Purpose: To evaluate duration of antibiotic therapy and prescribing patterns for non-ICU CAP at St Cloud Hospital, a tertiary community hospital.https://digitalcommons.centracare.com/pharmacy_posters/1000/thumbnail.jp

Schaefer, Gregory

Wigton, Ann

English

CentraCare Health

CentraCare HealthDigitalCommons@CentraCare HealthPharmacy Posters Posters and Scholarly Works12-2018Evaluation of Antibiotic Prescribing Patterns forCommunity Acquired PneumoniaGregory SchaeferCentraCare HealthAnn WigtonCentraCare HealthFollow this and additional works at: https://digitalcommons.centracare.com/pharmacy_postersPart of the Medicinal and Pharmaceutical Chemistry CommonsThis Book is brought to you for free and open access by the Posters and Scholarly Works at DigitalCommons@CentraCare Health. It has been acceptedfor inclusion in Pharmacy Posters by an authorized administrator of DigitalCommons@CentraCare Health. For more information, please contactschlepers@centracare.com.Recommended CitationSchaefer, Gregory and Wigton, Ann, "Evaluation of Antibiotic Prescribing Patterns for Community Acquired Pneumonia" (2018).Pharmacy Posters. 1.https://digitalcommons.centracare.com/pharmacy_posters/1Evaluation of Antibiotic Prescribing Patterns for                        Community Acquired PneumoniaGregory Schaefer PharmD, Ann Wigton PharmD, BCPS, BCIDPInpatient Pharmacy Services, St. Cloud Hospital, St. Cloud, MinnesotaIntroduction Evaluation• Clinical guidelines recommend a total antibiotic length of therapy (LOT) of 5-7 days for community acquired pneumonia (CAP)1 • Empiric therapy should include a respiratory fluoroquinolone or a combination of a β-lactam antibiotic plus azithromycin1• An analysis of United States hospitals found the median CAP LOT (inpatient plus outpatient) was approximately 10 days2• To evaluate duration of antibiotic therapy and prescribing patterns for non-ICU CAP at St Cloud Hospital, a tertiary community hospital• Total LOT exceeded the 7 day breakpoint by 1.4 days with outpatient LOT as the major contributor to excess antibiotic days• Prescribed antibiotic classes were consistent with guidelines and most frequently included 3rd generation cephalosporins, tetracyclines, macrolides, and fluoroquinolones• Limitations included unassessed antibiotic days prior to admission and outpatient CDI Disclosure• Authors of this presentation have the following to disclose concerning possible financial or personal relationships with commercial entities that may have direct or indirect interest in the subject matter of this presentation.Gregory Schaefer: Nothing to DiscloseAnn Wigton: Nothing to DiscloseResultsPurpose Conclusion9-417MethodsInclusion Criteria Exclusion CriteriaCAP hospitalization Hospitalized 30 days prior to index hospitalization1◦ diagnosis of bacterial or unspecified pneumoniaRehospitalized within three days after index discharge Age ≥ 18 years ICU admissionNumber of patients72 Screened22 Excluded- 14 hospitalized 30 days prior- 8 rehospitalized within 3 days50 Included• St. Cloud Hospital has an opportunity to improve CAP antibiotic length of therapy by targeting outpatient prescribing patterns Total Antibiotic Length of Therapy in Days Prescribing calculations: Inpatient = days of antibiotic class / total days of therapy; Outpatient = prescriptions of antibiotic class / total number of prescriptions*BL/BLIs = β-lactam/β-lactamase inhibitors58%40%3.6 Days(43%)2%• IRB-approved, retrospective chart review of patients discharged with a diagnosis of CAP between January 1, 2018 and June 30, 2018• Total LOT, inpatient LOT, outpatient LOT, antibiotics utilized, and inpatient Clostridioides difficile infection (CDI) were evaluatedReferences1. Mandell LA, et al. Infectious Diseases Society of America/American Thoracic Society consensus guidelines of the management of community-acquired pneumonia in adults. Clin Infect Dis 2007;44(Suppl 2):S27-S722. Yi SH, et al. Duration of antibiotic use among adults with uncomplicated community-acquired pneumonia requiring hospitalization in the united states. Clin Infect Dis 2018;66(9):1333-41Antibiotic Prescribing Patterns**= CDI event documented for one patient treated for 7 days and one patient treated for 14 days  *

Evaluation of Antibiotic Prescribing Patterns for Community Acquired Pneumonia

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Evaluation of Antibiotic Prescribing Patterns for Community Acquired Pneumonia

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