Antimicrobial Stewardship in the Pediatric Emergency Department

An Observational Pre-Post Study

Bibliographic Data

ID15719819
AuthorsErika Silvestro (0000-0001-6111-5053, Ospedale Regina Margherita), Ilaria Mussinatto (Division of Pediatrics and Neonatology, P.O. Chivasso, ASL TO4, Corso G. Ferraris 3, 10034 Chivasso, TO, Italy), Antonia Versace (0000-0001-5581-5491, Ospedale Regina Margherita), Marco Denina (0000-0002-8495-1844, Ospedale Regina Margherita, corresponding author), Giulia Pruccoli (0000-0003-2250-6048, Ospedale Regina Margherita), R A Marino (0000-0002-8559-6565, Ospedale Regina Margherita), Raffaella Marino (Infectious Diseases Unit, Department of Pediatrics, Regina Margherita Children’s Hospital, A.O.U. Città della Salute e della Scienza di Torino, 10126 Turin, TO, Italy), Giulia Mazzetti (Infectious Diseases Unit, Department of Pediatrics, Regina Margherita Children’s Hospital, A.O.U. Città della Salute e della Scienza di Torino, 10126 Turin, TO, Italy), Luca Scaglione (Ospedale Regina Margherita), Lorenzo Scaglione (Infectious Diseases Unit, Department of Pediatrics, Regina Margherita Children’s Hospital, A.O.U. Città della Salute e della Scienza di Torino, 10126 Turin, TO, Italy), Francesco La Vigna (0000-0003-2727-2017, Ospedale Regina Margherita), Federico Vigna (Infectious Diseases Unit, Department of Pediatrics, Regina Margherita Children’s Hospital, A.O.U. Città della Salute e della Scienza di Torino, 10126 Turin, TO, Italy), Alessandra Macciotta (0000-0002-0287-7979, University of Turin), Silvia Garazzino (0000-0001-5773-5356, Ospedale Regina Margherita), Claudia Bondone (0000-0003-4120-2533, Ospedale Regina Margherita)
Year2024
Volume12
Issue1
Pages46-46
Publication date2024-12-30
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children12010046
PMID39857877
OpenAlexW4405933934
LanguageEN
References cited21

Background/Objectives : To face antimicrobial resistance, antimicrobial stewardship programs (ASPs) have been implemented in the pediatric age, but the area of urgency remains understudied. We aimed to assess the impact of an educational program on optimizing antibiotic appropriateness in a pediatric ED. Methods : We conducted a pre-post observational study with an audit, intervention, and feedback given to prescribers. We recorded all systemic antibiotic prescriptions for children attending our pediatric ED from January to March and from July to September 2020. The study's team assigned a score to each prescription, regarding the appropriate molecule, dose, and duration of therapy, according to the diagnosis. From April to June 2020, we held weekly meetings focusing on different pediatric infectious diseases, with interaction between one to three ED physicians and the infectious disease (ID) specialist of the study's team. We then distributed synthetic digital guidelines adapted to our reality to all prescribers. Results : Optimal antibiotic prescriptions increased after the intervention, with statistical significance ( p Conclusions : An antimicrobial stewardship program is a relevant method for improving the appropriateness of antimicrobial use also in the complex setting of a pediatric ED

Antibiotic resistance · Antibiotics · Antimicrobial · Antimicrobial stewardship · Audit · Emergency department · Family medicine · Intensive care medicine · Intervention (counseling · Medical prescription · Observational study · Antibiotic Use and Resistance · Medicine · Nursing · Pneumonia and Respiratory Infections · Streptococcal Infections and Treatments · Internal Medicine · Pediatrics · Pharmacy

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