The impact of antimicrobial stewardship ward rounds on antimicrobial use and predictors of advice, uptake, and outcomes
<p><strong>Objectives:</strong> To identify the impact of introducing antimicrobial stewardship (AMS) ward rounds.</p> <br> <p><strong>Methods:</strong> We used an interrupted time-series approach to investigate the impact of implementing AMS ward roun...
| Main Authors: | , , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
Elsevier
2025
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| _version_ | 1824459096108040192 |
|---|---|
| author | Eyre, D Pill, G Ng, B Herin, C O’Riordan, B Izzard, D Dunsmure, L Paulus, S Jeffery, K Jones, N |
| author_facet | Eyre, D Pill, G Ng, B Herin, C O’Riordan, B Izzard, D Dunsmure, L Paulus, S Jeffery, K Jones, N |
| author_sort | Eyre, D |
| collection | OXFORD |
| description | <p><strong>Objectives:</strong> To identify the impact of introducing antimicrobial stewardship (AMS) ward rounds.</p>
<br>
<p><strong>Methods:</strong> We used an interrupted time-series approach to investigate the impact of implementing AMS ward rounds with in-person feedback from a multi-disciplinary team in Hospital-1, also comparing to Hospital-2 in the same city where AMS ward rounds were not yet implemented.
Regression models were used to identify predictors of advice given, whether advice was followed, and associations between advice uptake and length of stay.</p>
<br>
<p><strong>Results:</strong> Introducing AMS ward rounds was followed by new or accelerated declines in ceftriaxone, ciprofloxacin, amoxicillin-clavulanate, meropenem and piperacillin-tazobactam use at Hospital-1.
Except for ceftriaxone, similar declines were not seen at Hospital-2. Half of reviews (3471/6878; 50%) recommended an intervention; 2003/2726 (73%) subsequently evaluated recommendations were implemented. Senior doctors were more likely than pharmacists or specialist doctors in training to recommend de-escalation/stopping antibiotics and to have their advice followed. The more prior AMS reviews completed, the more likely advice was to be followed. Following advice to de-escalate/stop antimicrobials was associated with a 0.58 day [95%CI 0.22-0.94] reduction in hospital stay.</p>
<br>
<p><strong>Conclusions:</strong> Multidisciplinary AMS ward rounds reduced antibiotic use and likely reduced length of hospital stay. Senior clinician input and more AMS experience increased advice uptake.</p> |
| first_indexed | 2025-02-19T04:36:21Z |
| format | Journal article |
| id | oxford-uuid:705efd6c-64f6-4558-ab74-44c5d90453bf |
| institution | University of Oxford |
| language | English |
| last_indexed | 2025-02-19T04:36:21Z |
| publishDate | 2025 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:705efd6c-64f6-4558-ab74-44c5d90453bf2025-02-05T09:25:42ZThe impact of antimicrobial stewardship ward rounds on antimicrobial use and predictors of advice, uptake, and outcomesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:705efd6c-64f6-4558-ab74-44c5d90453bfEnglishSymplectic ElementsElsevier2025Eyre, DPill, GNg, BHerin, CO’Riordan, BIzzard, DDunsmure, LPaulus, SJeffery, KJones, N<p><strong>Objectives:</strong> To identify the impact of introducing antimicrobial stewardship (AMS) ward rounds.</p> <br> <p><strong>Methods:</strong> We used an interrupted time-series approach to investigate the impact of implementing AMS ward rounds with in-person feedback from a multi-disciplinary team in Hospital-1, also comparing to Hospital-2 in the same city where AMS ward rounds were not yet implemented. Regression models were used to identify predictors of advice given, whether advice was followed, and associations between advice uptake and length of stay.</p> <br> <p><strong>Results:</strong> Introducing AMS ward rounds was followed by new or accelerated declines in ceftriaxone, ciprofloxacin, amoxicillin-clavulanate, meropenem and piperacillin-tazobactam use at Hospital-1. Except for ceftriaxone, similar declines were not seen at Hospital-2. Half of reviews (3471/6878; 50%) recommended an intervention; 2003/2726 (73%) subsequently evaluated recommendations were implemented. Senior doctors were more likely than pharmacists or specialist doctors in training to recommend de-escalation/stopping antibiotics and to have their advice followed. The more prior AMS reviews completed, the more likely advice was to be followed. Following advice to de-escalate/stop antimicrobials was associated with a 0.58 day [95%CI 0.22-0.94] reduction in hospital stay.</p> <br> <p><strong>Conclusions:</strong> Multidisciplinary AMS ward rounds reduced antibiotic use and likely reduced length of hospital stay. Senior clinician input and more AMS experience increased advice uptake.</p> |
| spellingShingle | Eyre, D Pill, G Ng, B Herin, C O’Riordan, B Izzard, D Dunsmure, L Paulus, S Jeffery, K Jones, N The impact of antimicrobial stewardship ward rounds on antimicrobial use and predictors of advice, uptake, and outcomes |
| title | The impact of antimicrobial stewardship ward rounds on antimicrobial use and predictors of advice, uptake, and outcomes |
| title_full | The impact of antimicrobial stewardship ward rounds on antimicrobial use and predictors of advice, uptake, and outcomes |
| title_fullStr | The impact of antimicrobial stewardship ward rounds on antimicrobial use and predictors of advice, uptake, and outcomes |
| title_full_unstemmed | The impact of antimicrobial stewardship ward rounds on antimicrobial use and predictors of advice, uptake, and outcomes |
| title_short | The impact of antimicrobial stewardship ward rounds on antimicrobial use and predictors of advice, uptake, and outcomes |
| title_sort | impact of antimicrobial stewardship ward rounds on antimicrobial use and predictors of advice uptake and outcomes |
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