Providing value to patients and providers via a pediatric statewide antibiogram in South Carolina

Antimicrobial stewardship has special challenges in particular populations and facilities, including pediatrics. We sought to augment the information available to antimicrobial stewardship programs (ASPs) by created a cumulative statewide antibiogram for neonatal and pediatric populations. In the An...

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Bibliographic Details
Published inAntimicrobial stewardship & healthcare epidemiology : ASHE Vol. 3; no. 1; p. e78
Main Authors Bailey, Pamela, Antosz, Kayla, Daniels, Robert, Gainey, Andrew B, Burch, Anna Kathryn
Format Journal Article
LanguageEnglish
Published England Cambridge University Press 2023
Subjects
Antibiotics
Antimicrobial agents
Collaboration
Complex patients
Disease control
Drug resistance
Health care
Hospitals
Medical referrals
Original
Outpatient care facilities
Pediatrics
Pharmacists
Staphylococcus infections
United States > US
South Carolina
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Summary:Antimicrobial stewardship has special challenges in particular populations and facilities, including pediatrics. We sought to augment the information available to antimicrobial stewardship programs (ASPs) by created a cumulative statewide antibiogram for neonatal and pediatric populations. In the Antimicrobial Stewardship Collaborative of South Carolina (ASC-SC), we created statewide antibiograms, including a separate antibiogram accounting for the pediatric and neonatal intensive care unit (NICU) populations. We collated data from the 4 pediatric and 3 NICU facilities in the state to provide a cumulative statewide antibiogram. Methicillin-susceptible Staphylococcus aureus was more prevalent than methicillin-resistant Staphylococcus aureus. Pseudomonas aeruginosa, Citrobacter koserii, and Acinetobacter baumannii were isolated in only 1 NICU. These antibiograms should improve empiric prescribing in both the inpatient and outpatient setting, providing data in some areas that historically do not have pediatric antibiogram to inform prescribing. The antibiogram alone is not sufficient independently to improve prescribing but is one important aspect of stewardship in the pediatric population of South Carolina.
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ISSN:2732-494X
2732-494X
DOI:10.1017/ash.2023.149