IDWEEK 2015 POSTER ABSTRACTS 148. Antimicrobial Stewardship Practices Reported by California Hospitals —Annual Hospital Survey Data Submitted via the National Healthcare Safety Network, 2014 Erin Epson, MD1; Kyle Rizzo, MPH2; Sam Horwich-Scholefield, MPH1; Lynn Janssen, MS, CIC, CPHQ3; 1Healthcare-Associated Infections Program, California Department of Public Health, Richmond, California; 2California Epidemiologic Investigation Service, Healthcare-Associated Infections Program, Center for Healthcare Quality, California Department of Public Health, Richmond, California; 3HealthcareAssociated Infections Program, Center for Healthcare Quality, California Department of Public Health, Richmond, California Session: 42. Antimicrobial Stewardship: Current State and Future Opportunities Thursday, October 8, 2015: 12:30 PM Background. Since 2008, California acute care hospitals have been required to develop processes for evaluating the judicious use of antibiotics and to report results to their quality improvement committees. A national survey conducted in 2011 found California hospitals were significantly more likely to have an antimicrobial stewardship policy than hospitals in other states. New California legislation further requires hospitals to implement an antimicrobial stewardship policy in accordance with guidelines and to establish a physician-supervised multidisciplinary committee with at least one physician or pharmacist with specific stewardship training by 1 July 2015.

Methods. Beginning in 2014, the National Healthcare Safety Network (NHSN) Annual Hospital Survey included questions about antimicrobial stewardship practices. Annual Hospital Survey data submitted by California acute care hospitals via NHSN were analyzed to determine proportions of hospitals implementing specific antimicrobial stewardship practices. Results. Data were available for all 391 California hospitals reporting to NHSN: 290 (74%) reported having a statement from leadership supporting efforts to improve antibiotic use; 359 (92%) reported a physician or pharmacist leader responsible for outcomes of stewardship; 201 (51%) provide dedicated salary support for stewardship activities. Specific stewardship practices are included in the table. Conclusion. In the setting of state legislative requirements, we document that substantial numbers of California hospitals are engaged in antimicrobial stewardship. These data will be used to identify opportunities for public health to guide programs that promote and support further implementation and advancement of antimicrobial stewardship practices in California hospitals. Table. Stewardship Practice

No. (%) Hospitals Responding Yes

Requiring prescribers to document indication for all antibiotics Facility-specific antibiotic treatment recommendations Antibiotic time-out Antibiotic pre-approval Antimicrobial prescription audit with feedback Providing feedback to prescribers regarding improving antibiotic use Providing antibiotic stewardship education Monitoring antibiotic use

166 (42%) 313 (80%) 133 (34%) 275 (70%) 342 (87%) 288 (74%) 278 (71%) 310 (79%)

Disclosures. All authors: No reported disclosures.

Open Forum Infectious Diseases 2015;2:71–536 © The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/ by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact [email protected]. DOI: 10.1093/ofid/ofv133

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