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Clinicians' Attitudes Towards an Antimicrobial Stewardship Program at a Children's Hospital

, : Clinicians' Attitudes Towards an Antimicrobial Stewardship Program at a Children's Hospital. Journal of the Pediatric Infectious Diseases Society 1(3): 190-197

In pediatrics, limited data are available on how to develop and implement an antimicrobial stewardship program (ASP). In addition, no data exist on clinicians' impression of such programs. The objectives of this study were to describe the development and implementation of an ASP in a children's hospital and to describe the thoughts and attitudes of the clinicians interacting with the ASP. A qualitative description of the development and implementation of an ASP is provided. In addition, 2 years after the implementation of a prospective-audit-with-feedback ASP, an electronic survey was administered to clinicians to assess their attitudes toward the ASP. A 5-step process for developing this ASP included the following: team development; selecting the stewardship strategy(ies) and antimicrobials to monitor; establishing a method to identify patients; program evaluation; and implementation. Of 365 participants surveyed, 205 (56%) responded, and 80% (160 of 199) had never worked with an ASP before its implementation. Clinicians agreed that the ASP decreased inappropriate use of antibiotics (84%, 162 of 194), improved the quality of patient care (82%, 159 of 194), and provided knowledge and education about appropriate antibiotic use (91%, 177 of 194). Negative feelings regarding the ASP included the following: 11% (22 of 194) felt a loss of autonomy; 6% (12 of 194) felt that it interfered with clinical decision-making; and 5% (9 of 194) felt threatened. Clinicians thought that to further decrease inappropriate antibiotic use, guidelines of empiric antibiotic choices (80%, 152 of 189) should be developed, and better training in medical school and residency should be provided (80%, 152 of 189). Finally, our clinicians felt that the problem of antibiotic resistance and inappropriate antibiotic use was worse nationally than at our institution. A prospective-audit-with-feedback ASP was successfully developed and implemented at a children's hospital. The ASP was perceived by clinicians to reduce inappropriate antibiotic use and to improve the quality of care of hospitalized children, with minimal loss of physician autonomy or interference in clinical decision-making.


PMID: 26619407

DOI: 10.1093/jpids/pis045

Other references

García Rada, A., 2011: Spanish government appeals against new law on generics in Galicia that is set to save 93 m euro a year. Bmj 342: D1036-D1036

Strong, D.H., 1981: Preservation efforts at Lake Tahoe 1880 to 1980. An account of the attempts to bring Lake Tahoe and its surrounds under public ownership and management.

Schreiber, L.K., 1963: Bilateral odontomas preventing eruption of maxillary central incisors. Report of a case. Oral Surgery, Oral Medicine, and Oral Pathology 16: 503-507

Semov V.N.; Kolodyazhnaya L.G., 1982: Present-day zones of relative extension of the Earth's crust in the northeastern and eastern USSR. Pages 81-82 1982

Slaveska, R.; Balint, L.; Momirovic Culjat, J.; Spirevska, I., 1994: A study of the inhibitory effect of sodium metabisulphite on the reaction of adrenaline oxidation in the presence of EDTA and superoxide dismutase. The antioxidative effect of sodium metabisulphite on adrenaline oxidation in a weak alkaline solution (pH = 10.5), in the presence of the sodium salt of ethylenediaminetetraacetic acid (EDTA) and superoxide dismutase (SOD) has been investigated by...

Hannah, H.W., 1987: The liability potential in helping impaired veterinarians. Journal of the American Veterinary Medical Association 191(11): 1384-1385

Cantaluppi Giammario, 1972: Revision of Grammoceras bassanii, a controversial type-species of the ammonite genera Protogrammoceras and Bassaniceras; consequences and systematic proposals at the intrageneric scale. Atti della Societa Italiana di Scienze Naturali e del Museo Civico di Storia Naturale de Milano 113(4): 335-356

Ewing, H.E., 1932: Notes on the taxonomy of three economic species of mites, including the description of a new species. The American form of strawberry mite should be known as T[arsonemus] pallidus Banks; Eriophyes tenuis (Xalepa) has been introduced into S. Dakota, and was injurious to wheat, barley, and straw in a greenhouse; Locustacarus locustae 9 (p. 100) from...

Yakumaru, M.; Nakatsugawa, H.; Iwamoto, Y.; Ikemoto, T., 2003: Alpha-hydroxy fatty acid derivatives and external compositions containing the same. An oily base, which has excellent stability, a low melting point and does not irritate the skin and an external composition which contains the oily base. The present invention is directed to an alpha-hydroxy fatty acid derivatives represented by t...

Ballou, C., 1976: Structure and biosynthesis of the mannan component of the yeast cell envelope. This review includes details of the structure of mannans from several yeasts including Candida albicans.