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Your search keyword '"Bergman, Scott J."' showing total 34 results
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34 results on '"Bergman, Scott J."'

1. Perioperative cefazolin prescribing rates following suppression of alerts for non-IgE-mediated penicillin allergies

Author

Bogus, Ashley, McGinnis, Kelley, Vergin, Joshua, May, Sara M., Hankins, Richard J., Stohs, Erica, Van Schooneveld, Trevor C., and Bergman, Scott J.

Abstract

AbstractBackground:Cefazolin is the preferred antimicrobial for the prevention of surgical site infections (SSIs) in many procedures. The presence of penicillin allergies can influence prescribing of alternative agents like vancomycin. In April 2022, Nebraska Medicine implemented a suppression of alerts for non-IgE-mediated and nonsevere penicillin allergies in the electronic medical record (EMR) upon cephalosporin prescribing. The objective of this study was to evaluate changes in perioperative cefazolin for SSI prophylaxis.Methods:This was a quasi-experimental study of patients undergoing procedures for which cefazolin was the preferred agent per institutional guidance. Education on the change was distributed via e-mail to surgical staff and pharmacists. Pre- and post-intervention data were collected from April 2021 through March 2022 and April 11, 2022, through October 2022, respectively. Chart review was performed on patients with reported penicillin allergies for the top surgical procedures with <50% cefazolin utilization pre-intervention. The primary outcome was the administration of perioperative cefazolin in patients with penicillin allergies, including unknown reactions.Results:A total of 6,676 patients underwent surgical procedures (pre-intervention n= 4,147, post-intervention n= 2,529). Documented penicillin allergies were similar between the pre- and post-intervention group (12.3% vs. 12.6%). In individuals with documented penicillin allergies, cefazolin prescribing increased from 49.6% to 74.3% (p< 0.01). Chart review for safety outcomes identified no difference in new severe reactions, rescue medication, SSIs, acute kidney injury, postoperative Clostridioides difficileinfection, or methicillin-resistant Staphylococcus aureusinfections.Conclusion:Following the suppression of EMR alerts for non-IgE-mediated and nonsevere penicillin allergies, cefazolin prescribing rates for SSI prophylaxis significantly improved.

Published
2024
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6. 162. The Genotypic Antibiogram: Using Results of Gram-Negative Antimicrobial Resistance Genes Identified via Rapid Blood Culture Identification Tests to Optimize Treatment of Enterobacterales Bloodstream Infections

Author

Sunagawa, Shawnalyn, primary, Tigh, Jeremy E, additional, Okada, Ashlyn, additional, Bergman, Scott J, additional, Van Schooneveld, Trevor C, additional, Chan, Yolande, additional, Fey, Paul D, additional, and Ryder, Jonathan H, additional

Published
2023
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7. Use of a beta-lactam graded challenge process for inpatients with self-reported penicillin allergies at an academic medical center

Author

Sunagawa, Shawnalyn W., primary, Bergman, Scott J., additional, Kreikemeier, Emily, additional, Watkins, Andrew B., additional, Alexander, Bryan T., additional, Miller, Molly M., additional, Schroeder, Danny, additional, Stohs, Erica J., additional, Van Schooneveld, Trevor C., additional, and May, Sara M., additional

Published
2023
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28. Antibacterial use in the age of SARS-CoV-2

Author

Angell, Kathleen E, primary, Lawler, James V, additional, Hewlett, Angela L, additional, Rupp, Mark E, additional, Bergman, Scott J, additional, Van Schooneveld, Trevor C, additional, Broadhurst, M Jana, additional, and Brett-Major, David M, additional

Published
2021
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32. Use of a best practice alert linking Clostridioides difficileinfection test results to a severity-based treatment order set

Author

Reed, Holly L., Van Schooneveld, Trevor C., Reha, Craig G., and Bergman, Scott J.

Abstract

AbstractWe evaluated provider adherence to practice guidelines for inpatients diagnosed with Clostridoides difficileinfection (CDI) before and after implementation of a best practice alert (BPA) linking a positive test result to guideline-based orders. After implementation of the BPA, guideline-based prescribing increased from 39.4% in 2013 to 67.7% in 2016 (P= .014).

Published
2019
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33. Monitoring of Outpatient Parenteral Antimicrobial Therapy and Implementation of Clinical Pharmacy Services at a Community Hospital Infusion Unit.

Author

Shah, Punit J., Bergman, Scott J., Graham, Donald R., and Glenn, Stephanie

Abstract

Background: In 2004, the Infectious Diseases Society of America (IDSA) published monitoring guidelines for outpatient parenteral antimicrobial therapy (OPAT), but no assessment of their utilization has been reported. We evaluated adherence to these recommendations by physicians at infusion centers and then piloted a program of supervision of monitoring by pharmacists. Methods: Phase I: We performed a retrospective case–control study of patients who received OPAT over 1 year at 2 hospital infusion centers. Controls were patients treated by an infectious diseases (ID) physician, and cases were those without an ID physician. Patients were excluded if they received fewer than 3 days of OPAT. Clinical pharmacy monitoring services were then implemented for patients on OPAT prescribed by non-ID physicians at 1 hospital’s infusion unit. Two outcomes were measured: adherence to guidelines on monitoring and attainment of goal vancomycin and aminoglycoside serum concentrations when appropriate. The results for non-ID physicians were compared to both ID physicians and subsequently a pharmacist. Results: Ninety-nine patients were included in the retrospective study. Compared with patients who had ID physician supervision, the non-ID physicians who prescribed OPAT for 39 patients had lower adherence to monitoring recommendations (35.9% vs 68.3%, P = .003). No difference could be detected in achievement of goal vancomycin and aminoglycoside serum concentrations for the 14 cases and 19 controls requiring therapeutic drug monitoring (57.1% vs 68.4%, respectively, P = .765). Seven patients were enrolled in the study after pharmacy monitoring was implemented. Adherence to monitoring recommendations for these patients was significantly improved compared to the prior patients who lacked ID physician supervision (35.9% vs 100%, P = .0065). Conclusion: Non-ID physicians are less likely to monitor OPAT according to the IDSA guidelines than ID physicians; however, pharmacist oversight improves adherence to recommendations. Further studies of monitoring of OPAT by pharmacists should investigate the impact of pharmacist involvement on prevention of adverse events and hospital readmissions. [ABSTRACT FROM AUTHOR]

Published
2015
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34. The genotypic antibiogram: using gram-negative antimicrobial resistance genes identified via rapid blood culture identification tests to optimize treatment of Enterobacterales bloodstream infections.

Author

Sunagawa SW, Tigh J, Chan YA, Okada A, Bergman SJ, Van Schooneveld TC, Fey PD, and Ryder JH

Abstract

The negative predictive value of bla CTX-M on BCID2 for ceftriaxone resistance in E. coli and K. pneumoniae group was 97% and 94%, respectively. Creation of a genotypic antibiogram led to updated local guidance for clinicians to utilize for empiric treatment of Enterobacterales bloodstream infections identified via rapid diagnostics., Competing Interests: TCVS: Investigator initiated grant support paid to his institution from BioMerieux as well as consulting to BioMerieux. SJB: Honoraria from BioMerieux for presentation related to rapid diagnostic testing. All other authors report no conflicts of interest/disclosures relevant to this article., (© The Author(s) 2024.)

Published
2024
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