Adult ID

Pediatric ID

Epi/Infection Control

Oral Abstract

309 - Glass Half Full or Half Empty? Trends in Antimicrobial Prescribing

Presentations:

• 3:15 PM - 3:30 PM

  2890 - Antibiotic Overuse at Discharge in Hospitalized Patients with Bacteriuria or Treated for Pneumonia: A Multi-Hospital Cohort Study
  Valerie M. Vaughn, MD, MSc – Michigan Medicine; Lindsay A. Petty, MD – University of Michigan; David Ratz, MS – University of Michigan; Anurag N. Malani, MD, FIDSA, FSHEA – St. Joseph Mercy Health System, Ann Arbor; Elizabeth Mclaughlin, MS, RN – University of Michigan; Twisha S. Patel, PharmD, BCPS, BCIDP – Michigan Medicine; Steven J. Bernstein, MD, MPH – University of Michigan; Lama Hsaiky, PharmD – Beaumont Hospital; Lisa E. Dumkow, PharmD, BCPS, BCIDP – Mercy Health Saint Mary's; Jason M. Pogue, PharmD, BCPS, BCIDP – University of Michigan; Scott A. Flanders, MD – University of Michigan; Tejal N. Gandhi, MD – University of Michigan
• 3:30 PM - 3:45 PM

  2891 - Trends in Inpatient Antibiotic Use in U.S. Hospitals, 2012-2017
  James Baggs, PhD – Centers for Disease Control and Prevention; Sophia Kazakova, MD, MPH, PhD – Centers for Disease Control and Prevention; Kelly M. Hatfield, MSPH – Centers for Disease Control and Prevention; Sujan Reddy, MD, MSc – Centers for Disease Control and Prevention; Arjun Srinivasan, MD – Centers for Disease Control and Prevention; Lauri Hicks, DO – Centers for Disease Control and Prevention; Melinda M. Neuhauser, PharmD, MPH – Centers for Disease Control and Prevention; John A. Jernigan, MD, MS – Centers for Disease Control and Prevention
• 3:45 PM - 4:00 PM

  2892 - The Relationship between Inpatient and Post-discharge Antimicrobial Use at the Hospital-Level across an Integrated Healthcare Network
  Daniel J. Livorsi, MD, MSC – University of Iowa; Jade Feller, PharmD – Iowa City VA Health Care System; Brian Lund, PharmD – Iowa City VA Health Care System; Bruce Alexander, PharmD – Iowa City VA Health Care System; Rajeshwari Nair, PhD – Iowa City VA Health Care System; Brice Beck, MA – Iowa City VA Health Care System; Michihiko Goto, MD, MSCI – University of Iowa; Brett Heintz, PharmD – Iowa City VA Health Care System; Eli N. Perencevich, MD MS – University of Iowa
• 4:00 PM - 4:15 PM

  2893 - The Michigan Hospital Medicine Safety Consortium: Improving Patient Care by Reducing Excessive Antibiotic Use in Patients Hospitalized with Community-Acquired Pneumonia
  Tejal N. Gandhi, MD – University of Michigan; Valerie M. Vaughn, MD, MSc – Michigan Medicine; Lindsay A. Petty, MD – University of Michigan; Anna Conlon, PhD – University of Michigan; Anurag N. Malani, MD, FIDSA, FSHEA – St. Joseph Mercy Health System, Ann Arbor; Elizabeth Mclaughlin, MS, RN – University of Michigan; Allison J. Weinmann, MD – Henry Ford Health System; Danielle Osterholzer, MD – Hurley Medical Center; Vineet Chopra, MD, MSc – Michigan Medicine; Scott A. Flanders, MD – University of Michigan
• 4:15 PM - 4:30 PM

  2894 - Metrics of Antimicrobial Use within Inpatient Settings: Impacts of Statistical Methods and Case-Mix Adjustments
  Michihiko Goto, MD, MSCI – University of Iowa; Rajeshwari Nair, PhD – Iowa City VA Health Care System; Bruce Alexander, PharmD – Iowa City VA Health Care System; Brice Beck, MA – Iowa City VA Health Care System; Christopher Richards, MA – Iowa City VA Health Care System; Eli N. Perencevich, MD MS – University of Iowa; Daniel J. Livorsi, MD, MSC – University of Iowa

Co-Author(s)

• JF

  Jade Feller, PharmD

  Pharmacy PGY-1 resident
  Iowa City VA Health Care System
  Iowa City, IA

  Disclosure: Nothing to disclose
• SK

  Sophia Kazakova, MD, MPH, PhD

  Health Scientist
  Centers for Disease Control and Prevention
  Atlanta, Georgia

  Disclosure: Nothing to disclose
• RN

  Rajeshwari Nair, PhD

  Associate
  Iowa City VA Health Care System
  Iowa city, Iowa

  Disclosure: Nothing to disclose
• LP

  Lindsay Petty, MD

  Infectious Disease Assistant Professor
  University of Michigan
  Ann Arbor, Michigan

  Disclosure: Nothing to disclose
• 

  Valerie Vaughn, MD, MSc

  Assistant Professor
  Michigan Medicine
  Ann Arbor, MI

  Disclosure: Nothing to disclose
• BA

  Bruce Alexander, PharmD

  Pharmacist
  Iowa City VA Health Care System
  Iowa city, Iowa

  Disclosure: Nothing to disclose
• KH

  Kelly Hatfield, MSPH

  Epidemiologist
  Centers for Disease Control and Prevention
  Atlanta, Georgia

  Disclosure: Nothing to disclose
• BL

  Brian Lund, PharmD

  Core Investigator
  Iowa City VA Health Care System
  Iowa City, Iowa

  Disclosure: Nothing to disclose
• LP

  Lindsay Petty, MD

  Infectious Disease Assistant Professor
  University of Michigan
  Ann Arbor, Michigan

  Disclosure: Nothing to disclose
• DR

  David Ratz, MS

  Statistician
  University of Michigan
  Ann Arbor, Michigan

  Disclosure: Nothing to disclose
• BA

  Bruce Alexander, PharmD

  Pharmacist
  Iowa City VA Health Care System
  Iowa city, Iowa

  Disclosure: Nothing to disclose
• BB

  Brice Beck, MA

  Data Analyst
  Iowa City VA Health Care System
  Iowa city, Iowa

  Disclosure: Nothing to disclose
• AC

  Anna Conlon, PhD

  Statistician
  University of Michigan
  Ann Arbor, MI

  Disclosure: Nothing to disclose
• 

  Anurag Malani, MD, FIDSA, FSHEA

  Medical Director, Infection Prevention & Antimicrobial Stewardship Programs
  St. Joseph Mercy Health System, Ann Arbor
  Ann Arbor, Michigan

  Disclosure: Nothing to disclose
• 

  Sujan Reddy, MD, MSc

  Medical Director of CDC’s Prevention Epicenter Program
  Centers for Disease Control and Prevention
  Atlanta, Georgia

  Disclosure: Nothing to disclose
• 

  Anurag Malani, MD, FIDSA, FSHEA

  Medical Director, Infection Prevention & Antimicrobial Stewardship Programs
  St. Joseph Mercy Health System, Ann Arbor
  Ann Arbor, Michigan

  Disclosure: Nothing to disclose
• EM

  Elizabeth Mclaughlin, MS, RN

  Project Manager, Michigan Hospital Medicine Safety Consortium
  University of Michigan
  Ann Arbor, MI

  Disclosure: Nothing to disclose
• RN

  Rajeshwari Nair, PhD

  Associate
  Iowa City VA Health Care System
  Iowa city, Iowa

  Disclosure: Nothing to disclose
• CR

  Christopher Richards, MA

  Data Manager
  Iowa City VA Health Care System
  Iowa City, IA

  Disclosure: Nothing to disclose
• 

  Arjun Srinivasan, MD

  Associate Director for Healthcare Associated Infection Prevention Programs, Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases
  Centers for Disease Control and Prevention
  Atlanta, Georgia

  Disclosure: Nothing to disclose
• BB

  Brice Beck, MA

  Data Analyst
  Iowa City VA Health Care System
  Iowa city, Iowa

  Disclosure: Nothing to disclose
• 

  Lauri Hicks, DO

  Director, Office of Antibiotic Stewardship
  Centers for Disease Control and Prevention
  Atlanta, Georgia

  Disclosure: Nothing to disclose
• EM

  Elizabeth Mclaughlin, MS, RN

  Project Manager, Michigan Hospital Medicine Safety Consortium
  University of Michigan
  Ann Arbor, MI

  Disclosure: Nothing to disclose
• TP

  Twisha Patel, PharmD, BCPS, BCIDP

  Clinical Pharmacist, Antimicrobial Stewardship Program
  Michigan Medicine
  Ann Arbor, MI

  Disclosure: Nothing to disclose
• EP

  Eli Perencevich, MD MS

  Professor
  University of Iowa
  Iowa city, Iowa

  Disclosure: Nothing to disclose
• SB

  Steven Bernstein, MD, MPH

  Professor of Internal Medicine, Associate Dean of Clinical Affairs, Director of Quality
  University of Michigan
  Ann Arbor, MI

  Disclosure: Nothing to disclose
• MG

  Michihiko Goto, MD, MSCI

  Assistant Professor
  University of Iowa
  Iowa City, IA

  Disclosure: Nothing to disclose
• DL

  Daniel Livorsi, MD, MSC

  Assistant Professor
  University of Iowa
  Iowa City, IA

  Disclosure: Nothing to disclose
• MN

  Melinda Neuhauser, PharmD, MPH

  Pharmacist and Acute Care Lead
  Centers for Disease Control and Prevention
  Chicago, Illinois

  Disclosure: Nothing to disclose
• AW

  Allison Weinmann, MD

  Infectious Diseases
  Henry Ford Health System
  Detroit, MI

  Disclosure: Nothing to disclose
• BH

  Brett Heintz, PharmD

  Antimicrobial Stewardship Pharmacy Champion
  Iowa City VA Health Care System
  Iowa City, IA

  Disclosure: Nothing to disclose
• LH

  Lama Hsaiky, PharmD

  Clinical Pharmacist
  Beaumont Hospital
  Detroit, MI

  Disclosure: Nothing to disclose
• JJ

  John Jernigan, MD, MS

  Director, Office of Prevention Research and Evaluation
  Centers for Disease Control and Prevention
  Atlanta, Georgia

  Disclosure: Nothing to disclose
• DO

  Danielle Osterholzer, MD

  Physician
  Hurley Medical Center
  Flint, MI

  Disclosure: Nothing to disclose
• 

  Vineet Chopra, MD, MSc

  Chief, Division of Hospital Medicine
  Michigan Medicine
  Ann Arbor, Michigan

  Disclosure: Nothing to disclose
• 

  Lisa Dumkow, PharmD, BCPS, BCIDP

  Clinical Pharmacist, Antimicrobial Stewardship
  Mercy Health Saint Mary's
  Grand Rapids, MI

  Disclosure: Nothing to disclose
• EP

  Eli Perencevich, MD MS

  Professor
  University of Iowa
  Iowa city, Iowa

  Disclosure: Nothing to disclose
• SF

  Scott Flanders, MD

  Professor of Internal Medicine
  University of Michigan
  Ann Arbor, MI

  Disclosure: Nothing to disclose
• 

  Jason Pogue, PharmD, BCPS, BCIDP

  Clinical Professor
  University of Michigan
  Ann Arbor, Michigan

  Disclosure: Accelerate Diagnostics: Consultant
  Melinta Therapeutoics: Consultant
  Merck and Co.: Consultant, Research Grant
  Nabriva Therapeutics: Consultant
  Paratek Pharmaceuticals: Consultant
  Qpex: Consultant
  Shionogi: Consultant
  Tetraphase Pharmaceuticals: Consultant
• SF

  Scott Flanders, MD

  Professor of Internal Medicine
  University of Michigan
  Ann Arbor, MI

  Disclosure: Nothing to disclose
• TG

  Tejal Gandhi, MD

  Infectious Diseases Associate Professor, Medical Director Antimicrobial Stewardship Program
  University of Michigan
  Ann Arbor, Michigan

  Disclosure: Nothing to disclose

Moderator(s)

• 

  Jasmine Marcelin, MD

  Assistant Professor, Division of Infectious Diseases
  University of Nebraska Medical Center
  Omaha, Nebraska

  Disclosure: Nothing to disclose
• 

  Jason Pogue, PharmD, BCPS, BCIDP

  Clinical Professor
  University of Michigan
  Ann Arbor, Michigan

  Disclosure: Accelerate Diagnostics: Consultant
  Melinta Therapeutoics: Consultant
  Merck and Co.: Consultant, Research Grant
  Nabriva Therapeutics: Consultant
  Paratek Pharmaceuticals: Consultant
  Qpex: Consultant
  Shionogi: Consultant
  Tetraphase Pharmaceuticals: Consultant

Presenting Author(s)

• JB

  James Baggs, PhD

  Epidemiologist
  Centers for Disease Control and Prevention
  Atlanta, GA

  Disclosure: Nothing to disclose
• TG

  Tejal Gandhi, MD

  Infectious Diseases Associate Professor, Medical Director Antimicrobial Stewardship Program
  University of Michigan
  Ann Arbor, Michigan

  Disclosure: Nothing to disclose
• MG

  Michihiko Goto, MD, MSCI

  Assistant Professor
  University of Iowa
  Iowa City, IA

  Disclosure: Nothing to disclose
• DL

  Daniel Livorsi, MD, MSC

  Assistant Professor
  University of Iowa
  Iowa City, IA

  Disclosure: Nothing to disclose
• 

  Valerie Vaughn, MD, MSc

  Assistant Professor
  Michigan Medicine
  Ann Arbor, MI

  Disclosure: Nothing to disclose