title: Outcomes and metrics for antimicrobial stewardship: survey of physicians and pharmacists.
abstract: We conducted a survey to compare antimicrobial stewardship outcomes considered to be most important with those used in practice as metrics. Respondent opinion of important outcomes compared with those collected as metrics were antimicrobial use (15% vs 73%), antimicrobial cost (10% vs 73%), appropriateness of antimicrobial use (56% vs 51%), infection-related mortality rate (34% vs 7%), and antibiotic-associated length of stay (22% vs 12%). Patient outcomes are important to many practitioners but are rarely used as metrics.
authors.affiliation: Global Medical Affairs Department, Cubist Pharmaceuticals, Lexington, Massachusetts Massachusetts College of Pharmacy and Health Sciences, Worcester.
authors.forename: J Brock
authors.initials: JB
authors.lastname: Bumpass
authors.affiliation: Global Medical Affairs Department, Cubist Pharmaceuticals, Lexington, Massachusetts Massachusetts College of Pharmacy and Health Sciences, Worcester Department of Pharmacy Practice, Massachusetts College of Pharmacy and Health Sciences, Worcester/Manchester.
authors.forename: Patrick M
authors.initials: PM
authors.lastname: McDaneld
authors.affiliation: Global Medical Affairs Department, Cubist Pharmaceuticals, Lexington, Massachusetts.
authors.forename: Daryl D
authors.initials: DD
authors.lastname: DePestel
authors.affiliation: Global Medical Affairs Department, Cubist Pharmaceuticals, Lexington, Massachusetts.
authors.forename: Kenneth C
authors.initials: KC
authors.lastname: Lamp
authors.affiliation: Global Medical Affairs Department, Cubist Pharmaceuticals, Lexington, Massachusetts.
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Chung
authors.affiliation: Global Medical Affairs Department, Cubist Pharmaceuticals, Lexington, Massachusetts.
authors.forename: Peggy S
authors.initials: PS
authors.lastname: McKinnon
authors.affiliation: Global Medical Affairs Department, Cubist Pharmaceuticals, Lexington, Massachusetts.
authors.forename: Monica G
authors.initials: MG
authors.lastname: Crompton
authors.affiliation: Global Medical Affairs Department, Cubist Pharmaceuticals, Lexington, Massachusetts Department of Pharmacy Practice, College of Pharmacy, University of Nebraska Medical Center, Omaha.
authors.forename: Elizabeth D
authors.initials: ED
authors.lastname: Hermsen
mesh_terms: D000890:Anti-Infective Agents / Q000191:economics / Q000627:therapeutic use*; D003141:Communicable Diseases / Q000188:drug therapy / Q000401:mortality; D003625:Data Collection; D004363:Drug Utilization / Q000706:statistics & numerical data*; D006801:Humans; D007902:Length of Stay; D010595:Pharmacists / Q000706:statistics & numerical data*; D010820:Physicians / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D016896:Treatment Outcome
chemical_list: D000890:Anti-Infective Agents
keywords: antimicrobial stewardship; antimicrobial use; metrics; outcomes; survey