Considerations for implementation: pediatric outpatient antimicrobial stewardship program

Monsees, Elizabeth A.; Burns, Alaina N.; Lee, Brian R.; Wirtz, Ann; El Feghaly, Rana E.

doi:10.1016/j.ajic.2021.07.017

Cited by 6Antibiotic Use and ResistanceSurgical site infection preventionInfection Control in Healthcare

Considerations for implementation: pediatric outpatient antimicrobial stewardship program

Monsees, Elizabeth A., Burns, Alaina N., Lee, Brian R., Wirtz, Ann, El Feghaly, Rana E.·2021·American Journal of Infection Control

DOI 10.1016/j.ajic.2021.07.017

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Abstract

It is encouraging that most acute care centers have formal antimicrobial stewardship (AS) programs; though, most antibiotic use occurs in outpatient settings where access to infectious diseases specialists are limited. Stewardship programs often target dichotomous populations (adult or pediatric), but most children receive care in nonacademic, community outpatient settings. We propose 3 considerations for adult providers and infection preventionists seeking to incorporate outpatient AS elements and implement quality improvement initiatives that optimize pediatric care.

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While the composition of the IPC and AMS teams varies across different settings, emerging studies from LMICs support multidisciplinary AMS teams in general, as well as being specific to paediatric departments.
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From Rationalizing irrational prescribing—infection-related attitudes and practices across paediatric surgery specialties in a hospital in South India (2024) · cites this paper as [30]

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Authors: Monsees, E. A., Burns, A. N., Lee, B. R., Wirtz, A., & El Feghaly, R. E.
Affiliations: Children's Mercy Hospital (US)
ORCID: Monsees, Elizabeth A.
Burns, Alaina N.
Lee, Brian R.
Wirtz, Ann
Venue: American Journal of Infection Control
Publisher: Elsevier BV
Published: 2021-12
Volume: 49
Issue: 12
Pages: 1543-1546
ISSN: 0196-6553 (ISSN-L)
DOI: 10.1016/j.ajic.2021.07.017
OpenAlex: W3192746999
Cited by: 6
References: 35
Citations by year: 2026: 1 · 2025: 1 · 2024: 1 · 2022: 3
FWCI: 0.59
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: American Journal of Infection Control (publishedVersion)
PubMed (publishedVersion)
Topics: Life Sciences › Immunology and Microbiology › Applied Microbiology and Biotechnology › Antibiotic Use and Resistance
Health Sciences › Medicine › Surgery › Surgical site infection prevention
Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
Keywords: antimicrobial stewardship, pediatric outpatient care, implementation, quality improvement, antibiotic use, infection preventionists
MeSH terms: Antimicrobial Stewardship, Anti-Bacterial Agents, Child, Humans, Outpatients, Quality Improvement

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Considerations for implementation: pediatric outpatient antimicrobial stewardship program

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