Table 4.
Key outcomes | References | |||||||||||||||
42 | 43 | 44 | 45 | 46 | 47 | 48 | 49 | 50 | 51 | 52 | 53 | 54 | 55 | 56 | 57 | |
Antimicrobials use (DDD/1000 PDs) | ↓310 | ↓200 | ↓6.58 | ↓124 | ↓141 | ↓34 | ↓10.7 | |||||||||
Antimicrobials use (% reduction) | 11 | 47 | 46 | 72.5–95 | 22 | 12 | 37 | |||||||||
Antibiotics cost (↓%) | ↓54 | ↓24 | ↓51 | |||||||||||||
Antimicrobials streamlining (%/week) | ↑52 | |||||||||||||||
Resistance rates | ||||||||||||||||
CD risk/100 000 or/10 000 PDs (postintervention) | ⇔ | 12 | 14 | 55 | 60 | 2.8 | 170 | 2.8 | 11 | 16 | ⇔ | 85 | ||||
CD absolute risk (%) | ⇔ | ↓67 | ↓46 | ↓83 | ↓77 | ↓31 | ↓51 | ↑87 | ↓5 | ↓71 | ↓36 | ↓71 | ⇔ | ↓37 | ||
Risk of HCAIs (AR) |
|
↓25 | 17–25 | ⇔ | ↓ | ↓ | ||||||||||
% reduction in time for start of treatment | 64 | |||||||||||||||
Time savings (h/1000 admissions) | ↓43 | |||||||||||||||
Hospital stay | ||||||||||||||||
Adherence to infection prevention precautions (%) | ↓6 | ↑95 | ||||||||||||||
Mortality | ⇔ |
↓, significant reduction; ↑, significant increase; ⇔, no significant changes (remained the same); ●, outbreak was contained.
AR, absolute risk; CD, Clostridioides difficile; C. difficile, Clostridioides difficile; DDD, daily defined doses; HCAIs, healthcare-associated infections; PD, patient days.