Last data update: Jun 03, 2024. (Total: 46935 publications since 2009)
Records 1-6 (of 6 Records) |
Query Trace: Palms DL [original query] |
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First-line antibiotic selection in outpatient settings
Palms DL , Hicks LA , Bartoces M , Hersh AL , Zetts R , Hyun DY , Fleming-Dutra KE . Antimicrob Agents Chemother 2019 63 (11) Using the 2014 IBM MarketScan Commercial Database, we compared antibiotic selection for pharyngitis, sinusitis, and acute otitis media in retail clinics, emergency departments, urgent cares, and offices. Only 50% of visits for these conditions received recommended first-line antibiotics. Improving antibiotic selection for common outpatient conditions is an important stewardship target. |
An educational intervention to promote appropriate antibiotic use for acute respiratory infections in a district in Egypt- pilot study
Kandeel A , Palms DL , Afifi S , Kandeel Y , Etman A , Hicks LA , Talaat M . BMC Public Health 2019 19 498 Background: Antibiotic overuse is the most important modifiable factor contributing to antibiotic resistance. We conducted an educational campaign in Minya, Egypt targeting prescribers and the public through communications focused on appropriate antibiotic use for acute respiratory infections (ARIs). Methods: The entire population of Minya was targeted by the campaign. Physicians and pharmacists were invited to participate in the pre-intervention assessments. Acute care hospitals and a sample of primary healthcare centers in Minya were randomly selected for a pre-intervention survey and all patients exiting outpatient clinics on the day of the survey were invited to participate. The same survey methodology was conducted for the post-intervention assessments. Descriptive comparisons were made through three assessments conducted pre- and post-intervention. We quantitated antibiotic prescribing through a survey administered to patients with an ARI exiting outpatient clinics. Additionally, physicians, pharmacists, and patients were interviewed regarding their attitudes and beliefs towards antibiotic prescribing. Finally, physicians were tested on three clinical scenarios (cold, bronchitis, and sinusitis) to measure their knowledge on antibiotic use. Results: Post-intervention patient exit surveys revealed a 23.1% decrease in antibiotic prescribing for ARIs in this population (83.7 to 64.4%) and physicians and pharmacists self-reported less frequently prescribing antibiotics for ARIs on their follow-up surveys. We also found an increase in correct responses to the clinical scenarios and in attitude and belief scores for physicians, pharmacists, and patients regarding antibiotic use in the post-intervention sample. Conclusions: Overall, the samples surveyed after the community-based educational campaign reported a lower frequency of antibiotic prescribing and improved knowledge and attitudes regarding antibiotic misuse compared to the samples surveyed before the campaign. Ongoing interventions educating providers and patients are needed to decrease antibiotic misuse and reduce the spread of antibiotic resistance in Egypt. |
Potential utility of pharmacy data to measure antibiotic use in nursing homes
Kabbani S , Palms DL , Bartoces M , Marek J , Stone ND , Hicks LA , Jump RLP . Infect Control Hosp Epidemiol 2019 40 (7) 1-2 Antibiotics are among the most commonly prescribed medications in nursing homes,Reference Gurwitz, Field, Judge, Rochon, Harrold and Cadoret1 and they are frequently prescribed inappropriately.Reference Lim, Kong and Stuart2, Reference Nicolle, Bentley, Garibaldi, Neuhaus and Smith3 The Centers for Medicare and Medicaid Services requires that all nursing homes have an antibiotic stewardship program and a system for monitoring antibiotic use.4 Antibiotic use can be monitored using different measures to identify potential targets for practice improvement and to track the impact of antibiotic stewardship interventions.Reference Mylotte5 The 2 most commonly used antibiotic use measures in nursing homes are antibiotic days of therapy and antibiotic starts.Reference Mylotte5, 6 |
Implementation of the core elements of antibiotic stewardship in nursing homes enrolled in the National Healthcare Safety Network
Palms DL , Kabbani S , Bell JM , Anttila A , Hicks LA , Stone ND . Clin Infect Dis 2019 69 (7) 1235-1238 In 2016, 42% of nursing homes enrolled in the National Healthcare Safety Network reported meeting all 7 of the Centers for Disease Control and Prevention's Core Elements of Antibiotic Stewardship. Bivariate analyses suggested that implementation of all core elements differed by ownership type and amount of infection prevention staff hours. |
Comparison of antibiotic prescribing in retail clinics, urgent care centers, emergency departments, and traditional ambulatory care settings in the United States
Palms DL , Hicks LA , Bartoces M , Hersh AL , Zetts R , Hyun DY , Fleming-Dutra KE . JAMA Intern Med 2018 178 (9) 1267-1269 This cohort study compares antibiotic prescribing in 2014 among retail clinics, urgent care centers, emergency departments, and traditional medical offices in the United States. |
The National Healthcare Safety Network Long-term Care Facility Component early reporting experience: January 2013-December 2015
Palms DL , Mungai E , Eure T , Anttila A , Thompson ND , Dudeck MA , Edwards JR , Bell JM , Stone ND . Am J Infect Control 2018 46 (6) 637-642 BACKGROUND: In 2012, the Centers for Disease Control and Prevention launched the Long-term Care Facility (LTCF) Component of the National Healthcare Safety Network (NHSN) designed for LTCFs to monitor Clostridium difficile infections (CDIs), urinary tract infections (UTIs), infections due to multidrug-resistant organisms, including methicillin-resistant Staphylococcus aureus (MRSA), and infection prevention process measures. METHODS: We describe characteristics and reporting patterns of facilities enrolled in the first 3 years of the surveillance system and rate estimates for CDI, UTI, and MRSA data submitted between 2013 and 2015. RESULTS: From 2013-2015, 279 LTCFs were enrolled and eligible to report to the NHSN with variability in reporting from year to year. Crude rate estimates pooled over these 3 years from reporting facilities were 0.98 incident LTCF-onset CDI cases per 10,000 resident days, 0.59 UTI cases per 1,000 resident days, and 0.10 LTCF-onset MRSA cases per 1,000 resident days. CONCLUSIONS: These initial data demonstrate the capability of the NHSN LTCF Component as a national surveillance system for monitoring infections in LTCFs. Further investigation is needed to understand factors associated with successful enrollment and reporting. As participation increases, data from a larger group of LTCFs will be used to establish national baselines and track prevention goals. |
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