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Quality Metrics for Antimicrobial Stewardship Programs.

Michelle Science1,2, Kathryn Timberlake3, Andrew Morris4,5

  • 1Division of Infectious Diseases and michelle.science@sickkids.ca.

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|March 31, 2019
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Summary
This summary is machine-generated.

Standard metrics for pediatric antimicrobial stewardship programs (ASPs) were established to optimize antimicrobial use. Four key metrics were agreed upon to improve pediatric ASP outcomes nationally and internationally.

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Area of Science:

  • Pediatric Infectious Diseases
  • Health Services Research
  • Quality Improvement

Background:

  • Antimicrobial stewardship programs (ASPs) aim to optimize antimicrobial use.
  • Established metrics for pediatric ASPs are lacking, hindering outcome assessment.
  • This project sought to develop consensus on standard metrics for pediatric ASPs.

Purpose of the Study:

  • To identify, refine, and establish consensus on standard outcome metrics for pediatric antimicrobial stewardship programs (ASPs).

Main Methods:

  • A modified Delphi process involving 2 surveys and a face-to-face meeting was used.
  • Experts and stakeholders ranked metrics based on scientific merit, impact, feasibility, and accountability.
  • Metrics with ≥75% agreement were included; those with ≤25% were discarded.

Main Results:

  • Consensus was reached on 4 metrics across 4 domains: antimicrobial consumption (days of therapy/1000 patient-days, total antimicrobial days), clinical outcomes (30-day readmission rate), and process measures (adherence to ASP recommendations).
  • A microbiologic outcome metric was deemed important but lacked consensus.
  • Barriers included information technology limitations.

Conclusions:

  • Consensus was achieved on 4 metrics for evaluating pediatric antimicrobial stewardship activities in Canada.
  • Adoption of these metrics can facilitate standardized outcome measurement for pediatric ASPs globally.