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Feasibility and Value of Developing a Regional Antibiogram for Community Hospitals

  • Christopher J. Hostler (a1) (a2) (a3), Rebekah W. Moehring (a1) (a2), Elizabeth S. Dodds Ashley (a1) (a2), Melissa Johnson (a1) (a2), Angelina Davis (a1) (a2), Sarah S. Lewis (a1) (a2), Daniel J. Sexton (a1) (a2), Deverick J. Anderson (a1) (a2) and for the CDC Prevention Epicenters Program...



To determine the feasibility and value of developing a regional antibiogram for community hospitals.


Multicenter retrospective analysis of antibiograms.


A total of 20 community hospitals in central and eastern North Carolina and south central Virginia participated in this study.


We combined antibiogram data from participating hospitals for 13 clinically relevant gram-negative pathogen–antibiotic combinations. From this combined antibiogram, we developed a regional antibiogram based on the mean susceptibilities of the combined data.


We combined a total of 69,778 bacterial isolates across 13 clinically relevant gram-negative pathogen–antibiotic combinations (median for each combination, 1100; range, 174–27,428). Across all pathogen–antibiotic combinations, 69% of local susceptibility rates fell within 1 SD of the regional mean susceptibility rate, and 97% of local susceptibilities fell within 2 SD of the regional mean susceptibility rate. No individual hospital had >1 pathogen–antibiotic combination with a local susceptibility rate >2 SD of the regional mean susceptibility rate. All hospitals’ local susceptibility rates were within 2 SD of the regional mean susceptibility rate for low-prevalence pathogens (<500 isolates cumulative for the region).


Small community hospitals frequently cannot develop an accurate antibiogram due to a paucity of local data. A regional antibiogram is likely to provide clinically useful information to community hospitals for low-prevalence pathogens.

Infect Control Hosp Epidemiol 2018;39:718–722


Corresponding author

Address correspondence to Christopher J. Hostler, MD, MPH, Durham VA Medical Center, 508 Fulton Street, BLDG 1, Room B8002, Durham, NC 27705 (


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PREVIOUS PRESENTATION. This work was presented in the Posters in the Park and HAI: Epidemiologic Methods Poster sessions during IDWeek 2016 on October 26 and October 28, respectively, in New Orleans, Louisiana (poster #1359).



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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
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