Oct 29, 2016 - University School of Medicine, Stony Brook, New York; 3Department of Pediatrics,. Winthrop University Hospital, Mineola, New York. Session: ...
1918. Successful Reduction in Medication Use in Respiratory Syncytial Virus (RSV) Bronchiolitis by Repeated Plan-Do-Study-Act (PDSA) Cycles Asif Noor, MD1; Leonard R. Krilov, MD2; Andre Rebaza, MD3; Lyn Quintos, MD1; 1 Pediatrics, Winthrop University Hospital, Mineola, New York; 2Stony Brook University School of Medicine, Stony Brook, New York; 3Department of Pediatrics, Winthrop University Hospital, Mineola, New York Session: 225. Antibiotic Stewardship: Pediatrics Saturday, October 29, 2016: 12:30 PM Background. We have previously demonstrated a reduction in antibiotic utilization for RSV bronchiolitis at our institution after instituting an antimicrobial stewardship program (ASP) during the 2012–13 season. Our pre-intervention data showed excessive antibiotic use of 67 % in RSV infection during 2011–12 in children admitted to the hospital. After ASP intervention with education, prospective audit and feedback by pharmacists and physicians, a significant reduction to 45% ( p < 0.007) was achieved. Data of antibiotic utilization in the emergency room was not included in the initial study. • Demonstrate reduction in unnecessary antibiotic use during 2014–15 season. • Demonstrate reduction in bronchodilator and steroid use during the 2014–15 RSV season.
Methods. In 2012 an ASP program targeted excessive antibiotic use in pediatric patients admitted to the hospital with RSV. During the following RSV seasons (2014–2015), the ASP was expanded to the emergency department. In 2014, the intervention was expanded to include the revised clinical practice guidelines for bronchiolitis management from AAP to target inappropriate bronchodilator and steroid use. Charts of infants and children
