Emergency Department Specific Antimicrobial Stewardship Intervention Reduces Antibiotic Duration and Selection for Discharged Adult and Pediatric Patients with Skin and Soft-tissue infections

Renee Trajano, Susan Ondak, Dan Tancredi, Jean Wiedeman, Stuart H Cohen, Loren Miller, Chance Anderson, Larissa May
2017 Open Forum Infectious Diseases  
S274 • OFID 2017:4 (Suppl 1) • Poster Abstracts modification presented all providers with a list of abx options including dosage and frequency. The effects of two CDS interventions were assessed for one year. Results. Results indicate the IG improved in BPA abx compliance over the CG. Figure 1 shows compliance with BPA recommended antibiotics among the IG increased from 17% to 23% during Q1 2014-Q2 2017 compared with a 0% increase in the CG (P <.0001). However, overall IDSA recommended
more » ... ecommended compliance did not significantly increase: IG -2% vs CG 1% (P = .26). UTI patients of providers who saw the BPA alert were 1.9 times (CI: 1.7, 2.3) times more likely to receive recommended abx compared with the CG. Conclusion. This randomized control study provides promising data that the use of CDS, specifically BPAs embedded within EMRs, can be used effectively to assist and encourage compliance with guidelines. Next steps include: continuing to educate providers on best practices, consider including more abx options in BPA to reduce errors in prescribing and improve overall compliance, and implementing similar CDS interventions for upper respiratory infections and other infections.
doi:10.1093/ofid/ofx163.610 fatcat:cwzp6ctvwjdifc3affvm4bsfjm