Mueller, Kylie

Wilson, Audra

English

ePublications at Regis University

Regis UniversityePublications at Regis UniversityCelebration of Scholarship and Research Center for Scholarship and Research EngagementSpring 4-11-2017Implementation of education with ongoingfeedback for the appropriate treatment anddiagnosis of urinary tract infections: Antimicrobialstewardship collaborative with Colorado HospitalAssociationAudra WilsonRegis UniversityKylie MuellerRegis UniversityFollow this and additional works at: https://epublications.regis.edu/csre_celebrationscholarshipThis Poster is brought to you for free and open access by the Center for Scholarship and Research Engagement at ePublications at Regis University. Ithas been accepted for inclusion in Celebration of Scholarship and Research by an authorized administrator of ePublications at Regis University. Formore information, please contact epublications@regis.edu.Recommended CitationWilson, Audra and Mueller, Kylie, "Implementation of education with ongoing feedback for the appropriate treatment and diagnosis ofurinary tract infections: Antimicrobial stewardship collaborative with Colorado Hospital Association" (2017). Celebration ofScholarship and Research. 21.https://epublications.regis.edu/csre_celebrationscholarship/214/17/20171PURPOSE METHODS RESULTS CONCLUSIONS / EVALUATIONDISCLOSURESImplementation of education with ongoing feedback for the appropriate treatment and diagnosis of urinary tract infections: Antimicrobial Stewardship Collaborative with Colorado Hospital AssociationAudra Wilson, Pharm.D. Candidate, Class of 2017Kylie Mueller, Pharm.D., BCPS• Urinary tract infections (UTIs) are one of the most common indications for antibiotics among hospitalized patients• Colorado Hospital Association (CHA) has  implemented an Antimicrobial Stewardship Collaborative as a result of:o Inappropriate treatment of asymptomatic bacteriuriao Increased urinary pathogen resistance• The goals of this collaborative include the following: o Decrease the rate of Clostridium difficileinfection (CDI)o Reduce fluoroquinolone (FQ) use for UTIso Limit duration of treatment for UTIso Reduce readmission rates for UTIso Improve the accurate diagnosis of UTIs according to the Infectious Diseases Society of America (IDSA) guidelinesStudy Design: • Pre- and post-implementation project: combined retrospective chart review and prospective, post-implementation studyInclusion Criteria:• Patients discharged from Swedish Medical Center (SMC) with a primary or secondary diagnosis of a UTIExclusion Criteria: • <18 years of age• Pregnancy• Discharge antibiotic and/or duration unknownBaseline Data Collection:• Chart review of 80 randomly selected patients during 2014Intervention Phase:• Daily audit of FQ prescribing for UTIs with feedback to providers• Bimonthly educational sessions• Distribution of UTI diagnosis algorithms • Quarterly review of 20 randomly selected patients with UTI diagnoses • Fluoroquinolone prescribing and readmissions for UTIs have decreased• Some improvement in the appropriate diagnosis of UTIs has been shown• Expect to see continued decreases in the treatment of asymptomatic bacteriuria with daily education• Pharmacist education of providers is a highly effective way to improve appropriate use of antimicrobials• Ongoing participation in the collaborative will continue until July 2017 to  show sustainability of interventionsAuthors of this presentation have nothing to disclose concerning potential financial or personal relationships with commercial entities that may have a direct or indirect interest in the subject matter of this presentation:• Audra Wilson: Nothing to disclose• Kylie Mueller: Nothing to disclose3-0034854020406080100Appropriate UTI Diagnosis (%)Baseline POST Implementation5643020406080100FQ Prescribing (%)Baseline POST Implementation510246810Readmission for UTI (%)Baseline POST Implementation4/17/20172020406080100Appropriate UTI DiagnosisBaseline POST Implementation4/17/20173020406080100FQ PrescribingBaseline POST Implementation4/17/201740246810Readmission for UTIBaseline POST Implementation

Implementation of education with ongoing feedback for the appropriate treatment and diagnosis of urinary tract infections: Antimicrobial stewardship collaborative with Colorado Hospital Association

https://epublications.regis.edu/cgi/viewcontent.cgi?article=1020&context=csre_celebrationscholarship

Implementation of education with ongoing feedback for the appropriate treatment and diagnosis of urinary tract infections: Antimicrobial stewardship collaborative with Colorado Hospital Association

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