ArticleOpen forum infectious diseases2020
Antimicrobial Stewardship Practice in the Ambulatory Setting From a National Cohort.
Article in Open forum infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed.
- Improving Outpatient Antibiotic Prescribing for Respiratory Tract Infections in Primary Care: A Stepped-Wedge Cluster Randomized Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022Trial
- Combining an antibiotic stewardship program with a 15-pathogen viral panel to reduce inappropriate antibiotic prescribing.Microbiology spectrum · 2026Article
- Antibiotic stewardship in hospital outpatient departments: a qualitative study of alignment with existing guidance.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Antibiotic appropriateness among patients experiencing homelessness at an interprofessional student-run free clinic.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Article
- A Pilot Study on Understanding the Contextual Factors Impacting the Implementation of an Antibiotic Stewardship Program in a Single Health Center Serving Rural and Underserved Communities in the United States-A Mixed-Methods Approach.Antibiotics (Basel, Switzerland) · 2025Article
- A Pilot Study Evaluating the Impact of an Algorithm-Driven Protocol on Guideline-Concordant Antibiotic Prescribing in a Rural Primary Care Setting.Pharmacy (Basel, Switzerland) · 2025Article
- Things I wish I knew when implementing an ambulatory antimicrobial stewardship program at an urban health system: lessons learned and future directions.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Establishment of an Antimicrobial Stewardship Program to Spare the Use of Oral Fluoroquinolones for Acute Uncomplicated Cystitis in Outpatients.Antibiotics (Basel, Switzerland) · 2024Article
- Antibiotic Prescribing Patterns for Respiratory Tract Illnesses Following the Conclusion of an Education and Feedback Intervention in Primary Care.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024Article
- Exploring the need and potential of ambulatory pharmacy practice for empowering patient and care delivery in India.Frontiers in health services · 2024Review
- Next Steps in Ambulatory Stewardship.Infectious disease clinics of North America · 2023Review
- Application of Precision Medicine Concepts in Ambulatory Antibiotic Management of Acute Pyelonephritis.Pharmacy (Basel, Switzerland) · 2023Review
- Trends in the incidence ofInfection control and hospital epidemiology · 2023Article
- Positive Point-of-Care Influenza Test Significantly Decreases the Probability of Antibiotic Treatment during Respiratory Tract Infections in Primary Care.Diagnostics (Basel, Switzerland) · 2023Article
- Comparative Safety and Attributable Healthcare Expenditures Following Inappropriate Versus Appropriate Outpatient Antibiotic Prescriptions Among Adults With Upper Respiratory Infections.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023Article
- One size does not fit all: advanced practice provider considerations for the antimicrobial steward.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2023Review
- Outpatient and peri-operative antibiotic stewardship in solid organ transplantation.Transplant infectious disease : an official journal of the Transplantation Society · 2022Review
- Validation of a Questionnaire for Patient Awareness and the Need for a Community-Based Outpatient Antimicrobial Stewardship Program (O-ASP): A Pilot Study.Antibiotics (Basel, Switzerland) · 2021Article
- Utilizing Clinical Decision Support in the Treatment of Urinary Tract Infection across a Large Pediatric Primary Care Network.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe majority of antimicrobial use occurs in the ambulatory setting. Antimicrobial stewardship programs (ASPs) are effective in improving appropriate prescribing and are now required by accreditation bodies.
methodsThis was a cross-sectional, multicenter survey describing the current state of ambulatory ASPs in a national cohort of Vizient member hospitals with ambulatory healthcare settings and serves as a benchmark for stewardship strategies related to program effectiveness.
resultsOne hundred twenty-nine survey responses from a variety of institution types across 44 states were received. Survey respondents reported a fully functioning ASP in 7% (9 of 129) of ambulatory practices compared with 88% (114 of 129) of inpatient institutions. Effectiveness in at least 1 antibiotic use-related outcome (ie, utilization, resistance,
conclusionsAntimicrobial stewardship programs are needed in the ambulatory setting, but they are not common. Currently, few ambulatory ASPs in this survey self-identify as fully functioning. The CDC Core Elements of antimicrobial stewardship should remain foundational for ASP development and expansion.
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Registered trials
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