Nationwide Antimicrobial Stewardship Programs in Outpatient Hemodialysis Facilities Would Save More Than 600 Lives per Year: Study

Implementing a coordinated program to improve antimicrobial use in outpatient kidney hemodialysis facilities nationwide would result in 629 fewer infection-related deaths per year among hemodialysis patients, a new AHRQ-funded study has projected.

Approximately 30 percent of antimicrobial doses administered in these facilities are considered unnecessary, leading to increased multidrug-resistant organism and Clostridium difficile infections.

Using data from multiple sources, the authors modeled outcomes to be expected by instituting antimicrobial stewardship programs that would improve antimicrobial prescribing through the use of guidelines and educational outreach.

The study, published in the Clinical Journal of the American Society of Nephrology, predicts that, if implementing such programs led to a 20 percent decrease in unnecessary prescriptions, the result would be 2,182 fewer infections and savings of more than $100 million annually.

Access the abstract.