Perez Eduardo M, Taylor Molly, Swanson Kristin, Laferney Jimmy D
Division of Neonatology, Department of Pediatrics, Baylor Scott White Medical Center - FriscoFriscoTexas.
Pediatrix Medical Group of TexasDallasTexas.
Proc (Bayl Univ Med Cent). 2019 Dec 23;33(2):188-190. doi: 10.1080/08998280.2019.1700725. eCollection 2020 Apr.
We present our experience in the implementation of an antibiotic stewardship quality improvement initiative directed toward infants born at ≥35 weeks using as a primary tool the Kaiser Permanente early onset sepsis calculator (KP-EOS-C) at the Baylor Scott & White Medical Center - Frisco. After the approval and support of the medical staff and administration, we proceeded to launch an extensive educational program for all women's services nursing staff on how to utilize this calculator to communicate results to the pediatricians on staff. After implementation, we saw a 54% reduction in the number of infants undergoing sepsis workup evaluations and a 51% reduction in the number of infants receiving antibiotics ( < 0.001). We conclude that the implementation of this type of initiative may be feasible and worthwhile in other similar community hospitals, provided there is buy-in by physicians and administration as well as an extensive educational program to the hospital medical and nursing staff.
我们介绍了在贝勒·斯科特与怀特医疗中心 - 弗里斯科分院实施一项抗生素管理质量改进计划的经验，该计划针对孕周≥35周出生的婴儿，主要工具是凯撒医疗早期败血症计算器（KP-EOS-C）。在获得医务人员和管理层的批准与支持后，我们着手为所有妇产科护理人员开展一项广泛的教育项目，内容是如何使用这个计算器向在职儿科医生传达结果。实施后，我们发现接受败血症检查评估的婴儿数量减少了54%，接受抗生素治疗的婴儿数量减少了51%（<0.001）。我们得出结论，只要医生和管理层认可，并且为医院医护人员开展广泛的教育项目，在其他类似的社区医院实施这类计划可能是可行且值得的。
