1330PAST is Present in Antimicrobial Stewardship: A Quality Initiative Targeting Inappropriate Use of Aztreonam using a Penicillin Allergy Screening Tool

196Alarming AAA in Infectious Disease: Aztreonam Use, Allergy History and Antimicrobial Stewardship Collide

Background. Background: Penicillin allergy (PA) is reported by 10 % of patients. Fewer than 10% of these have a positive skin test, allergy details are often sparse. Increasing gram negative resistance makes empiric therapy difficult if beta lactam antimicrobials cannot be utilized. Use of alternate agents is associated with higher costs, increased length of stay and other adverse outcomes. Van...

An Antimicrobial Stewardship Initiative to Evaluate Penicillin Allergy Labels in Spinal Cord Injury and Long-Term Care Patients

Reply to Ressner et al.

care use and serious infection prevalence associated with penicillin " allergy " in hospitalized patients: a cohort study.ation of the impact of antibiotic stewardship on reducing the use of high-risk antibiotics and its effect on the incidence of Clostridium difficile infection in hospital settings. The impact of penicillin skin testing on clinical practice and anti-microbial stewardship. Shen...

Does An Antimicrobial Stewardship Program for Carbapenem Use Reduce Costs? An Observation in Tehran, Iran.

Introduction: Inappropriate administration of antimicrobials has led to increased antibiotic resistance as well as burden of infectious diseases. Antibiotic stewardship programs (ASPs) help prevent resistance through improved utilization of antimicrobial agents while potentially decrease costs of treatment. Method: We reviewed 186 infectious disease (ID) consultations from two internal disea...

Screening for Beta-Lactam Allergy in Joint Arthroplasty Patients to Improve Surgical Prophylaxis Practice.

BACKGROUND The reliability of patient-reported penicillin allergies has been disputed. A Drug Allergy Clinic (DAC) was established at our institution in combination with an electronic best practice alert (BPA) in the Orthopedic Clinic. Joint arthroplasty patients with a reported history of beta-lactam allergy (HOBA) were preoperatively referred via the BPA to the DAC. The purpose of this study ...