Table 3. Changes in Antibiotic Use Comparing November-December 2018 With January-February 2018 Across 402 Hospitals Participating in the AHRQ Safety Programa.
Variable | No. | DOT per 1000 patient-days | Mean difference (95% CI) | P value | |
---|---|---|---|---|---|
Jan-Feb | Nov-Dec | ||||
Use in all hospitals | |||||
All antibiotics | 402 | 900.7 | 870.4 | −30.3 (−52.6 to −8.0) | .008 |
Fluoroquinolones | 402 | 105.0 | 84.6 | −20.4 (−25.4 to −15.5) | .009 |
Antibiotic use | |||||
In academic medical centers | 28 | 854.4 | 808.4 | −46.0 (−101.8 to 9.8) | .11 |
In nonacademic medical centers | 374 | 906.8 | 878.7 | −28.1 (−52.2 to −3.9) | .02 |
Antibiotic use in hospitals | |||||
With ≤100 beds | 165 | 888.2 | 863.7 | −24.5 (−65.3 to 16.3) | .24 |
With 101-299 beds | 136 | 875.6 | 850.9 | −24.7 (−61.8 to 12.4) | .19 |
With ≥300 beds | 101 | 939.6 | 896.8 | −42.8 (−78.0 to −7.6) | .02 |
Antibiotic use | |||||
In general wards | 311 | 851.4 | 828.5 | −22.9 (−48.6 to 2.8) | .08 |
In intensive care units | 165 | 1001.9 | 962.7 | −39.2 (−82.9 to 4.6) | .08 |
Antibiotic use in hospitals | |||||
Adherent to all 4 key components of antibiotic stewardship at baseline | 32 | 876.5 | 826.9 | −49.6 (−106.3 to 7.1) | .09 |
Not adherent to all 4 key components of antibiotic stewardship at baseline | 370 | 903.9 | 875.9 | −28.0 (−52.0 to −3.9) | .02 |
Abbreviations: AHRQ, Agency for Healthcare Research and Quality; DOT, days of antibiotic therapy.
Data analysis occurred using linear mixed models with random hospital unit effects.