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Sustainability Of An Outpatient Antibiotic Stewardship Program, Kristin Smith
Sustainability Of An Outpatient Antibiotic Stewardship Program, Kristin Smith
Dissertations
Abstract
Problem: Antibiotic stewardship is an effort to evaluate and improve the use of antibiotics by providers and patients. Antibiotic stewardship programs (ASPs) promote the appropriate use of antibiotics. There is increasing evidence that supports the use of antibiotic stewardship programs in reducing antibiotic prescribing rates while continuing to maintain safe patient care. Research supports approaches with multiple interventions and ongoing commitment to antibiotic stewardship. However, information regarding long-term sustainability of antibiotic stewardship programs is lacking. The purpose of this quality assurance project was to assess long-term sustainability of a previously implemented ASP promoting appropriate prescribing of antibiotics for the …
Implementing The Cdcs Core Elements Of Outpatient Antibiotic Stewardship Program Into The Urgent Care, Deanna Powelson
Implementing The Cdcs Core Elements Of Outpatient Antibiotic Stewardship Program Into The Urgent Care, Deanna Powelson
Dissertations
Purpose: The inappropriate use of antibiotics has led to the development of antimicrobial
resistance which is a severe threat to the public and an increasing global problem. The
Centers for Disease Control and Prevention (CDC) estimates at least two million illnesses
and 23,000 deaths are caused by antibiotic-resistant bacteria in the United States (CDC,
2014). The purpose of this quality improvement (QI) project was to evaluate the
effectiveness of an antibiotic stewardship program (ASP) on urgent care providers'
prescribing on viral respiratory tract infections (RTIs) including the common cold,
pharyngitis, and bronchitis.
Methods: This QI project implemented the CDCs Core …
Prophylactic Antibiotic Use In Female Patients With Pelvic Floor Reconstructive Surgery: A Retrospective Comparative Effectiveness Study, Courtney E. Turnbough
Prophylactic Antibiotic Use In Female Patients With Pelvic Floor Reconstructive Surgery: A Retrospective Comparative Effectiveness Study, Courtney E. Turnbough
Dissertations
Problem: The purpose of this project was to determine the most effective prophylactic antibiotic to decrease the number of patients who have urinary tract infections (UTIs) after pelvic floor reconstructive surgery in a gynecological reconstructive surgery practice.
Methods: This was a retrospective chart review from 2015-2017 that included 732 subjects from a single practice. All patients underwent pelvic floor reconstructive surgery, with or without a midurethral sling placed. Patients also had a catheter and vaginal packing postoperatively. Patients who had a culture-proven UTI within the six-week postoperative period were noted.
Results: There were less UTIs (χ2 = 12.119, df = …