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Understanding changes in the standardized antimicrobial administration ratio for total antimicrobial use after implementation of prospective audit and feedback

Published online by Cambridge University Press:  10 October 2018

Meghan E. Griebel ,
Brett Heintz ,
Bruce Alexander ,
Jason Egge ,
Michihiko Goto  and
Daniel J. Livorsi Open the ORCID record for Daniel J. Livorsi [Opens in a new window]
Meghan E. Griebel
Affiliation:
Iowa City Veterans Affairs Health Care System, Iowa City, Iowa
Brett Heintz
Affiliation:
Iowa City Veterans Affairs Health Care System, Iowa City, Iowa
Bruce Alexander
Affiliation:
Iowa City Veterans Affairs Health Care System, Iowa City, Iowa
Jason Egge
Affiliation:
Iowa City Veterans Affairs Health Care System, Iowa City, Iowa
Michihiko Goto
Affiliation:
Iowa City Veterans Affairs Health Care System, Iowa City, Iowa Division of Infectious Diseases, University of Iowa Carver College of Medicine, Iowa City, Iowa
Daniel J. Livorsi*
Affiliation:
Iowa City Veterans Affairs Health Care System, Iowa City, Iowa Division of Infectious Diseases, University of Iowa Carver College of Medicine, Iowa City, Iowa
*
Author for correspondence: Daniel Livorsi, MD, MSc, Division of Infectious Diseases, University of Iowa Carver College of Medicine, Iowa VA Health Care System, 601 Highway 6 West, Iowa City, IA 52246. E-mail: daniel-livorsi@uiowa.edu
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Abstract

In this single-center study, the standardized antimicrobial administration ratio (SAAR) for total antimicrobial use decreased in response to a stewardship intervention. Antimicrobial prescribing and clinical outcomes were stable or improved during the period of lower SAARs. Our findings suggest that SAAR values of ~0.8 can be safely achieved.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 39 , Issue 12 , December 2018 , pp. 1476 - 1479
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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Footnotes

Cite this article: Griebel M, et al. (2018). Understanding changes in the standardized antimicrobial administration ratio for total antimicrobial use after implementation of prospective audit and feedback. Infection Control & Hospital Epidemiology 2018, 39, 1476–1479. doi: 10.1017/ice.2018.248

References

1. Core elements of hospital antibiotic stewardship programs. Centers for Disease Control and Prevention website. https://www.cdc.gov/getsmart/healthcare/pdfs/core-elements.pdf. Published 2014. Accessed June 26, 2018.Google Scholar
2. Antimicrobial use and resistance module. Centers for Disease Control and Prevention website. http://www.cdc.gov/nhsn/pdfs/pscmanual/11pscaurcurrent.pdf. Published 2015. Accessed February 9, 2016.Google Scholar
3. van Santen, KL, Edwards, JR, Webb, AK, et al. The standardized antimicrobial administration ratio: a new metric for measuring and comparing antibiotic use. Clin Infect Dis 2018;67:179–185.Google Scholar
4. Srinivasan, A. Antimicrobial stewardship: an update on national activities. Society for Healthcare Epidemiology of America Spring Conference, March 29–31, 2017; St Louis, MO.Google Scholar
5. Ashley, ED, Fishman, NO. Is SAAR ready for primetime? ID Week Conference, October 5, 2017; San Diego, CA.Google Scholar
6. Livorsi, DJ, O’Leary, E, Pierce, T, et al. A novel metric to monitor the influence of antimicrobial stewardship activities. Infect Control Hosp Epidemiol 2017;38:721–723.Google Scholar
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