Evaluation of antimicrobial orders with expanded indication for use.

Antimicrobial stewardship & healthcare epidemiology : ASHE Pub Date : 2026-06-01 eCollection Date: 2026-01-01 DOI:10.1017/ash.2026.10403

Michael Carlone, Jill Wesolowski, Samantha Loutzenheiser, Chanda Mullen, Steven Gordon, Thomas Fraser, Andrea M Pallotta

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引用次数: 0

Abstract

Objective: To evaluate the impact of requiring infectious source selection on systemic antimicrobial orders for stewardship tracking.

Design and setting: Multicenter, health system quality improvement project across 17 hospitals and 21 emergency departments.

Methods: All inpatient and ED antimicrobial orders with an indication between September 1 and September 30, 2024 were analyzed. Primary outcome: Prevalence of selected infectious sources. Secondary outcomes: indication frequency, free-text use, and concordance between selected and documented sources in 500 random orders.

Results: Among 57,118 orders, empiric indication was most common (71%). Top sources: respiratory (23%), urinary/renal (19%), skin/soft tissue (16%). Concordance was 95%. Free-text entries (2.6%) often matched existing options; dental/oral emerged as a new category.

Conclusion: Infectious source selection was evaluated and supports future targeted stewardship interventions.

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扩大使用指征的抗菌药物订单的评价。

目的：评价要求传染源选择对系统抗菌药物订单管理跟踪的影响。设计和设置：17家医院和21个急诊科的多中心卫生系统质量改进项目。方法：对我院2024年9月1日至9月30日住院及急诊科有指征的抗菌药物订单进行分析。主要结局：选定传染源的流行情况。次要结果：指征频率，自由文本的使用，以及在500个随机顺序中选择和记录的来源之间的一致性。结果：57,118份医嘱中，经验性指征最为常见（71%）。主要来源：呼吸道（23%）、泌尿/肾脏（19%）、皮肤/软组织（16%）。一致性为95%。自由文本条目（2.6%）通常与现有选项匹配；牙科/口腔作为一个新类别出现。结论：对传染源选择进行了评估，并为未来有针对性的管理干预提供了支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Antimicrobial stewardship & healthcare epidemiology : ASHE

CiteScore

1.00

自引率

0.00%

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