Academic Journal
Implementation of a comprehensive intervention focused on hospitalized patients with HIV by an existing stewardship program: successes and lessons learned
| العنوان: | Implementation of a comprehensive intervention focused on hospitalized patients with HIV by an existing stewardship program: successes and lessons learned |
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| المؤلفون: | Danya Roshdy, Maggie McCarter, Jacqueline Meredith, Rupal Jaffa, Katie Hammer, Barbara Santevecchi, Nigel Rozario, Jamie Campbell, Michael Leonard, Christopher Polk |
| المصدر: | Therapeutic Advances in Infectious Disease, Vol 8 (2021) |
| بيانات النشر: | SAGE Publishing, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Infectious and parasitic diseases |
| مصطلحات موضوعية: | Infectious and parasitic diseases, RC109-216 |
| الوصف: | Background: Several national organizations have advocated for inpatient antiretroviral stewardship to prevent the consequences of medication-related errors. This study aimed to evaluate the impact of a stewardship initiative on outcomes in people with HIV (PWH). Methods: A pharmacist-led audit and review of adult patients admitted with an ICD-10 code for HIV was implemented to an existing antimicrobial stewardship program. A quasi-experimental, retrospective cohort study was conducted comparing PWH admitted during pre- and post-intervention periods. Rates of antiretroviral therapy (ART)-related errors and infectious diseases (ID) consultation with linkage to care were evaluated through selection of a random sample of patients receiving ART in each period. Length of stay (LOS) and mortality were assessed by analyzing all admissions in the post-intervention period. Clinical outcomes including LOS, 30-day all-cause hospital readmission, and in-hospital and 30-day mortality in the post-intervention group were stratified by patients not on ART, on ART at admission, and started on ART as a result of the intervention. Results: A total of 100 patients in the pre-intervention period and 103 patients in the post-intervention period were included to assess ART-related errors and linkage to care. A reduction in errors (70.0 versus 25.7%, p |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2049-937X 20499361 |
| Relation: | https://doaj.org/toc/2049-937X |
| DOI: | 10.1177/20499361211010590 |
| URL الوصول: | https://doaj.org/article/f1849b21373e4d579cda71264a12662a |
| رقم الانضمام: | edsdoj.f1849b21373e4d579cda71264a12662a |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 2049937X 20499361 |
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| DOI: | 10.1177/20499361211010590 |