Implementation of a consensus protocol for antibiotic use for bone and joint infection to reduce unnecessary outpatient parenteral antimicrobial therapy: A quality improvement initiative.

ABSTRACT:

Objective

We aimed to decrease the use of outpatient parenteral antimicrobial therapy (OPAT) for patients admitted for bone and joint infections (BJIs) by applying a consensus protocol to suggest oral antibiotics for BJI.

Design

A quasi-experimental before-and-after study.

Setting

Inpatient setting at a single medical center.

Patients

All inpatients admitted with a BJI.

Methods

We developed a consensus table of oral antibiotics for BJI among infectious diseases (ID) specialists. Using the consensus table, we implemented a protocol consisting of a weekly reminder e-mail and case-based discussion with the consulting ID physician. Outcomes of patients during the implementation period (November 1, 2020, to May 31, 2021) were compared with those during the pr

SUBMITTER: Suzuki H 

PROVIDER: S-EPMC9614991 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature