Antimicrobial Stewardship Meets Transitions of Care: Defining Length of Therapy for Community-Acquired Pneumonia (CAP)

Authors

Christopher Whitman, Infirmary HealthFollow
Sarah E. Moore PharmD, Norton HealthcareFollow
Matthew Song PharmD, BCIDP, Norton HealthcareFollow
Brian C. Bohn PharmD, BCIDP, Norton HealthcareFollow
Ashley M. Wilde, Norton HealthcareFollow

19.1072

Funder

The author(s) received no specific funding for this work

Abstract

Introduction: Hospital-based antimicrobial stewardship efforts have traditionally focused on inpatient settings. Antibiotic prescribing at discharge is often an overlooked area of focus for antimicrobial stewardship programs. Discharge prescribing optimization is necessary to combat antibiotic overuse.

Methods: This was an observational, retrospective cohort study at a four–adult community hospital system. Four hundred adult patients admitted with community-acquired pneumonia and discharged with antibiotics were included. The primary outcome was overall (inpatient and discharge) antibiotic length of therapy. The secondary outcome was percentage of patients discharged on a fluoroquinolone who had not received one in the hospital. Descriptive statistics were utilized.

Results: The median total antibiotic length of therapy was 9.5 days (IQR 8, 11). The median inpatient and discharge antibiotic lengths of therapy were 4 days (IQR 3, 5) and 5 days (IQR 5, 7), respectively. Of the 108 patients prescribed a fluoroquinolone at discharge, 43% (46/108) had not previously received a fluoroquinolone while hospitalized.

Conclusion: Both length of therapy and fluoroquinolone stewardship at discharge may represent possible antimicrobial stewardship targets in community-acquired pneumonia patients.

DOI

10.18297/jri/vol6/iss1/1

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 License.

Recommended Citation

Whitman, Christopher; Moore, Sarah E. PharmD; Song, Matthew PharmD, BCIDP; Bohn, Brian C. PharmD, BCIDP; and Wilde, Ashley M. (2022) "Antimicrobial Stewardship Meets Transitions of Care: Defining Length of Therapy for Community-Acquired Pneumonia (CAP)," The University of Louisville Journal of Respiratory Infections: Vol. 6 : Iss. 1 , Article 16.
DOI: https://doi.org/10.18297/jri/vol6/iss1/1
Available at: https://ir.library.louisville.edu/jri/vol6/iss1/16