Dr. Scipion and her co-authors found that of the 2,265 infants in the study, 580 (26%) were on at least one antimicrobial agent when they conducted the one-day point of prevalence study on July 1, 2019. Ruling out sepsis was the most common reason for administering antibiotics in every hospital, regardless of country or income level. They also found that healthcare facilities with NICU-specific antibiotic stewardship programs (ASPs) had significantly lower antibiotic usage rates, regardless of the country’s income level. The team concluded that antibiotic therapies were used in each hospital regardless of whether or not the patient had evidence of infection. They also concluded that there were no differences in the length of antimicrobial therapy, regardless of country, income level, or presence of ASPs. However, because ASPs were associated with significantly reduced antimicrobial usage, the researchers suggest that ASPs be implemented more broadly worldwide.
Thanks in large part to Dr. Scipion’s work, SBH is developing its own ASP to ensure our most vulnerable infants receive the most targeted care possible. In doing so, Dr. Scipion will continue to strengthen and elevate research at HEI/SBH.