1474. Antimicrobial Stewardship Programs at Paediatric Centres Across Canada: Implementation and Characteristics
Session: Poster Abstract Session: Antimicrobial Stewardship: Pediatric and OPAT
Saturday, October 10, 2015
Room: Poster Hall
Posters
  • ASP Survey - IDSA final.pdf (927.9 kB)
  • Background: Antimicrobial Stewardship Programs (ASPs) consist of coordinated interventions designed to improve and measure appropriate antimicrobial use. ASPs became a Required Organizational Practice (ROP) instituted by Accreditation Canada in 2013 and paediatric programs are in various stages of ASP development across Canada. In this audit we assessed the implementation of ASPs by determining the characteristics of ASPs at academic paediatric centres across Canada.

    Methods: We utilized REDCap™ to conduct an electronic survey of 16 children’s hospitals in Canada using a list of personal contacts at each academic paediatric centre, as well as the Paediatric Investigators Collaborative Network on Infections in Canada (PICNIC). The survey of ASP physicians and pharmacists included questions on the details of the institution’s ASP, metrics collected and measured by the institution, and process measures of the ASP.  Institutional demographic information was also collected.

    Results:  We received 16 completed surveys representing 11 hospitals (institution response rate 69%).  Respondents included Infectious Diseases physicians (n=9, 56%), pharmacists (n=5, 31%) and Infectious Diseases trainees (n=2, 13%).  Of the 11 institutions, 8 had established ASPs. The most common ASP strategies used hospital wide were clinical guidelines (n=9) and order sets (n=9). All sites had critical care units (NICU & PICU), and 8 sites had specific ASP strategies in both areas. Ten sites monitored antimicrobial usage using a combination of Days Of Therapy (n=6, 55%), cost (n=7, 64%) and resistance patterns (n=8, 73%).  Nine sites had systems for documenting ASP recommendations and/or documenting adherence to ASP recommendations. Only 5 sites (45.4%) were documenting these performance measures.

    Conclusion: The results of our survey suggest that most academic paediatric hospitals in Canada have established ASPs that are using a variety of strategies. While all established ASPs monitor antimicrobial usage, there is significant variability in data collected and metrics reported. There is a necessity for both a description of the best metrics to measure the impact paediatric ASPs are having; and publications of these findings for benchmarking and quality improvement initiatives.

    Jacqueline Wong, MD1, Kathryn Timberlake, Pharm.D.2, Sabrina Boodhan, BSc Phm2, Michelle Barton, MBBS3, Sergio Fanella, MD, FRCPC4, Stanley Read, MD, PhD5 and Michelle Science, MD, FRCPC6, (1)Division of Infectious Diseases, Department of Paediatrics, Hospital for Sick Children, Toronto, ON, Canada, (2)Department of Pharmacy, The Hospital for Sick Children, Toronto, ON, Canada, (3)Department of Paediatrics, Western University, London, ON, Canada, (4)Pediatrics and Child Health, University of Manitoba, Winnipeg, MB, Canada, (5)Division of Infectious Diseases, Department of Paediatrics, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada, (6)Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada

    Disclosures:

    J. Wong, None

    K. Timberlake, None

    S. Boodhan, None

    M. Barton, None

    S. Fanella, None

    S. Read, None

    M. Science, None

    Findings in the abstracts are embargoed until 12:01 a.m. PDT, Wednesday Oct. 7th with the exception of research findings presented at the IDWeek press conferences.