Developing Interactive Antimicrobial Stewardship and Infection Prevention Curricula for Diverse Learners: A Tailored Approach

Nori, Priya; Madaline, Theresa; Munjal, Iona; Bhar, Shubha; Guo, Yi; Seo, Susan K.; Porrovecchio, Andrea; Gancher, Elizabeth; Nosanchuk, Joshua; Pirofski, Liise-anne; Ostrowsky, Belinda

In 2013, we developed an audit tool containing sepsis criteria, risk stratification for multidrug resistance, and diagnostic criteria for pneumonia, skin and soft tissue infections, and urinary tract infections for a smaller community hospital without fulltime ASP (see Supplementary Figure 3 ). A 4-month QI initiative was designed to enable internal medicine faculty to serve as ASP extensions (stewardship liaisons) to offer antibiotic recommendations to floor teams without providing direct patient care. Initially, stewardship liaisons systematically screened all patients initiated on empiric antibiotics upon admission to 2 geriatric units using postprescription audit. Liaisons used the audit tool and a validated antibiotic prescribing guide to assist chart review. Cases were then discussed with ASP, and recommendations on regimens, dose adjustments, or additional management were conveyed to the floor teams by the stewardship liaison in real-time, using one-to-one academic detailing and feedback.