2272. Is there an app for that 2.0: Using an app to help house staff make more informed antimicrobial prescribing choices
Session: Poster Abstract Session: Teaching the Future: Education in Infectious Diseases
Saturday, October 29, 2016
Room: Poster Hall
Background: With the introduction of smartphones, the use of medical applications (apps) has surged. These devices are quickly becoming an important tool for accessing clinical information, especially among trainees. One of the core activities of antimicrobial stewardship programs is to educate health care professionals on using antimicrobials appropriately, i.e. the right drug for the right bug. A smartphone app provides accurate, up-to-date, institution specific clinical information.

Methods: An app with the institutional antibiogram and clinical practice guidelines was first created for Albert Einstein medical students in 2014. In 2015, the app was expanded to better suit the needs of house staff at Montefiore Medical Center. The app featured preferred empiric antimicrobial regimens based on the local antibiogram, antibiotic formulary, vancomycin dosing, surgical prophylaxis regimens, pathogen specific isolation precautions, and the antibiograms for individual Montefiore campuses. Five months after the app was launched, app statistics from google analytics were reviewed and the medicine house staff was surveyed electronically.

Results: From November 2015 until early April 2016 the app was downloaded onto over 200 devices and accessed over 1200 times for an average of 2 minutes per session. A survey of Montefiore medicine house staff (n=30), showed that 37% of house staff preferred to access infectious diseases information on an app. 57% of respondents either agreed or strongly agreed that they modified the antibiotics prescribed for their patients based on the app. 50% strongly agreed or agreed that they used the antibiogram more often since it was available on their phone. The most commonly cited barriers to using the app were a cumbersome format, forgetting to use the app, and that too many clicks are required to get to needed information.

Conclusion: An institution specific infectious diseases clinical app is a novel and effective way to improve house staff prescribing choices. The app was well accepted at our institution, with the biggest barriers related to functionality of the app software. In the future, we plan to improve the app by upgrading the interface and including outpatient antibiotic regimens.

Elizabeth Gancher, MD, Infectious Diseases, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, Belinda Ostrowsky, MD, MPH, FIDSA, FSHEA, Department of Medicine, Division of Infectious Diseases, Montefiore Medical Center, Bronx, NY, Priya Nori, MD, Department of Medicine, Division of Infectious Diseases, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY and Iona Munjal, MD, Pediatric Infectious Disease, The Children's Hospital at Montefiore, Bronx, NY


E. Gancher, None

B. Ostrowsky, None

P. Nori, None

I. Munjal, None

Findings in the abstracts are embargoed until 12:01 a.m. CDT, Wednesday Oct. 26th with the exception of research findings presented at the IDWeek press conferences.