1905. Assessing the Impact of an Adult Emergency Department Antibiotic Guide and Education on Emergency Medicine Residents for Judicious Empiric Therapy Selection
Session: Poster Abstract Session: Antibiotic Stewardship: Outpatient and ED
Saturday, October 29, 2016
Room: Poster Hall
Posters
  • ID Week Poster 16 - ID.ED Study .pdf (6.9 MB)
  • Background: Optimal antibiotic selection in the Emergency Department (ED) is imperative for successful treatment, limiting side effects and adverse events, and limiting antibiotic resistance. The Pharmacy, adult ED, and adult Infectious Diseases (ID) departments at our institution collaborated to form ED specific empiric antibiotic recommendations for several common disease states. The Infectious Disease Society of America (IDSA) guidelines for each disease state covered were tailored based on local resistance patterns and formulary availability. We evaluated the impact of the ED antibiotic guide and education on emergency medicine (EM) residents for judicious empiric therapy selection.

    Methods: This is an IRB approved cross-sectional single center study with a pre and post design. The study population was the EM Residents. The 12 residents from each residency class were offered the quiz. They received a pre-intervention quiz, prior to implementation and education of the ED specific antibiotic guide. The quiz contained a mixture of simple and complex case based questions that were tailored to match the antibiotic card that was used as the education tool. The empiric antibiotic drug card was distributed to all EM residents regardless of study participation. The EM clinical pharmacist provided education on recommendations over 3 one-hour sessions during EM weekly conference. The post-intervention quiz was offered to the same residency classes approximately six months after the pre-intervention quiz was offered.

    Results: In total, 31 residents took the pre-intervention quiz, while 22 residents participated in the post-intervention quiz. The overall pre-intervention quiz average was 36.9% and the post-intervention quiz average was 49.5%, inclusive of all residency classes. Results were also analyzed to differentiate in-patient versus outpatient antibiotic selection. Pre-intervention, the average results for inpatient and outpatient were 39.6% and 34% respectively. Post-intervention, the average results for inpatient and outpatient were 53.6% and 45% respectively.

    Conclusion: Overall, the education and antibiotic guide did improve EM resident quiz scores. Additional educational sessions and materials may be necessary to further improve empiric antibiotic selection, particularly for outpatient prescriptions.

    Gabrielle Procopio, PharmD1, Dorothy McCoy, PharmD, BCPS AQ-ID1, Arpi Kuyumjian, PharmD2, Douglas Finefrock, DO3, David Zodda, MD3, Chinwe Ogedegbe, MD, MPH3, Rani Sebti, MD4 and Joseph Feldman, MD, FACEP3, (1)Pharmacy Practice and Administration, Ernest Mario Sch. of Pharmacy at Rutgers, the State Univ. of New Jersey, Piscataway, NJ, (2)Pharmacy, Hackensack Univ. Med. Ctr., Hackensack, NJ, (3)Emergency Medicine, Hackensack Univ. Med. Ctr., Hackensack, NJ, (4)Infectious Diseases, Hackensack Univ. Med. Ctr., Hackensack, NJ

    Disclosures:

    G. Procopio, None

    D. McCoy, None

    A. Kuyumjian, None

    D. Finefrock, None

    D. Zodda, None

    C. Ogedegbe, None

    R. Sebti, None

    J. Feldman, 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.