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AntibiogramDSM: a combined local antibiogram and educational intervention.

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A combined local antibiogram improved healthcare providers' ability to predict antimicrobial resistance rates. This educational intervention demonstrated significant gains in accurate responses for common infections like pneumonia and urinary tract infections.

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Area of Science:

  • Microbiology and Infectious Diseases
  • Medical Education
  • Public Health

Background:

  • Antimicrobial resistance is a growing global health threat.
  • Local antibiograms are crucial for guiding appropriate antibiotic selection.
  • Educational interventions can improve healthcare provider knowledge and practice regarding antimicrobial stewardship.

Purpose of the Study:

  • To develop a combined local antibiogram for multiple healthcare systems.
  • To assess the utility of this antibiogram in an educational intervention.
  • To evaluate the impact of the education on healthcare providers' understanding of local resistance patterns.

Main Methods:

  • A retrospective analysis was conducted using data from four health systems over four years.
  • A combined antibiogram was created and aggregated from yearly data.
  • An educational intervention, including pre- and post-assessments, was delivered via webinar.

Main Results:

  • Over 123,000 isolates were analyzed, representing 57 species and 46 antibiotics.
  • Pre-intervention, prediction of local resistance rates for key pathogens was poor.
  • Post-intervention, correct response rates significantly improved for pneumonia, UTI, and diverticulitis.

Conclusions:

  • A combined local antibiogram is a valuable tool for developing and supporting educational programs.
  • The educational intervention effectively enhanced healthcare providers' knowledge of local antimicrobial resistance.
  • This approach can improve antimicrobial stewardship and patient outcomes.