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Evaluating antimicrobial use with an algorithm

American Journal of Hospital Pharmacy

|October 1, 1981

Summary

This summary is machine-generated.

An algorithm for evaluating antimicrobial use was developed and refined using a literature search. This tool helps hospitals efficiently establish audit criteria, saving time and improving antimicrobial stewardship.

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Area of Science:

Pharmacology
Infectious Diseases
Healthcare Management

Background:

Antimicrobial use requires careful evaluation to ensure efficacy and prevent resistance.
Developing standardized criteria for antimicrobial audits can be time-consuming.
Existing methods for evaluating antimicrobial prescribing may lack comprehensive screening criteria.

Purpose of the Study:

To describe an algorithm for evaluating antimicrobial use.
To refine the algorithm's criteria through a literature search.
To assess the algorithm's impact on establishing audit criteria in hospital settings.

Main Methods:

An algorithm was initially developed based on a survey of antimicrobial use in 117 patients.
A comprehensive literature search was conducted to refine the algorithm's screening criteria.

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Ten new criteria were added, with six specifically addressing prophylactic antimicrobial use.

The refined algorithm was implemented in two hospitals for evaluation.

Main Results:

The algorithm's development involved an initial patient survey and subsequent literature review.
Refinement led to the addition of 10 new criteria, enhancing the algorithm's scope.
Implementation in two hospitals demonstrated a reduction in the time required to establish final audit criteria.
The algorithm proved effective in streamlining the audit criteria development process.

Conclusions:

The developed algorithm provides an integrated series of screening criteria for evaluating antimicrobial use.
Refinement through literature search significantly enhanced the algorithm's comprehensiveness, particularly for prophylactic antimicrobials.
Hospital implementation confirmed the algorithm's utility in reducing the time and effort needed for establishing audit criteria.
This algorithm serves as a valuable tool for antimicrobial stewardship programs aiming for efficient and effective auditing.