N/A
Completed N=8
Dissemination and Implementation of a Videoconference Antimicrobial Stewardship Team
Common Infections · Urinary Tract Infections · Pneumonia
Source: ClinicalTrials.gov NCT05319561 ↗
Enrolled (actual)
8
Serious AEs
—
Results posted
May 2026
Primary outcomePrimary: Days of Antibiotic Therapy Per 1000 Days of Care — 710; 744 Days of Antibiotic Therapy/1000 Bed Days
Summary
Antimicrobial-resistant and healthcare-associated pathogens are a global health threat. The goals of antimicrobial stewardship are to minimize unnecessary and inappropriate antimicrobial use as a means to combat antimicrobial resistance. Previously, the investigators implemented a Videoconference Antimicrobial Stewardship Team (VAST) at 2 VA Medical Centers (VAMCs), using telehealth to connect clinicians at a rural VAMC to a geographically distant infectious disease expert Both VASTs successfully decreased overall antibiotic use in acute and long-term care units. This project will expand the VAST approach to other VAMCs and test the hypothesis that quarterly reports that quantify facility-level antibiotic use will enhance the efficacy of VASTs to support antimicrobial stewardship. This work will directly increase access to antimicrobial stewardship consultation at rural VA facilities, which are often underserved by infectious disease expertise.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Days of Antibiotic Therapy Per 1000 Days of Care |
710; 744 | — |
| SECONDARY Days of Broad-spectrum Antibiotic Therapy Per 1000 Bed Days of Care |
127; 188 | — |
| SECONDARY Antibiotic Starts (New Prescriptions)/1000 Bed Days of Care |
231; 226 | — |
Eligibility Criteria
Inclusion Criteria
- VA medical centers without local ID expertise that pair with an ID-expert from another VA medical center.
Exclusion Criteria
- (none)
Data sourced from ClinicalTrials.gov (NCT05319561). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.