Electronic medical record system may improve efforts to prevent antibiotic drug resistance


Adapting to electronic medical record systems according to Penn State research.

Penn State College of Medicine at the Penn State Health Center at Penn State Health Milton S. Hershey Medical Center.

According to Dr. Michael Katzman, professor of antibiotics and it has enhanced the capabilities of the program.

Our efforts have been associated with continuing decreases in antibiotic usage, antibiotic resistance and C. difficile infections at our medical center By using the documentation system we developed, our daily rounds have become more efficient and allowed to assist more clinicians in optimizing antibiotic use where appropriate.

Dr. Michael Katzman, professor of medicine in the division of infectious diseases and director of the program

Preventing antibiotic-resistant infections

Hershey Medical Center. Katzman and his colleagues worked with information services and computer testing. Antimicrobial Stewardship Program to help evaluate and follow up antibiotic use for both adult and pediatric patients

This system is just one of many steps taken by Hershey Medical Center to optimize the use of antibiotics. The primary goals of the program to improve the treatment of individual patients are that they achieve better results with fewer complications, a known complication of overuse of antibiotics.

"The major reason we need to monitor antibiotic use is patient safety," said Katzman. According to the Centers for Disease Control and Prevention, to a large percentage of antibiotic use is inappropriate. Katzman says inappropriate inappropriate to use lead to inadequate treatment, avoidable side effects, superinfections and increased resistance to antibiotics.

The Antimicrobial Stewardship Program at Hershey Medical Center began in 2011 and is directed by Katzman and pharmacist Cory Hale. Other core team members are Dr. George McSherry, professor of pediatrics, and pharmacist Mark Lesher. In 2018, the Infectious Diseases Society of America named Hershey Medical Center one of 25 Antimicrobial Stewardship Centers of Excellence – and results just published in Open Forum Infectious Diseases may indicated why.

Anti-microbial Stewardship Program has been associated with a 21% decrease C. difficile infections decreased.

Conversation is key

Members of the Antimicrobial Stewardship Program to review patient medical records and assessments In cases where there may be an opportunity to improve the choice or dose of an antibiotic, or even to stop antibiotics, they initiate a conversation with the patient's doctor.

For Katzman, the key to the program is to work together with physicians to ensure patients receive the best possible treatment. The system developed and developed in their study has made it easier for them to deal with patients with optimizing antibiotic use for their patients.

"Because we recognize that each patient is unique and respects the clinical judgment of primary caregivers, more than 80% of our recommendations are accepted," Katzman said. "Ultimately, it's about making sure antibiotic use is optimal for each patient."

The authors received no funding support and declare no conflict of interest.



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