Preserving last resort antibiotics: A meropenem reduction strategy

[...]both restrictive and persuasive interventions are equally effective in the longer term.2 More recently, persuasive interventions, in particular those involving “handshake stewardship” have been shown to be more effective than restrictive interventions in reducing not only antibiotic consumption...

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Published in:Infection control and hospital epidemiology 2022-10, Vol.43 (10), p.1516-1517
Main Authors: Conlon-Bingham, Geraldine M., Hedderwick, Sara A., McKeating, Cara M., McKee, Peter M., McNally, Jessie C., Lennon, Lisa M., McGivern, Orla, Lewis, Kevin, McKenna, Dominic, Lattyak, Elizabeth A., Lattyak, William J., Aldeyab, Mamoon A.
Format: Article
Language:English
Subjects:
Antibiotics
Coronaviruses
COVID-19
Infections
Intervention
Letter to the Editor
Pandemics
Patients
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Summary:[...]both restrictive and persuasive interventions are equally effective in the longer term.2 More recently, persuasive interventions, in particular those involving “handshake stewardship” have been shown to be more effective than restrictive interventions in reducing not only antibiotic consumption but also in reducing the incidence of bacteremia caused by carbapenem-resistant gram negative bacilli.3 This study was undertaken in 2 district general hospitals in the Southern Health and Social Care Trust (SHSCT), Daisy Hill Hospital (DHH) and Craigavon Area Hospital (CAH). [...]of the COVID-19 outbreak, the meropenem ward rounds were suspended, highlighting the impact of the pandemic on antibiotic stewardship activities. Previous studies have demonstrated the long-term benefits of the “handshake stewardship” approach in pediatric healthcare settings.9,10 MacBrayne et al9 observed decreases on total antibiotic use for up to 5 years after implementing an intervention consisting of ID physician or antimicrobial pharmacist review of patients regarding antibiotic consumption.9 The in-person approach used in the present study allowed a full patient assessment to be performed followed by face-to-face conversations with the clinical team in a nonconfrontational manner.
ISSN:0899-823X
1559-6834
DOI:10.1017/ice.2021.276