{"title":"Reducing Community-Acquired CDIFF Admissions: Outpatient Antimicrobial Stewardship.","authors":"Taylor Trahan, Christopher Wexler","doi":"10.1097/JHQ.0000000000000507","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>According to the CDC, approximately 80%-90% of antibiotic use occurs among outpatients and at least 30% of these prescriptions are unnecessary.</p><p><strong>Methods: </strong>In 2024, multidisciplinary team at our institution developed a program to monitor outpatient antibiotic use for high priority respiratory conditions. Best practice guidelines from the Agency for Healthcare Research and Quality Outpatient Antibiotic Stewardship Toolkit were used, and feedback was provided to providers in the program. Data were tracked using an electronic medical record to pull high priority respiratory conditions such as upper respiratory infection, acute bronchitis, sinusitis, otitis media, pharyngitis, and pneumonia by ICD-10.</p><p><strong>Results: </strong>Antibiotic Prescription rates decreased from 528.32 antibiotics per 1,000 persons in 2023 to 270.91 in 2024 ( p < .05). Overall community-acquired C. difficile admissions decreased from 21 in 2023 to 16 in 2024 ( p > .05). The percentage of C. difficile admissions with outpatient antibiotics within 90 days reduced from 8 (33%) in 2023 to 1 (6%) in 2024 ( p < .05).</p><p><strong>Conclusions: </strong>Outpatient Antibiotic Stewardship Programs can reduce the number of inappropriate prescriptions potentially leading to a reduced risk for patients developing C. difficile . A cost savings was established to promote key stakeholder buy in and program sustainability.</p>","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":" ","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal for Healthcare Quality","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/JHQ.0000000000000507","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: According to the CDC, approximately 80%-90% of antibiotic use occurs among outpatients and at least 30% of these prescriptions are unnecessary.
Methods: In 2024, multidisciplinary team at our institution developed a program to monitor outpatient antibiotic use for high priority respiratory conditions. Best practice guidelines from the Agency for Healthcare Research and Quality Outpatient Antibiotic Stewardship Toolkit were used, and feedback was provided to providers in the program. Data were tracked using an electronic medical record to pull high priority respiratory conditions such as upper respiratory infection, acute bronchitis, sinusitis, otitis media, pharyngitis, and pneumonia by ICD-10.
Results: Antibiotic Prescription rates decreased from 528.32 antibiotics per 1,000 persons in 2023 to 270.91 in 2024 ( p < .05). Overall community-acquired C. difficile admissions decreased from 21 in 2023 to 16 in 2024 ( p > .05). The percentage of C. difficile admissions with outpatient antibiotics within 90 days reduced from 8 (33%) in 2023 to 1 (6%) in 2024 ( p < .05).
Conclusions: Outpatient Antibiotic Stewardship Programs can reduce the number of inappropriate prescriptions potentially leading to a reduced risk for patients developing C. difficile . A cost savings was established to promote key stakeholder buy in and program sustainability.
期刊介绍：
The Journal for Healthcare Quality (JHQ), a peer-reviewed journal, is an official publication of the National Association for Healthcare Quality. JHQ is a professional forum that continuously advances healthcare quality practice in diverse and changing environments, and is the first choice for creative and scientific solutions in the pursuit of healthcare quality. It has been selected for coverage in Thomson Reuter’s Science Citation Index Expanded, Social Sciences Citation Index®, and Current Contents®.
The Journal publishes scholarly articles that are targeted to leaders of all healthcare settings, leveraging applied research and producing practical, timely and impactful evidence in healthcare system transformation. The journal covers topics such as:
Quality Improvement • Patient Safety • Performance Measurement • Best Practices in Clinical and Operational Processes • Innovation • Leadership • Information Technology • Spreading Improvement • Sustaining Improvement • Cost Reduction • Payment Reform
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