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. 2023 Apr 24;3(1):e78.
doi: 10.1017/ash.2023.149. eCollection 2023.

Providing value to patients and providers via a pediatric statewide antibiogram in South Carolina

Affiliations

Providing value to patients and providers via a pediatric statewide antibiogram in South Carolina

Pamela Bailey et al. Antimicrob Steward Healthc Epidemiol. .

Abstract

Objective: Antimicrobial stewardship has special challenges in particular populations and facilities, including pediatrics. We sought to augment the information available to antimicrobial stewardship programs (ASPs) by created a cumulative statewide antibiogram for neonatal and pediatric populations.

Methods: In the Antimicrobial Stewardship Collaborative of South Carolina (ASC-SC), we created statewide antibiograms, including a separate antibiogram accounting for the pediatric and neonatal intensive care unit (NICU) populations. We collated data from the 4 pediatric and 3 NICU facilities in the state to provide a cumulative statewide antibiogram.

Results: Methicillin-susceptible Staphylococcus aureus was more prevalent than methicillin-resistant Staphylococcus aureus. Pseudomonas aeruginosa, Citrobacter koserii, and Acinetobacter baumannii were isolated in only 1 NICU.

Conclusions: These antibiograms should improve empiric prescribing in both the inpatient and outpatient setting, providing data in some areas that historically do not have pediatric antibiogram to inform prescribing. The antibiogram alone is not sufficient independently to improve prescribing but is one important aspect of stewardship in the pediatric population of South Carolina.

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Conflict of interest statement

All authors report no conflicts of interest relevant to this article.

Figures

Fig. 1.
Fig. 1.
Statewide neonatal antibiogram, 2020–2021.
Fig. 2.
Fig. 2.
Statewide pediatric antibiogram, 2020–2021.

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