Implementation of an antibiotic stewardship quality improvement initiative in a community hospital for infants born at ≥35 weeks.

Antibiotics Kaiser Permanente early onset sepsis calculator neonatal intensive care unit newborn nursery quality improvement sepsis workup

Journal

Proceedings (Baylor University. Medical Center)
ISSN: 0899-8280
Titre abrégé: Proc (Bayl Univ Med Cent)
Pays: United States
ID NLM: 9302033

Informations de publication

Date de publication:
Apr 2020
Historique:
received: 12 02 2019
revised: 12 11 2019
accepted: 14 11 2019
entrez: 22 4 2020
pubmed: 22 4 2020
medline: 22 4 2020
Statut: epublish

Résumé

We present our experience in the implementation of an antibiotic stewardship quality improvement initiative directed toward infants born at ≥35 weeks using as a primary tool the Kaiser Permanente early onset sepsis calculator (KP-EOS-C) at the Baylor Scott & White Medical Center - Frisco. After the approval and support of the medical staff and administration, we proceeded to launch an extensive educational program for all women's services nursing staff on how to utilize this calculator to communicate results to the pediatricians on staff. After implementation, we saw a 54% reduction in the number of infants undergoing sepsis workup evaluations and a 51% reduction in the number of infants receiving antibiotics (

Identifiants

pubmed: 32313458
doi: 10.1080/08998280.2019.1700725
pii: 1700725
pmc: PMC7155974
doi:

Types de publication

Journal Article

Langues

eng

Pagination

188-190

Informations de copyright

Copyright © 2019 Baylor University Medical Center.

Références

Pediatrics. 2018 Dec;142(6):
pubmed: 30455342
Curr Opin Pediatr. 2016 Apr;28(2):135-40
pubmed: 26766602
JAMA Pediatr. 2017 Apr 1;171(4):365-371
pubmed: 28241253
J Perinatol. 2017 Dec;37(12):1304-1309
pubmed: 28981079
Pediatrics. 2012 May;129(5):1006-15
pubmed: 22547779
Clin Microbiol Rev. 2014 Jan;27(1):21-47
pubmed: 24396135
J Matern Fetal Neonatal Med. 2016 Dec;29(23):3860-5
pubmed: 26948457
Curr Opin Pediatr. 2016 Apr;28(2):141-9
pubmed: 26886785

Auteurs

Eduardo M Perez (EM)

Division of Neonatology, Department of Pediatrics, Baylor Scott White Medical Center - FriscoFriscoTexas.
Pediatrix Medical Group of TexasDallasTexas.

Molly Taylor (M)

Division of Neonatology, Department of Pediatrics, Baylor Scott White Medical Center - FriscoFriscoTexas.

Kristin Swanson (K)

Division of Neonatology, Department of Pediatrics, Baylor Scott White Medical Center - FriscoFriscoTexas.

Jimmy D Laferney (JD)

Department of Anesthesiology, Baylor Scott & White Medical Center - FriscoFriscoTexas.

Classifications MeSH