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.
S. Boodhan, None
M. Barton, None
S. Fanella, None
S. Read, None
M. Science, None