1406. Educational Based Anti-Microbial Stewardship Program
Session: Poster Abstract Session: Antimicrobial Stewardship: Interventions
Saturday, October 10, 2015
Room: Poster Hall
Educational Based Anti-Microbial Stewardship Background: Traditionally, the hallmark of an anti-microbial stewardship program [ASP] has been restricting access to anti-bacterials. We believe that such a program does not promote a change in prescribing behavior. TeleMed2U and Ukiah Valley Medical Center [UVMC] have embarked on a telemedicine based ASP that is primary focused on provider education rather than ant-bacterial restriction. Methods: In 2013 UVMC initiated a telemedicine based ASP. The program involved a comprehensive review of current prescribing habits, the hospital anti-biogram and the anti-infective formulary. The ASP committee then developed treatment guidelines to offer providers various treatment options. In addition, the Infectious Diseases physician conducted a series of lectures to educate providers on the appropriate anti-bacterial treatment options. This education series included: noon conferences; hospitalist meetings and department meets medicine, emergency medicine and surgery. Furthermore, daily telemedicine based ASP rounds occurred where anti-bacterial therapies for the last 24 hours were reviewed. When appropriate the attending physician was conducted to discuss alternative therapies, all while maintaining an open anti-infective formulary. Results: The impact of antibiotic stewardship in the first six months of this program was studied and compared that to 2012. In these six months, UVMC experienced a 1.4% reduction in antibiotic days. This was coupled by a savings in antibiotic cost of $16 per patient day, translating to a total of $93,072 saved in the first six months of this program. In 2014, the number of antibiotic days were further reduced by 2.3% and antibiotic cost decreased by an additional $27 per patient day. The overall result, versus 2012, has been a total reduction of $43 per patient day, translating to a savings of $267,417 in antibiotic costs at UVMC. Conclusion: The implementation of an education based ASP fostered true change in prescribing habits throughout the medical staff. By not restricting anti-bacterials providers were open to education and considering alternative treatment options. We believe that this model for ASP creates a collegial and constructive environment.
Javeed Siddiqui, MD, MPH, TeleMed2U, Roseville, CA, Ranna Shamiya, Pharm.D., Pharmacy, Ukiah Valley Medical center, Ukiah, CA and Marvin Trotter, MD, ukiah Valley Medical center, ukiah, CA

Disclosures:

J. Siddiqui, None

R. Shamiya, None

M. Trotter, None

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