Next Article in Journal
Pharmacokinetic/Toxicity Properties of the New Anti-Staphylococcal Lead Compound SK-03-92
Next Article in Special Issue
Utilizing Monte Carlo Simulations to Optimize Institutional Empiric Antipseudomonal Therapy
Previous Article in Journal
Co-Selection of Resistance to Antibiotics, Biocides and Heavy Metals, and Its Relevance to Foodborne Pathogens
Previous Article in Special Issue
Antibiotic Stewardship Initiatives as Part of the UK 5-Year Antimicrobial Resistance Strategy

Remote Antimicrobial Stewardship in Community Hospitals

Brody School of Medicine, 600 Moye Blvd, Greenville, NC 27834, USA
Vidant Medical Center, 2100 Stantonsburg Rd, Greenville, NC 27834, USA
Author to whom correspondence should be addressed.
Academic Editors: Jerod Nagel and Angela Huang
Antibiotics 2015, 4(4), 605-616;
Received: 20 September 2015 / Revised: 6 November 2015 / Accepted: 10 November 2015 / Published: 13 November 2015
(This article belongs to the Special Issue Antimicrobial Stewardship)
Antimicrobial stewardship has become standard practice at university medical centers, but the practice is more difficult to implement in remote community hospitals that lack infectious diseases trained practitioners. Starting in 2011, six community hospitals within the Vidant Health system began an antimicrobial stewardship program utilizing pharmacists who reviewed charts remotely from Vidant Medical Center. Pharmacists made recommendations within the electronic medical record (EMR) to streamline, discontinue, or switch antimicrobial agents. Totals of charts reviewed, recommendations made, recommendations accepted, and categories of intervention were recorded. Linear regression was utilized to measure changes in antimicrobial use over time. For the four larger hospitals, recommendations for changes were made in an average of 45 charts per month per hospital and physician acceptance of the pharmacists’ recommendations varied between 83% and 88%. There was no significant decrease in total antimicrobial use, but much of the use was outside of the stewardship program’s review. Quinolone use decreased by more than 50% in two of the four larger hospitals. Remote antimicrobial stewardship utilizing an EMR is feasible in community hospitals and is generally received favorably by physicians. As more community hospitals adopt EMRs, there is an opportunity to expand antimicrobial stewardship beyond the academic medical center. View Full-Text
Keywords: antibiotics; antimicrobials; electronic medical record; stewardship; community hospitals antibiotics; antimicrobials; electronic medical record; stewardship; community hospitals
MDPI and ACS Style

Wood, Z.H.; Nicolsen, N.C.; Allen, N.; Cook, P.P. Remote Antimicrobial Stewardship in Community Hospitals. Antibiotics 2015, 4, 605-616.

AMA Style

Wood ZH, Nicolsen NC, Allen N, Cook PP. Remote Antimicrobial Stewardship in Community Hospitals. Antibiotics. 2015; 4(4):605-616.

Chicago/Turabian Style

Wood, Zachary H., Nicole C. Nicolsen, Nichole Allen, and Paul P. Cook. 2015. "Remote Antimicrobial Stewardship in Community Hospitals" Antibiotics 4, no. 4: 605-616.

Find Other Styles

Article Access Map by Country/Region

Only visits after 24 November 2015 are recorded.
Back to TopTop