Antimicrobial Stewardship for a Geriatric Behavioral Health Population
Antimicrobial resistance is a growing public health concern. Antimicrobial stewardship and multi-disciplinary intervention can prevent inappropriate antimicrobial use and improve patient care. Special populations, especially older adults and patients with mental health disorders, can be particularly...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2016-01-01
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| Series: | Antibiotics |
| Subjects: | |
| Online Access: | http://www.mdpi.com/2079-6382/5/1/8 |
| _version_ | 1828353727869747200 |
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| author | Kristen Ellis Georgina Rubal-Peace Victoria Chang Eva Liang Nicolas Wong Stephanie Campbell |
| author_facet | Kristen Ellis Georgina Rubal-Peace Victoria Chang Eva Liang Nicolas Wong Stephanie Campbell |
| author_sort | Kristen Ellis |
| collection | DOAJ |
| description | Antimicrobial resistance is a growing public health concern. Antimicrobial stewardship and multi-disciplinary intervention can prevent inappropriate antimicrobial use and improve patient care. Special populations, especially older adults and patients with mental health disorders, can be particularly in need of such intervention. The purpose of this project was to assess the impact of pharmacist intervention on appropriateness of antimicrobial prescribing on a geriatric psychiatric unit (GPU). Patients ≥18 years old prescribed oral antibiotics during GPU admission were included. Antimicrobial appropriateness was assessed pre- and post-pharmacist intervention. During the six-month pre- and post-intervention phase, 63 and 70 patients prescribed antibiotics were identified, respectively. Subjects in the post-intervention group had significantly less inappropriate doses for indication compared to the pre-intervention group (10.6% vs. 23.9%, p = 0.02), and significantly less antibiotics prescribed for an inappropriate duration (15.8% vs. 32.4%, p < 0.01). There were no significant differences for use of appropriate drug for indication or appropriate dose for renal function between groups. Significantly more patients in the post intervention group had medications prescribed with appropriate dose, duration, and indication (51% vs. 66%, p = 0.04). Pharmacist intervention was associated with decreased rates of inappropriate antimicrobial prescribing on a geriatric psychiatric unit. |
| first_indexed | 2024-04-14T02:13:15Z |
| format | Article |
| id | doaj.art-764b47023bd14e50be75c0bf17ad4d82 |
| institution | Directory Open Access Journal |
| issn | 2079-6382 |
| language | English |
| last_indexed | 2024-04-14T02:13:15Z |
| publishDate | 2016-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antibiotics |
| spelling | doaj.art-764b47023bd14e50be75c0bf17ad4d822022-12-22T02:18:22ZengMDPI AGAntibiotics2079-63822016-01-0151810.3390/antibiotics5010008antibiotics5010008Antimicrobial Stewardship for a Geriatric Behavioral Health PopulationKristen Ellis0Georgina Rubal-Peace1Victoria Chang2Eva Liang3Nicolas Wong4Stephanie Campbell5Banner Medical University Center South, 2800 E Ajo Way, Tucson, AZ 85713, USABanner Medical University Center South, 2800 E Ajo Way, Tucson, AZ 85713, USAUniversity of Arizona College of Pharmacy, 1295 N Martin PO Box 210202, Tucson, AZ 85721-0202, USAUniversity of Arizona College of Pharmacy, 1295 N Martin PO Box 210202, Tucson, AZ 85721-0202, USAUniversity of Arizona College of Pharmacy, 1295 N Martin PO Box 210202, Tucson, AZ 85721-0202, USAUniversity of Arizona College of Pharmacy, 1295 N Martin PO Box 210202, Tucson, AZ 85721-0202, USAAntimicrobial resistance is a growing public health concern. Antimicrobial stewardship and multi-disciplinary intervention can prevent inappropriate antimicrobial use and improve patient care. Special populations, especially older adults and patients with mental health disorders, can be particularly in need of such intervention. The purpose of this project was to assess the impact of pharmacist intervention on appropriateness of antimicrobial prescribing on a geriatric psychiatric unit (GPU). Patients ≥18 years old prescribed oral antibiotics during GPU admission were included. Antimicrobial appropriateness was assessed pre- and post-pharmacist intervention. During the six-month pre- and post-intervention phase, 63 and 70 patients prescribed antibiotics were identified, respectively. Subjects in the post-intervention group had significantly less inappropriate doses for indication compared to the pre-intervention group (10.6% vs. 23.9%, p = 0.02), and significantly less antibiotics prescribed for an inappropriate duration (15.8% vs. 32.4%, p < 0.01). There were no significant differences for use of appropriate drug for indication or appropriate dose for renal function between groups. Significantly more patients in the post intervention group had medications prescribed with appropriate dose, duration, and indication (51% vs. 66%, p = 0.04). Pharmacist intervention was associated with decreased rates of inappropriate antimicrobial prescribing on a geriatric psychiatric unit.http://www.mdpi.com/2079-6382/5/1/8antimicrobial stewardshippharmacistgeriatricmental health |
| spellingShingle | Kristen Ellis Georgina Rubal-Peace Victoria Chang Eva Liang Nicolas Wong Stephanie Campbell Antimicrobial Stewardship for a Geriatric Behavioral Health Population Antibiotics antimicrobial stewardship pharmacist geriatric mental health |
| title | Antimicrobial Stewardship for a Geriatric Behavioral Health Population |
| title_full | Antimicrobial Stewardship for a Geriatric Behavioral Health Population |
| title_fullStr | Antimicrobial Stewardship for a Geriatric Behavioral Health Population |
| title_full_unstemmed | Antimicrobial Stewardship for a Geriatric Behavioral Health Population |
| title_short | Antimicrobial Stewardship for a Geriatric Behavioral Health Population |
| title_sort | antimicrobial stewardship for a geriatric behavioral health population |
| topic | antimicrobial stewardship pharmacist geriatric mental health |
| url | http://www.mdpi.com/2079-6382/5/1/8 |
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