ArticleOpen forum infectious diseases2021
Implementation of an Infectious Diseases Telehealth Consultation and Antibiotic Stewardship Program for 16 Small Community Hospitals.
Article in Open forum infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Efficacy of telemedicine-based antimicrobial stewardship program to combat antimicrobial resistance: A systematic review and meta-analysis.Journal of telemedicine and telecare · 2025Pooled it
- Telemedicine interventions for improving antibiotic stewardship and prescribing: A systematic review.PloS one · 2025Pooled it
- Dissemination and Implementation of a Telehealth-Enabled Program for Providing Infectious Disease Expertise in Rural Settings.Open forum infectious diseases · 2025Trial
- Remote Stewardship for Medically Underserved Nurseries: A Stepped-Wedge, Cluster Randomized Study.Pediatrics · 2022Trial
- Infectious Diseases Telehealth Outcomes and Opportunities for Outpatient Parenteral Antimicrobial Therapy (OPAT) Patients Discharged From 18 Small Community Hospitals.Open forum infectious diseases · 2025Article
- Proactive antimicrobial stewardship with real-time microbiological alerts improves management of bloodstream infections.JAC-antimicrobial resistance · 2025Article
- Article
- Telemedicine Offers Solutions for the Rural Disparities in Infectious Disease (ID) Care Delivery.Open forum infectious diseases · 2025Article
- "It's easier to take a pill than fix a problem:" qualitative analysis of barriers and facilitators to antimicrobial stewardship program implementation in carceral settings.BMC global and public health · 2024Article
- Excellence in Antibiotic Stewardship: A Mixed-Methods Study Comparing High-, Medium-, and Low-Performing Hospitals.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024Article
- Impact of tele-antimicrobial stewardship at two small community hospitals in partnership with an academic medical center: two years of experience.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024Article
- Ten sustainable steps infectious diseases professionals can take to mitigate the climate crisis.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024Review
- The role of infectious disease consultations in the management of patients with fever in a long-term care facility.PloS one · 2023Article
- An Implementation Roadmap for Establishing Remote Infectious Disease Specialist Support for Consultation and Antibiotic Stewardship in Resource-Limited Settings.Open forum infectious diseases · 2022Review
- A Fully Integrated Infectious Diseases and Antimicrobial Stewardship Telehealth Service ImprovesOpen forum infectious diseases · 2022Article
- SHEA statement on antibiotic stewardship in hospitals during public health emergencies.Infection control and hospital epidemiology · 2022Article
- Impact of Clinical Decision Support System Implementation at a Community Hospital With an Existing Tele-Antimicrobial Stewardship Program.Open forum infectious diseases · 2022Article
- Development of a Centralized Antimicrobial Stewardship Program Across a Diverse Health System and Early Antimicrobial Usage Trends.Open forum infectious diseases · 2022Article
- Use of virtual care by infectious disease specialists in Canada: A national survey.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022Article
- Opportunities and challenges in improving antimicrobial use during the era of telehealth expansion: A narrative review.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2021Review
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTelehealth improves access to infectious diseases (ID) and antibiotic stewardship (AS) services in small community hospitals (SCHs), but the optimal model has not been defined. We describe implementation and impact of an integrated ID telehealth (IDt) service for 16 SCHs in the Intermountain Healthcare system.
methodsThe Intermountain IDt service included a 24-hour advice line, eConsults, telemedicine consultations (TCs), daily AS surveillance, long-term AS program (ASP) support by an IDt pharmacist, and a monthly telementoring webinar. We evaluated program measures from November 2016 through April 2018.
resultsA total of 2487 IDt physician interactions with SCHs were recorded: 859 phone calls (35% of interactions), 761 eConsults (30%), and 867 TCs (35%). Of 1628 eConsults and TCs, 1400 (86%) were SCH provider requests, while 228 (14%) were IDt pharmacist generated. Six SCHs accounted for >95% of interactions. Median consultation times for each initial telehealth interaction type were 5 (interquartile range [IQR], 5-10) minutes for phone calls, 20 (IQR, 15-25) minutes for eConsults, and 50 (IQR, 35-60) minutes for TCs. Thirty-two percent of consults led to in-person ID clinic follow-up. Bacteremia was the most common reason for consultation (764/2487 [31%]) and
conclusionsAn integrated IDt model led to collaborative ID/ASP interventions and improvements in antibiotic use at 16 SCHs. These findings provide insight into clinical and logistical considerations for IDt program implementation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.