Bibliographic Details
| Title: |
Strategies, personnel, and diversity of pediatric antimicrobial stewardship programs in the United States: Strategies and composition of US pediatric ASPs |
| Authors: |
Christina S. Manice, Alexander S. Plattner, Edan Leshem, Jason G. Newland, Mari M. Nakamura |
| Source: |
Antimicrobial Stewardship & Healthcare Epidemiology, Vol 5 (2025) |
| Publisher Information: |
Cambridge University Press, 2025. |
| Publication Year: |
2025 |
| Collection: |
LCC:Infectious and parasitic diseases
LCC:Public aspects of medicine |
| Subject Terms: |
Infectious and parasitic diseases, RC109-216, Public aspects of medicine, RA1-1270 |
| More Details: |
Abstract Objective: We sought to characterize US pediatric antimicrobial stewardship programs (ASPs), including their hospital demographics, staffing, funded full-time equivalents (FTEs) by hospital size, and relative emphasis on recommended stewardship strategies. We examined the self-reported characteristics of ASP personnel with regard to discipline, race, ethnicity, gender identity, and years of experience in antimicrobial stewardship. Design: Descriptive two-part survey. Setting: Pediatric ASPs at hospitals participating in Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS), a pediatric quality improvement collaborative of >70 children’s hospitals. Participants: Survey distributed to 82 US pediatric ASPs, excluding hospitals without pediatric ASPs. Part I completed by ASP leader (physician or pharmacist). Part II distributed to ASP team members. Methods: Part I addressed hospital demographics, ASP funding, and program choices related to the CDC’s 2019 Core Elements of Hospital Antibiotic Stewardship Programs. Part II requested that participants anonymously self-identify race, ethnicity, gender identity, training, and duration of ASP experience. Descriptive statistics performed. Results: Sixty-two ASPs responded: 61 (98%) with formal ASP, 40 (65%) from freestanding children’s hospitals. 40 (65%) co-led by an ASP physician and pharmacist. 60 (97%) reported dedicated inpatient physician FTE, 57 (92%) dedicated inpatient pharmacist FTE. Most programs (35 [58%]) reported inadequate staffing support. The 125 ASP professionals who completed Part II predominantly self-reported as White (89 [71%]), with fewer self-reporting as Asian (9 [15%]) or Black (4 [3%]). Conclusion: US pediatric ASPs have achieved substantial progress in meeting the CDC Core Elements, but many report insufficient resources. We identified underrepresentation in the ASP workforce. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2732-494X |
| Relation: |
https://www.cambridge.org/core/product/identifier/S2732494X2500018X/type/journal_article; https://doaj.org/toc/2732-494X |
| DOI: |
10.1017/ash.2025.18 |
| Access URL: |
https://doaj.org/article/b9d48481901546dd897710d7785421f7 |
| Accession Number: |
edsdoj.b9d48481901546dd897710d7785421f7 |
| Database: |
Directory of Open Access Journals |
