Quantifying the Implementation and Cost of a Multisite Antibiotic Stewardship Intervention for Asymptomatic Bacteriuria Article Swipe
Eva Amenta
,
Larissa Grigoryan
,
Suja S. Rajan
,
David J. Ramsey
,
Jennifer R. Kramer
,
Annette Walder
,
Andrew Chou
,
John Van
,
Sarah L. Krein
,
Sylvia J. Hysong
,
Aanand D. Naik
,
Barbara W. Trautner
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1017/ash.2023.198
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1017/ash.2023.198
Objective: The intensity of an antibiotic stewardship intervention to achieve clinical impact is not known. We conducted a multisite dissemination project of an intervention to reduce treatment of asymptomatic bacteriuria (ASB) and studied: (1) the association between implementation metrics and clinical outcomes and (2) the cost of implementation. Design/Setting/Participants: A central site facilitated a multimodality intervention to decrease unnecessary urine cultures and antibiotic treatment in patients with ASB at 4 Veterans Affairs medical centers. Methods: The intervention consisted of a decision support aid algorithm and interactive teaching cases that provided in the moment audit and feedback on how to manage ASB. Implementation outcomes included minutes spent in intervention delivery, number of healthcare professionals reached, and number of sessions delivered. Clinical outcomes included days of antibiotic therapy (DOT), length of antibiotic therapy (LOT), and number of urine cultures ordered per 1000 bed days. Personnel reported weekly time logs. Results: Minutes spent in intervention delivery were inversely correlated with two clinical outcomes, DOT ( R −0.3, P = .04) and LOT ( R −0.3, P = .02). Number of healthcare professionals reached and number of sessions delivered were not correlated with clinical outcomes of DOT ( R –0.003, P = .98, R = −0.059, P = .69) or LOT ( R +0.073, P = .62, R −0.102, P = .49). Physician champions spent an average of 3.8% of effort on the intervention. The implementation cost was USD 22,299/year per site on average. Conclusions: The amount of time local teams spent in delivery of an antibiotic stewardship intervention was correlated with the desired decrease in antibiotic use. Implementing this successful antibiotic stewardship intervention required minimal time.
Related Topics
Concepts
Medicine
Intervention (counseling)
Antimicrobial stewardship
Antibiotic Stewardship
Bacteriuria
Health care
Emergency medicine
Antibiotics
Antibiotic resistance
Nursing
Urine
Internal medicine
Economic growth
Microbiology
Biology
Economics
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1017/ash.2023.198
- https://www.cambridge.org/core/services/aop-cambridge-core/content/view/AA1E789EC32E94B4D00BAF3787B00239/S2732494X23001985a.pdf/div-class-title-quantifying-the-implementation-and-cost-of-a-multisite-antibiotic-stewardship-intervention-for-asymptomatic-bacteriuria-div.pdf
- OA Status
- gold
- Cited By
- 5
- References
- 22
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4382775673
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4382775673Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1017/ash.2023.198Digital Object Identifier
- Title
-
Quantifying the Implementation and Cost of a Multisite Antibiotic Stewardship Intervention for Asymptomatic BacteriuriaWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-01-01Full publication date if available
- Authors
-
Eva Amenta, Larissa Grigoryan, Suja S. Rajan, David J. Ramsey, Jennifer R. Kramer, Annette Walder, Andrew Chou, John Van, Sarah L. Krein, Sylvia J. Hysong, Aanand D. Naik, Barbara W. TrautnerList of authors in order
- Landing page
-
https://doi.org/10.1017/ash.2023.198Publisher landing page
- PDF URL
-
https://www.cambridge.org/core/services/aop-cambridge-core/content/view/AA1E789EC32E94B4D00BAF3787B00239/S2732494X23001985a.pdf/div-class-title-quantifying-the-implementation-and-cost-of-a-multisite-antibiotic-stewardship-intervention-for-asymptomatic-bacteriuria-div.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.cambridge.org/core/services/aop-cambridge-core/content/view/AA1E789EC32E94B4D00BAF3787B00239/S2732494X23001985a.pdf/div-class-title-quantifying-the-implementation-and-cost-of-a-multisite-antibiotic-stewardship-intervention-for-asymptomatic-bacteriuria-div.pdfDirect OA link when available
- Concepts
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Medicine, Intervention (counseling), Antimicrobial stewardship, Antibiotic Stewardship, Bacteriuria, Health care, Emergency medicine, Antibiotics, Antibiotic resistance, Nursing, Urine, Internal medicine, Economic growth, Microbiology, Biology, EconomicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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5Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 2, 2024: 2, 2023: 1Per-year citation counts (last 5 years)
- References (count)
-
22Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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