Paediatric antimicrobial stewardship programmes in the UK's regional children's hospitals.
Vergnano S., Bamford A., Bandi S., Chappel F., Demirjian A., Doerholt K., Emonts M., Ferreras-Antolin L., Goenka A., Jones L., Herberg JA., Hinds L., McGarrity O., Moriarty P., O'Riordan S., Patel M., Paulus S., Porter D., Stock K., Patel S.
A survey was conducted in UK regional children's hospitals with paediatric intensive care and paediatric infectious disease (PID) departments to describe the characteristics of paediatric antimicrobial stewardship (PAS) programmes. A structured questionnaire was sent to PAS coordinators. 'Audit and feedback' was implemented in 13 out of 17 centres. Microbiology-led services were more likely to implement antimicrobial restriction (75% vs 33% in PID-led services), to focus on broad-spectrum antibiotics, and to review patients with positive blood cultures. PID-led services were more likely to identify patients from e-prescribing or drug charts and review all antimicrobials. A PAS network has been established.