Duration of antibiotics through care transitions: A quality improvement initiative

Published:September 10, 2022DOI:


      • Observational study assessed appropriateness of antibiotic therapy.
      • Over 50% of patients were prescribed excess antibiotics at discharge.
      • Choice of antibiotic was appropriate in 70% of cases.
      Antibiotic resistance is increasing worldwide and can be largely attributed to excess antibiotic use. At our institution, 75% of patients were prescribed excess antibiotic days and total duration of therapy was appropriate in only 24.5% of cases per the reviewers. Choice of antibiotic was appropriate in 70.4% of cases.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to American Journal of Infection Control
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Fleming-Dutra KE
        • Hersh AL
        • Shapiro DJ
        • et al.
        Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010-2011.
        JAMA. 2016; 315: 1864-1873
        • Hersh AL
        • King LM
        • Shapiro DJ
        • Hicks LA
        • Fleming-Dutra KE.
        Unnecessary antibiotic prescribing in US ambulatory care settings, 2010-2015.
        Clin Infect Dis. 2021; 72: 133-137
      1. World Health Organization. WHO antimicrobial resistance global report on surveillance. Accessed December 2, 2021 Published 2014.

      2. Centers for Disease Control and Prevention. Antibiotic resistance threats in the United States, 2019. Accessed December 2, 2021: Published 2019.

        • St Louis J
        • Okere AN.
        Clinical impact of pharmacist-led antibiotic stewardship programs in outpatient settings in the United States: a scoping review.
        Am J Health Syst Pharm. 2021; 78: 1426-1437
        • Sanchez GV
        • Fleming-Dutra KE
        • Roberts RM
        • Hicks LA.
        Core elements of outpatient antibiotic stewardship.
        MMWR Recomm Rep. 2016; 65: 1-12
        • Yogo N
        • Haas MK
        • Knepper BC
        • Burman WJ
        • Mehler PS
        • Jenkins TC.
        Antibiotic prescribing at the transition from hospitalization to discharge: a target for antibiotic stewardship.
        Infect Control Hosp Epidemiol. 2015; 36: 474-478
        • Scarpato SJ
        • Timko DR
        • Cluzet VC
        • et al.
        An evaluation of antibiotic prescribing practices upon hospital discharge.
        Infect Control Hosp Epidemiol. 2017; 38: 353-355
        • Conner M
        • Harris WH
        • Bomkamp JP.
        ADD It up: an evaluation of antibiotic duration at hospital discharge at a community hospital.
        Open Forum Infect Dis. 2021; 8: ofab399
        • Vaughn VM
        • Gandhi TN
        • Chopra V
        • et al.
        Antibiotic overuse after hospital discharge: a multi-hospital cohort study.
        Clin Infect Dis. 2021; 73: e4499-e4506