Category: Federal Forum Posters
Purpose: The majority of antibiotic prescriptions originate from the outpatient setting, yet antimicrobial stewardship efforts are minimal, especially in primary care. Home Based Primary Care (HBPC) is an interdisciplinary model of healthcare within the Veterans Affairs Healthcare System that provides services to veterans in their homes. This population was selected for the initial assessment of outpatient antibiotic prescribing due to its smaller cohort of patients and prescribers. The purpose of this project is to assess the appropriateness of antibiotic regimens prescribed to HBPC veterans with a goal to establish a foundation for antimicrobial stewardship in primary care.
Methods: Pyramid analytics will be used to obtain prescription information for antibiotic medications prescribed from pre-specified HBPC providers. The pharmacy resident will conduct a retrospective chart review of approximately 190 HBPC patients that were prescribed an antibiotic during July 1, 2017 to June 30, 2018. Prescriptions reviewed will be for treatment durations of 1 to 28 days. These prescriptions will be reviewed for appropriate indication, antibiotic choice, dose, and duration of therapy as per related treatment guideline(s). Indications that will be included for analysis include infections of the upper respiratory system, urinary tract, skin and soft tissue, and diabetic foot infections. After data analysis, the pharmacy resident will highlight areas of prescribing that were appropriate and/or inappropriate, and develop targeted educational tools for HBPC providers with a goal of improving antibiotic prescribing methods. These educational tools may be used to educate the broader audience of primary care in the future.
Results: Not applicable
Conclusion: Not applicable
Jennifer Tunoa– PGY1 Pharmacy Resident, VA Puget Sound Health Care Sysem, Seattle, WA