Electronic Alerts with Automated Consultations Promote Appropriate Antimicrobial Prescriptions.

ABSTRACT:

Background

To promote appropriate antimicrobial use in bloodstream infections (BSIs), we initiated an intervention program consisting of electronic alerts and automated infectious diseases consultations in which the identification and antimicrobial susceptibility test (ID/AST) results were reported.

Methods

We compared the appropriateness of antimicrobial prescriptions and clinical outcomes in BSIs before and after initiation of the program. Appropriateness was assessed in terms of effective therapy, optimal therapy, de-escalation therapy, and intravenous to oral switch therapy.

Results

There were 648 BSI episodes in the pre-program period and 678 in the program period. The proportion of effective, optimal, and de-escalation therapies assessed 24 hours after the repor

SUBMITTER: Kim M 

PROVIDER: S-EPMC4988717 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature