We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Use of a structured panel process to define antimicrobial prescribing appropriateness in critical care.
- Authors
Dresser, Linda D.; Bell, Chaim M.; Steinberg, Marilyn; Ferguson, Niall D.; Lapinsky, Stephen; Lazar, Neil; Murphy, Patricia; Singh, Jeffrey M.; Morris, Andrew M.
- Abstract
<bold>Background: </bold>Antimicrobial prescribing is frequently reported as appropriate or inappropriate, particularly in the ICU. However, the definitions used are non-standardized and lack validity and reliability.<bold>Objectives: </bold>To develop standardized definitions of appropriateness for antimicrobial prescribing in the critical care setting.<bold>Methods: </bold>We used consensus-based modified Delphi and RAND appropriateness methodology to develop criteria to define appropriateness of antimicrobial prescribing. A multiphased approach with an online questionnaire followed by a facilitated in-person meeting was utilized and included clinicians from a variety of practice areas (e.g. surgeons, infectious diseases specialists, intensivists, transplant specialists and pharmacists).<bold>Results: </bold>There were a total of 23 criteria agreed upon to define the following categories of antimicrobial prescribing: appropriate; effective but unnecessary; inappropriate; and under-treatment.<bold>Conclusions: </bold>These standardized criteria for appropriateness may be generalizable to other patient populations and utilized with other tools to adjudicate prescribing practices.
- Subjects
ANTI-infective agents; DRUG prescribing; CRITICAL care medicine; PHARMACISTS; SURGEONS
- Publication
Journal of Antimicrobial Chemotherapy (JAC), 2018, Vol 73, Issue 1, p246
- ISSN
0305-7453
- Publication type
journal article
- DOI
10.1093/jac/dkx341