How Does Antimicrobial Stewardship Affect Inappropriate Antibiotic Therapy in Urological Patients?
Antimicrobial stewardship teams (ASTs) have been well-accepted in recent years; however, their clinical outcomes have not been fully investigated in urological patients. The purpose of this study was to evaluate the outcomes of intervention via a retrospective review of urological patients, as discu...
Main Authors: | , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2020-02-01
|
Series: | Antibiotics |
Subjects: | |
Online Access: | https://www.mdpi.com/2079-6382/9/2/63 |
id |
doaj-aa646df5012f42658d7b19b1d0942b67 |
---|---|
record_format |
Article |
spelling |
doaj-aa646df5012f42658d7b19b1d0942b672020-11-25T02:05:44ZengMDPI AGAntibiotics2079-63822020-02-01926310.3390/antibiotics9020063antibiotics9020063How Does Antimicrobial Stewardship Affect Inappropriate Antibiotic Therapy in Urological Patients?Atsushi Uda0Katsumi Shigemura1Koichi Kitagawa2Kayo Osawa3Kenichiro Onuma4Shigeaki Inoue5Joji Kotani6Yonmin Yan7Yuzo Nakano8Tatsuya Nishioka9Ikuko Yano10Takayuki Miyara11Masato Fujisawa12Department of Infection Control and Prevention, Kobe University Hospital, Kobe 650-0017, JapanDepartment of Infection Control and Prevention, Kobe University Hospital, Kobe 650-0017, JapanDivision of Infectious Diseases, Department of Public Health, Kobe University Graduate School of Health Sciences, Kobe 654-0142, JapanDivision of Infectious Diseases, Department of Public Health, Kobe University Graduate School of Health Sciences, Kobe 654-0142, JapanDepartment of Infection Control and Prevention, Kobe University Hospital, Kobe 650-0017, JapanDepartment of Disaster and Emergency Medicine, Kobe University Graduate School of Medicine, Kobe 650-0017, JapanDepartment of Disaster and Emergency Medicine, Kobe University Graduate School of Medicine, Kobe 650-0017, JapanDivision of Urology, Kobe University Graduate School of Medicine, Kobe 650-0017, JapanDivision of Urology, Kobe University Graduate School of Medicine, Kobe 650-0017, JapanDepartment of Pharmacy, Kobe University Hospital, Kobe 650-0017, JapanDepartment of Pharmacy, Kobe University Hospital, Kobe 650-0017, JapanDepartment of Infection Control and Prevention, Kobe University Hospital, Kobe 650-0017, JapanDivision of Urology, Kobe University Graduate School of Medicine, Kobe 650-0017, JapanAntimicrobial stewardship teams (ASTs) have been well-accepted in recent years; however, their clinical outcomes have not been fully investigated in urological patients. The purpose of this study was to evaluate the outcomes of intervention via a retrospective review of urological patients, as discussed in the AST meetings, who were treated with broad-spectrum antibiotics between 2014 and 2018 at the Department of Urology, Kobe University Hospital in Japan. Interventions were discussed in AST meetings for patients identified by pharmacists as having received inappropriate antibiotic therapy. The annual changes in numbers of inappropriate medications and culture submissions over five years at the urology department were statistically analyzed. Among 1,033 patients audited by pharmacists, inappropriate antibiotic therapy was found in 118 cases (11.4%). The numbers of inappropriate antibiotic use cases and of interventions for indefinite infections had significantly decreased during the study period (<i>p</i> = 0.012 and <i>p</i> = 0.033, respectively). However, the number of blood and drainage culture submissions had significantly increased (<i>p</i> = 0.009 and <i>p</i> = 0.035, respectively). Our findings suggest that urologists have probably become more familiar with infectious disease management through AST intervention, leading to a decrease in inappropriate antibiotic use and an increase in culture submissions.https://www.mdpi.com/2079-6382/9/2/63antimicrobial stewardship teaminterventionurological patient |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Atsushi Uda Katsumi Shigemura Koichi Kitagawa Kayo Osawa Kenichiro Onuma Shigeaki Inoue Joji Kotani Yonmin Yan Yuzo Nakano Tatsuya Nishioka Ikuko Yano Takayuki Miyara Masato Fujisawa |
spellingShingle |
Atsushi Uda Katsumi Shigemura Koichi Kitagawa Kayo Osawa Kenichiro Onuma Shigeaki Inoue Joji Kotani Yonmin Yan Yuzo Nakano Tatsuya Nishioka Ikuko Yano Takayuki Miyara Masato Fujisawa How Does Antimicrobial Stewardship Affect Inappropriate Antibiotic Therapy in Urological Patients? Antibiotics antimicrobial stewardship team intervention urological patient |
author_facet |
Atsushi Uda Katsumi Shigemura Koichi Kitagawa Kayo Osawa Kenichiro Onuma Shigeaki Inoue Joji Kotani Yonmin Yan Yuzo Nakano Tatsuya Nishioka Ikuko Yano Takayuki Miyara Masato Fujisawa |
author_sort |
Atsushi Uda |
title |
How Does Antimicrobial Stewardship Affect Inappropriate Antibiotic Therapy in Urological Patients? |
title_short |
How Does Antimicrobial Stewardship Affect Inappropriate Antibiotic Therapy in Urological Patients? |
title_full |
How Does Antimicrobial Stewardship Affect Inappropriate Antibiotic Therapy in Urological Patients? |
title_fullStr |
How Does Antimicrobial Stewardship Affect Inappropriate Antibiotic Therapy in Urological Patients? |
title_full_unstemmed |
How Does Antimicrobial Stewardship Affect Inappropriate Antibiotic Therapy in Urological Patients? |
title_sort |
how does antimicrobial stewardship affect inappropriate antibiotic therapy in urological patients? |
publisher |
MDPI AG |
series |
Antibiotics |
issn |
2079-6382 |
publishDate |
2020-02-01 |
description |
Antimicrobial stewardship teams (ASTs) have been well-accepted in recent years; however, their clinical outcomes have not been fully investigated in urological patients. The purpose of this study was to evaluate the outcomes of intervention via a retrospective review of urological patients, as discussed in the AST meetings, who were treated with broad-spectrum antibiotics between 2014 and 2018 at the Department of Urology, Kobe University Hospital in Japan. Interventions were discussed in AST meetings for patients identified by pharmacists as having received inappropriate antibiotic therapy. The annual changes in numbers of inappropriate medications and culture submissions over five years at the urology department were statistically analyzed. Among 1,033 patients audited by pharmacists, inappropriate antibiotic therapy was found in 118 cases (11.4%). The numbers of inappropriate antibiotic use cases and of interventions for indefinite infections had significantly decreased during the study period (<i>p</i> = 0.012 and <i>p</i> = 0.033, respectively). However, the number of blood and drainage culture submissions had significantly increased (<i>p</i> = 0.009 and <i>p</i> = 0.035, respectively). Our findings suggest that urologists have probably become more familiar with infectious disease management through AST intervention, leading to a decrease in inappropriate antibiotic use and an increase in culture submissions. |
topic |
antimicrobial stewardship team intervention urological patient |
url |
https://www.mdpi.com/2079-6382/9/2/63 |
work_keys_str_mv |
AT atsushiuda howdoesantimicrobialstewardshipaffectinappropriateantibiotictherapyinurologicalpatients AT katsumishigemura howdoesantimicrobialstewardshipaffectinappropriateantibiotictherapyinurologicalpatients AT koichikitagawa howdoesantimicrobialstewardshipaffectinappropriateantibiotictherapyinurologicalpatients AT kayoosawa howdoesantimicrobialstewardshipaffectinappropriateantibiotictherapyinurologicalpatients AT kenichiroonuma howdoesantimicrobialstewardshipaffectinappropriateantibiotictherapyinurologicalpatients AT shigeakiinoue howdoesantimicrobialstewardshipaffectinappropriateantibiotictherapyinurologicalpatients AT jojikotani howdoesantimicrobialstewardshipaffectinappropriateantibiotictherapyinurologicalpatients AT yonminyan howdoesantimicrobialstewardshipaffectinappropriateantibiotictherapyinurologicalpatients AT yuzonakano howdoesantimicrobialstewardshipaffectinappropriateantibiotictherapyinurologicalpatients AT tatsuyanishioka howdoesantimicrobialstewardshipaffectinappropriateantibiotictherapyinurologicalpatients AT ikukoyano howdoesantimicrobialstewardshipaffectinappropriateantibiotictherapyinurologicalpatients AT takayukimiyara howdoesantimicrobialstewardshipaffectinappropriateantibiotictherapyinurologicalpatients AT masatofujisawa howdoesantimicrobialstewardshipaffectinappropriateantibiotictherapyinurologicalpatients |
_version_ |
1724937167364423680 |