Reducing Community-Acquired CDIFF Admissions: Outpatient Antimicrobial Stewardship.

IF 1.1 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal for Healthcare Quality Pub Date : 2026-04-01 DOI:10.1097/JHQ.0000000000000507

Taylor Trahan, Christopher Wexler

{"title":"Reducing Community-Acquired CDIFF Admissions: Outpatient Antimicrobial Stewardship.","authors":"Taylor Trahan, Christopher Wexler","doi":"10.1097/JHQ.0000000000000507","DOIUrl":null,"url":null,"abstract":"Introduction: According to the CDC, approximately 80%-90% of antibiotic use occurs among outpatients and at least 30% of these prescriptions are unnecessary.Methods: In 2024, multidisciplinary team at our institution developed a program to monitor outpatient antibiotic use for high priority respiratory conditions. Best practice guidelines from the Agency for Healthcare Research and Quality Outpatient Antibiotic Stewardship Toolkit were used, and feedback was provided to providers in the program. Data were tracked using an electronic medical record to pull high priority respiratory conditions such as upper respiratory infection, acute bronchitis, sinusitis, otitis media, pharyngitis, and pneumonia by ICD-10.Results: Antibiotic Prescription rates decreased from 528.32 antibiotics per 1,000 persons in 2023 to 270.91 in 2024 ( p < .05). Overall community-acquired C. difficile admissions decreased from 21 in 2023 to 16 in 2024 ( p > .05). The percentage of C. difficile admissions with outpatient antibiotics within 90 days reduced from 8 (33%) in 2023 to 1 (6%) in 2024 ( p < .05).Conclusions: Outpatient Antibiotic Stewardship Programs can reduce the number of inappropriate prescriptions potentially leading to a reduced risk for patients developing C. difficile . A cost savings was established to promote key stakeholder buy in and program sustainability.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":" ","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal for Healthcare Quality","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/JHQ.0000000000000507","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: According to the CDC, approximately 80%-90% of antibiotic use occurs among outpatients and at least 30% of these prescriptions are unnecessary.

Methods: In 2024, multidisciplinary team at our institution developed a program to monitor outpatient antibiotic use for high priority respiratory conditions. Best practice guidelines from the Agency for Healthcare Research and Quality Outpatient Antibiotic Stewardship Toolkit were used, and feedback was provided to providers in the program. Data were tracked using an electronic medical record to pull high priority respiratory conditions such as upper respiratory infection, acute bronchitis, sinusitis, otitis media, pharyngitis, and pneumonia by ICD-10.

Results: Antibiotic Prescription rates decreased from 528.32 antibiotics per 1,000 persons in 2023 to 270.91 in 2024 ( p < .05). Overall community-acquired C. difficile admissions decreased from 21 in 2023 to 16 in 2024 ( p > .05). The percentage of C. difficile admissions with outpatient antibiotics within 90 days reduced from 8 (33%) in 2023 to 1 (6%) in 2024 ( p < .05).

Conclusions: Outpatient Antibiotic Stewardship Programs can reduce the number of inappropriate prescriptions potentially leading to a reduced risk for patients developing C. difficile . A cost savings was established to promote key stakeholder buy in and program sustainability.

查看原文本刊更多论文

减少社区获得性CDIFF入院：门诊抗菌药物管理。

导言：根据美国疾病控制与预防中心的数据，大约80%-90%的抗生素使用发生在门诊患者中，其中至少30%的处方是不必要的。方法：2024年，我院多学科团队制定了一项监测高优先级呼吸道疾病门诊抗生素使用情况的计划。使用了医疗保健研究机构和质量门诊抗生素管理工具包的最佳实践指南，并向项目中的提供者提供了反馈。使用电子病历跟踪数据，根据ICD-10提取高优先级呼吸系统疾病，如上呼吸道感染、急性支气管炎、鼻窦炎、中耳炎、咽炎和肺炎。结果：抗生素处方率由2023年的528.32药/千人下降到2024年的270.91药/千人（p < 0.05）。总的社区获得性艰难梭菌入院率从2023年的21例下降到2024年的16例（p < 0.05）。艰难梭菌在90天内使用抗生素入院的比例从2023年的8例（33%）下降到2024年的1例（6%）（p < 0.05）。结论：门诊抗生素管理计划可以减少不适当处方的数量，从而降低患者患艰难梭菌的风险。建立了成本节约以促进关键利益相关者的购买和项目的可持续性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal for Healthcare Quality HEALTH CARE SCIENCES & SERVICES-

CiteScore

2.10

自引率

0.00%

发文量

期刊介绍： The Journal for Healthcare Quality (JHQ), a peer-reviewed journal, is an official publication of the National Association for Healthcare Quality. JHQ is a professional forum that continuously advances healthcare quality practice in diverse and changing environments, and is the first choice for creative and scientific solutions in the pursuit of healthcare quality. It has been selected for coverage in Thomson Reuter’s Science Citation Index Expanded, Social Sciences Citation Index®, and Current Contents®. The Journal publishes scholarly articles that are targeted to leaders of all healthcare settings, leveraging applied research and producing practical, timely and impactful evidence in healthcare system transformation. The journal covers topics such as: Quality Improvement • Patient Safety • Performance Measurement • Best Practices in Clinical and Operational Processes • Innovation • Leadership • Information Technology • Spreading Improvement • Sustaining Improvement • Cost Reduction • Payment Reform