Spread and Sustainability of an Antimicrobial Stewardship Initiative Within a Pediatric Network.
Louis Vernacchio, Laura Burckett Patane, Naveed Rabbani et al.
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In 30 seconds
This randomized controlled trial evaluated the sustainability of an antimicrobial stewardship initiative in a pediatric network, focusing on prescribing practices for skin and soft tissue infections (SSTI). Following an initial 3-month intervention of performance feedback and education, the proportion of cases treated for 7 days or fewer increased from 62.5% to 88.5%, with sustained improvements observed over 24 months.
Key findings
- The proportion of SSTI cases treated for 7 days or fewer increased from 62.5% to 88.5%.
- There was no degradation in the effect over 21 months post-intervention, with a slope of +0.2% per month.
Why it matters
Sustaining improvements in antimicrobial prescribing practices is crucial for combating antibiotic resistance. This study demonstrates that ongoing clinical decision support can maintain positive changes in treatment duration, which is essential for pediatric care.