Poster: Impact of an Integrated Tele-Antimicrobial Stewardship Program (TASP) at a Rural Community Hospital - Infectious Disease Connect Poster: Impact of an Integrated Tele-Antimicrobial Stewardship Program (TASP) at a Rural Community Hospital - Infectious Disease Connect
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Academic Literature

Poster: Impact of an Integrated Tele-Antimicrobial Stewardship Program (TASP) at a Rural Community Hospital

This poster highlighting an integrated tele-antimicrobial stewardship clinical decision support system implementation was originally presented at IDWeek 2021, held virtually Sept. 29 – Oct. 3, 2021.

Sui Kwong Li, M.D.1,2; Erin K. McCreary, PharmD1,2; Tina Khadem, PharmD1,2; Nancy Zimmerman, RN, BSN2, Sarah Burgdorf, M.D., Ph.D.1,2, Nupur Gupta, DO MPH1,2, Kate Gass, BSN3, Gary S. Fisher, PharmD3, James W. Backstrom, M.D.3, Robin L. Portman, PharmD3; Sara Schwarz, PharmD3; Kimberly Schultz, RPh3, Jenessa Heller, PharmD3, Kris Bearer, RPh3, Jayne Schreckengost, RPh3, Jennifer Prazenica, RPh3, John W. Mellors, M.D.1,2; Rima C. Abdel-Massih, M.D.1,2; J. Ryan Bariola, M.D.1,2

1. Division of Infectious Diseases, UPMC 2. Infectious Disease Connect, Pittsburgh, PA USA 3. 3 Armstrong County Memorial Hospital, Kittanning, PA

Conclusions

  • Tele-Antimicrobial Stewardship Program (TASP) in a rural community hospital resulted in a high percentage of accepted stewardship interventions and lower antimicrobial usage.
  • Success is dependent on robust educational efforts, establishing strong relationships with local providers, and involvement of key stakeholders.
  • Lack of dedicated stewardship time for local pharmacists is a very significant barrier to TASP success.

Objective

  • Small hospitals in the US may lack access to infectious diseases (ID) expertise despite similar rates of antimicrobial use and drug-resistant bacteria as larger hospitals.
  • A tele-antimicrobial stewardship program (TASP) is a force multiplier, expanding access to specialty care, training, and guidance on appropriate resource utilization.
  • Data on the impact of TASPs in community or rural inpatient settings is limited.

Background

Methods

Results

Table 1 TASP Accomplishments
Patient CareGuidelinesMicrobiology LabPoliciesEducation
Available for patient­-related questions via email outside of daily TASP callEmpiric antimicrobials for common infectionsEnhanced culture results display to providers in electronic health record for improved readabilityIndications for use on electronic antibiotic orders Introduction to stewardship webinar
Coaching on conducting through beta-lactam allergy historyCOVID-19Added clinician comments to culture and laboratory test resultsSurgical prophylaxisMonthly stewardship pearl newsletter
Stewardship intervention formCAPUpdated AST panels and reporting rules to align with current breakpointsAminoglycoside dosingTocilizumab weinar
Patient monitoring formHAP/VAPRevised antibiotic reporting rules for Enterococcus spp. isolated in urine culturesRenal dosingCOVID-19 monthly updates and webinars
Prospective audit with feedback M-FProcalcitoninRevised cascade reporting rulesMDRO and isolation
IV to PO conversionUpdated local antiiogramVancomycin dosing in dialysis

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