Study: Quality Improvement Methods Improve Appropriate Antibiotic Use

Quality improvement strategies increased appropriate prescription of antibiotics in a children's hospital emergency department from 0 percent to 100 percent in six months, according to a study in Pediatrics.

Researchers studied the use of QI methods to implement the Pediatric Infectious Disease Society/Infectious Disease Society of America guideline recommendations for appropriate first-line antibiotic therapy in children with community-acquired pneumonia. Emergency department and hospital medicine resident teams at Cincinnati Children's Hospital Medical Center conducted multiple plan-do-study-act cycles to improve the rate of prescribing recommended antibiotic therapies.


The rate of appropriate first-line antibiotic prescribing for children with CAP increased from 0 percent to 100 percent in the ED and from 30 percent to 100 percent on the hospital medicine resident teams within six months and has been sustained for three months, according to the study.

The authors concluded that QI techniques can improve compliance to antibiotic standards for CAP without a formal antimicrobial stewardship program.

More Articles on Antimicrobial Stewardship:

5 Predictors of Infection From Antibiotic-Resistant Strain of E. Coli
Study: Nearly One-Third of Antimicrobial Use Among Dialysis Patients is Inappropriate

Study: Appropriate Antimicrobial Prophylaxis Didn't Reduce SSIs

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