Journal article

Improving intravenous-to-oral antibiotic switch in children: a team-based audit and implementation approach

Brendan Joseph McMullan, Michelle Mahony, Lolita Java, Mona Mostaghim, Michael Plaister, Camille Wu, Sophie White, Laila Al Yazidi, Erica Martin, Penelope Bryant, Karin A Thursky, Evette Buono

BMJ Open Quality | BMJ PUBLISHING GROUP | Published : 2021


Children in hospital are frequently prescribed intravenous antibiotics for longer than needed. Programmes to optimise timely intravenous-to-oral antibiotic switch may limit excessive in-hospital antibiotic use, minimise complications of intravenous therapy and allow children to go home faster. Here, we describe a quality improvement approach to implement a guideline, with team-based education, audit and feedback, for timely, safe switch from intravenous-to-oral antibiotics in hospitalised children. Eligibility for switch was based on evidence-based guidelines and supported by education and feedback. The project was conducted over 12 months in a tertiary paediatric hospital. Primary outcomes ..

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University of Melbourne Researchers