Driven Antibiotic Stewardship Program at Two Critical Access Hospitals Using a Remote Infectious Diseases Pharmacist.pdf (841.3 kB)
  • Background: Guidelines recommend an infectious diseases (ID) physician and ID trained pharmacist as core members of an antibiotic stewardship program (ASP); however, many hospitals struggle to obtain these resources. The purpose of this study was to evaluate the effectiveness of a pharmacist-driven ASP in two critical access hospitals (CAHs) using a remote ID pharmacist and ID pharmacy resident within the same healthcare system as the ID specialist overseeing the ASP.

    Methods: The ID specialist remotely reviewed patients receiving antibiotics at each CAH daily. The ID specialist provided recommendations to the CAH pharmacist, who then made the recommendations to the provider. For the first CAH, recommendation type and outcome were documented by the CAH pharmacists. For the second CAH, the ID specialist documented number of patients reviewed, number of recommendations made to the CAH pharmacist, number of recommendations communicated to the provider, and recommendation type and outcome.

    Results: During the first year at hospital one, the ASP made 247 recommendations with an acceptance rate of 88%. Total antibiotic use decreased 4.3% and cost decreased 3.4%. During the first 6 months at hospital two, 424 patient reviews were completed by the ID specialist resulting in 85 recommendations to the CAH pharmacist. Of those recommendations communicated to the provider (N=75, 88%), there was an 87% acceptance rate. During the first 5 months, antibiotic use decreased 12.2% and cost increased 6.2%.

    Conclusion: The ASPs at these two CAHs are unique in that they are pharmacist-driven and utilize an ID pharmacist and ID pharmacy resident as the ID specialist. This study demonstrates that using a remote ID pharmacist and ID pharmacy resident is a potential model for healthcare systems to provide ASP services to multiple institutions that would otherwise not have the resources to implement an ASP individually.

    Emily Herstine, PharmD, BCPS1, Scott Erickson, RPh, MBA2, Sarah Leslie, PharmD, BCPS3 and Jessica Holt, PharmD, BCPS-ID1, (1)Pharmacy, Abbott Northwestern Hospital, Minneapolis, MN, (2)Pharmacy, River Falls Area Hospital, River Falls, WI, (3)Pharmacy, New Ulm Medical Center, New Ulm, MN

    Disclosures:

    E. Herstine, None

    S. Erickson, None

    S. Leslie, None

    J. Holt, None

    Findings in the abstracts are embargoed until 12:01 a.m. EDT, Oct. 8th with the exception of research findings presented at the IDWeek press conferences.

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