antibiotic appropriatness

Sanders, Alan Alan.Sanders at SPHP.COM
Fri Nov 8 19:54:10 UTC 2013

I have been involved intimately with two antibiotic stewardship programs for the past seven years, and it is remarkable how many inappropriate course of antimicrobials are prescribed, for days, when no infection is ever documented.  Most commonly, these  antimicrobials are initiated in the ED and continued on the hospital ward, often on a hospitalist service, for  a "urosepsis"  which never exists.  This makes up a major part of our daily stewardship rounds which we do on the wards, with the charts, and EMR.  Going down the wrong road with this and other diagnoses (often CAP) leads to enormous antimicrobial costs, and clearly misdirects the whole team from what is really the correct diagnosis.
Alan Sanders, MD
Chief of Medicine
St.Peter's  Hospital , Albany NY

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