Antimicrobial stewardship for carbapenem use at a Japanese tertiary care center: An interrupted time series analysis on the impact of infectious disease consultation, prospective audit, and feedback.
Given the concerns surrounding the overuse of carbapenem antibiotics in Japan, we evaluated the impact of infectious disease consultation and a prospective carbapenem audit at a tertiary care center in Tokyo, Japan. Overall, carbapenem use was safely and effectively reduced after implementation of these interventions. The leadership of the infectious diseases physicians also proved critically important to implementing effective stewardship.
['Tagashira|Yasuaki|Y|', 'Horiuchi|Mikihiro|M|', 'Tokuda|Yasuharu|Y|', 'Heist|Brian S|BS|', 'Higuchi|Masanori|M|', 'Honda|Hitoshi|H|']
D000900:Anti-Bacterial Agents D015780:Carbapenems D003141:Communicable Diseases D004363:Drug Utilization D005246:Feedback D006801:Humans D065186:Interrupted Time Series Analysis D016134:Organizational Policy D012017:Referral and Consultation D062606:Tertiary Care Centers D014041:Tokyo
Antimicrobial stewardship infectious diseases consultation carbapenem antimicrobials prospective audit and feedback