Antimicrobial Stewardship Knowledge, Attitudes and Practices among Healthcare Professionals in Utah
Methods: An anonymous 48-item AS KAP survey was administered to providers, pharmacists and administrators at 15 SCH (<200 beds) and 3 large (>200 beds) community hospitals (LCHs) within an integrated healthcare network.
Results: In total, 33 SCH and 105 LCH pharmacists completed the survey (response rates 60% and 63% respectively). Only 2 SCHs (13%) had active ASPs while all LCHs had ASPs. Most pharmacists graduated after 1999 (54% SCH and 73% LCH). In SCH, 67% of pharmacists covered all clinical service lines, compared to 25% in LCHs. Both SCH and LCH pharmacists were familiar with the term AS (98%) and agreed AS is necessary in their hospitals (99%). Respondents strongly agreed they would like more antimicrobial education (70% SCH and 73% LCH). SCH and LCH pharmacists agreed antimicrobials were overused nationally (94% and 96%, respectively) but only 67% and 72%, respectively, felt they were overused at their hospital. Similarly, respondents agreed antimicrobial resistance is a significant national problem (88% SCH and 96% LCH) but only 45% and 54% of respondents felt it was a problem in their facilities. SCH pharmacists were less likely to call an Infectious Diseases provider for information about the treatment of infections compared to their LCH counterparts (60% SCH vs 82% LCH).
Conclusion: SCH and LCH pharmacists in Utah are aware of antimicrobial resistance and overuse, and agree ASPs are necessary; however, SCHs are less likely to have formal ASPs. SCH pharmacists are also less likely to contact Infectious Diseases for information compared to LCH pharmacists. These results will be used to support the development of ASPs at SCHs, while recognizing SCHs unique knowledge, attitudes, practices and resources.
W. R. Buckel,
A. Pavia, None
P. S. Jones, None
J. Caraccio, None
D. Waters, None
A. Owen-Smith, None
E. Stenehjem, None