Objective: The goal of this project is to form an antimicrobial stewardship team that will concurrently review antimicrobial therapy appropriateness for admitted patients in the medical ICU utilizing eCM.
Methods: A prospective study was executed form April 2009 – Sept 2009 to evaluate the effectiveness of an antimicrobial stewardship team in the 17 bed adult medical intensive care unit at Mercy Medical
Results: A total of 124 interventions were made during the study period. Antimicrobial use of levofloxacin and vancomycin decreased by 23% and 11% respectively when compared to baseline data. The number of antibiotic streamlining interventions from April – Sept 2008 was 34, compared to 90 in the current study period.
|Month||ADE Prevention||Antibiotic Streamlining||Clarify Order||Drug Information Consult||IV to PO Conversion||Add New Therapy||Renal Dosing|
Conclusions: Utilizing eCM provided an electronic means of gathering patient specific clinical data to help aid in promoting antimicrobial stewardship in an ICU setting. Although direct time savings was not measured, it was perceived that utilizing eCM was more efficient and was quicker than finding all the clinical information in the patient’s medical record. The efficiency gained by utilizing new technology will allow the pharmacist more time for identifying inappropriate or suboptimal antimicrobial use and will allow the stewardship program to expand into the other adult critical care units within the hospital while performing nearly all of this work from one location.