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Identifying Hospital Antimicrobial Resistance Targets via Robust Ranking.

J Paul Brooks1, José H Dulá1, Amy L Pakyz1

  • 1Virginia Commonwealth University, Richmond, VA, USA.

IISE Transactions on Healthcare Systems Engineering
|May 18, 2019
PubMed
Summary
This summary is machine-generated.

A new robust ranking method identifies trends in antibiotic resistance (AR) rates across hospitals. This approach detects dangerous AR trends and guides hospital management practices for better antibiotic stewardship.

Keywords:
L1-norm line-fittingantimicrobial resistancehospital managementrobust ranking

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Area of Science:

  • Infectious Diseases
  • Public Health
  • Health Management

Background:

  • Antibiotic resistance (AR) is a growing global health threat.
  • Monitoring AR rates across healthcare facilities is crucial for effective intervention.
  • Existing methods for analyzing AR data may be sensitive to outliers and measurement variations.

Purpose of the Study:

  • To develop a robust ranking procedure for analyzing trends in antibiotic resistance (AR) rates.
  • To demonstrate the utility of this method in identifying potentially dangerous AR trends.
  • To guide attention towards hospital management practices influencing AR rates.

Main Methods:

  • Development of a novel robust ranking procedure to analyze AR rate variations.
  • The method is designed to be less sensitive to outlier observations compared to existing robust techniques.
  • Application and validation of the procedure using real-world AR data.

Main Results:

  • The proposed method successfully identified a dangerous trend in a specific antibiotic-resistance rate.
  • Demonstrated the capability to detect significant variations in AR rates over several years.
  • The procedure effectively highlights potential issues in hospital management practices related to AR.

Conclusions:

  • The developed robust ranking procedure is effective for uncovering trends in antibiotic resistance.
  • Systematic collection and reporting of AR data across hospitals can yield significant benefits.
  • This approach aids in proactive management of antibiotic resistance and improving patient outcomes.