METRICS

Leveraging National Health Safety Network Antibiotic Use Data to Inform, Implement and Assess Antibiotic Stewardship Activities

The CDC provides many robust tools to aid users in running the analytics provided within the NHSN platform.  These are available for the AU and AR options as well as the targeted assessments for stewardship (TAS) strategy.  Where applicable, these specific guides have been linked throughout the clinical implementation guide.

In addition, our project team has prepared some additional quick guides, each with an embedded “stew-tube” video to demonstrate how of quick additional manipulations of the NHSN data itself, or adding in supplemental data from local sources can be used in everyday stewardship work.  These are also linked within the clinical stewardship scenarios but the full list appears below.

• Manipulations of NHSN Extracts
  • Specific Antimicrobial use bar chart
  • Antimicrobial use by route of delivery
  • Antimicrobial specific DOT/1000 days present
• Combining NHSN Data with Additional Data from Local Sources
  • Antimicrobial-specific Average Length of Therapy
  • NHSN Infection Rate Extracted to Combine with Antibiotic Data
• Metrics Using Local Data Sources
  • Antimicrobial use by Indication
  • Durations based on date of event
  • Percent of Patient Admissions receiving a Specific Antimicrobial
  • Targeted admissions denominator (diagnosis code or antibiotic use)
  • Provider Specific Prescribing (DOT)
  • Provider Specific Prescribing- Stratified by Route or Indication
  • Laboratory Test Utilization Rate

This work was funded by Centers for Disease Control & Prevention Safety and Healthcare Epidemiology Prevention Research Development (SHEPheRD) Program- Contract 2022 Domain 1-A001.