In this single institution pre-post study, the implementation of an institutional evidence based guideline for patients with cellulitis / abscess significantly reduced the number of days of antibiotic use (13 days to 10 day), use of broad spectrum gram negative antibiotics (66% to 36% of patients) and use of ID consultants (46% to 30%), with no change in the clinical failure rate. This study is not surprising, but adds weight to the argument that standardization of evidence based care is extremely valuable in reducing resource utilization (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.