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John H. Stroger Jr. Hospital of Cook County, Chicago, Illinois

John H. Stroger Jr. Hospital of Cook County, Chicago, Illinois. *deep wound cultures obtain by Podiatry Service. Illinois Collaborative for Hospital Antimicrobial Stewardship Enhancement (ICHASE). Collaboration CDC, IDPH and 5 other hospitals in Illinois to improve Antimicrobial stewardship

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John H. Stroger Jr. Hospital of Cook County, Chicago, Illinois

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  1. John H. Stroger Jr. Hospital of Cook County, Chicago, Illinois

  2. *deep wound cultures obtain by Podiatry Service

  3. Illinois Collaborative for Hospital Antimicrobial Stewardship Enhancement (ICHASE) • Collaboration CDC, IDPH and 5 other hospitals in Illinois to improve Antimicrobial stewardship • Educational Intervention • Empower clinicians with the knowledge to manage abx for DFIs • Lecture series by ID-MD Fellow and Family Medicine Resident • Institutional guideline use

  4. Look in chart for previous culture data to help guide empiric therapy

  5. Preliminary findings…. * Initiation of guideline recommended empiric therapy by targeted service; data represents 2 months of surveillance in 2012 and 2014.

  6. Lessons • Targeted educational intervention • improved adherence to institutional guideline for the initial selection of antimicrobials • Clinician buy-in and involvement during the planning of the intervention • Longer term effect of intervention needs to be evaulated

  7. Next steps • Vascular /Podiatry services • Better utilization of resources • Decrease length of stay • Optimizing antibiotic utilization • Assess the clinical and economic outcomes of continued audit and feedback by Physician Assistant

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