Program Schedule

205
Antimicrobial Stewardship Knowledge, Attitudes and Practices among Healthcare Professionals in Utah

Session: Poster Abstract Session: Antibiotic Stewardship
Thursday, October 9, 2014
Room: The Pennsylvania Convention Center: IDExpo Hall BC
Posters
  • KAP Survey Poster v6.pdf (1.0 MB)
  • Background: National societies and accrediting bodies advocate for Antimicrobial Stewardship (AS) Programs (ASPs) in all hospitals. Most ASP surveys have been conducted in large academic medical centers, even though most U.S. hospitals are <200 beds (72%).  Very little is known about AS knowledge, attitudes and practices (KAP) among healthcare professionals in small, community hospitals (SCHs).

    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.

    Whitney R. Buckel, PharmD, Intermountain Medical Center, Murray, UT, Adam L. Hersh, MD, PhD, University of Utah School of Medicine, Salt Lake City, UT, Andrew Pavia, MD, FIDSA, FSHEA, Department of Pediatrics, Division of Pediatric Infectious Diseases, University of Utah School of Medicine, Salt Lake City, UT, Peter S. Jones, MSLS, Department of Clinical Epidemiology and Infectious Diseases, Intermountain Medical Center, Murray, UT, Josh Caraccio, PharmD, Utah Valley Regional Medical Center, Provo, UT, Dustin Waters, PharmD, BCPS, Pharmacy, Intermountain Healthcare McKay-Dee Hospital Center, Ogden, UT, Ashli Owen-Smith, PhD, Kaiser Permanente Center for Health Research Southeast, Atlanta, GA and Edward Stenehjem, MD MSc, Clinical Epidemiology and Infectious Diseases, Intermountain Medical Center, Murray, UT

    Disclosures:

    W. R. Buckel, None

    A. L. Hersh, None

    A. Pavia, None

    P. S. Jones, None

    J. Caraccio, None

    D. Waters, None

    A. Owen-Smith, None

    E. Stenehjem, 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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