Implementation of an antimicrobial stewardship program on the medical-surgical service of a 100-bed community hospital

Table 3 Characteristics of 313 AST audits with one or more recommendations

Recommendation category	Number of audits	Implemented recommendations	Implementation rate (%)
All	313	234	75
Discontinue all agent(s)	115	85	74
De-escalate^a	65	53	82
Limit duration^b	21	13	62
Consult infectious diseases	19	16	84
Optimize dose	14	7	50
Broaden ^c	5	3	60
Convert parenteral to oral^d	3	3	100
More than 1 category	71	54	76

NOTE:
^a - Discontinuation of one or more agent(s) and/or substitution of alternate agent(s) with decreased spectrum of activity.
^b - Limit duration for same agent(s) at same dose, route and schedule.
^c - Addition of one or more agent(s) and/or substitution of alternate agent(s) with increased spectrum of activity.
^d - Parenteral to oral conversion(s) of same agent(s) at same dose and schedule.