NDLI: Short and Concise Peer-to-Peer Teaching—Example of a Successful Antibiotic Stewardship Intervention to Increase Iv to Po Conversion

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Short and Concise Peer-to-Peer Teaching—Example of a Successful Antibiotic Stewardship Intervention to Increase Iv to Po Conversion

Content Provider	MDPI
Author	Thomas, Münzel Wild, Johannes Siegrist, Bettina Hobohm, Lukas Schwanz, Thomas Sagoschen, Ingo
Copyright Year	2022
Description	Antibiotic stewardship (ABS) programs aim to combine effective treatment with minimized antibiotic-related harms. Common ABS interventions are simple and effective, but their implementation in daily practice is often difficult. The aim of our study was to investigate if a single, short, peer-to-peer teaching intervention (junior doctor to junior doctor) during clinical routine can successfully improve antibiotic prescriptions. We performed a quasi-experimental before–after study on a regular care cardiology ward at a large academic medical center in Germany. We evaluated antibiotic use metrics retrospectively and calculated defined daily doses (DDD) with the anatomical therapeutic chemical/DDD classification system of the World Health Organization. We hypothesize that the over-representative use of intravenous administration is a potentially modifiable target, which can be proven by antibiotic use metrics analysis. After a single peer-to-peer teaching session with a focus on indications for iv to po conversion, the normalized percentage of intravenous compared to oral administration significantly decreased (from 86.5 ± 50.3% to 41.4 ± 70.3%). Moreover, after the intervention, antibiotics with high oral bioavailability were no longer administered intravenously at all during the following quarter. Our results indicate that even a single peer-to-peer training session is highly effective in improving the iv to po conversion rate in the short term.
Starting Page	402
e-ISSN	20796382
DOI	10.3390/antibiotics11030402
Journal	Antibiotics
Issue Number	3
Volume Number	11
Language	English
Publisher	MDPI
Publisher Date	2022-03-17
Access Restriction	Open
Subject Keyword	Antibiotics Primary Health Care Antibiotic Stewardship Defined Daily Doses Antibiotic Prescribing Antibiotic Use Peer-to-peer Teaching
Content Type	Text
Resource Type	Article

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