Antimicrobial stewardship programs (ASPs) took on key roles in response to the coronavirus disease 2019 (COVID-19) pandemic, including development of local treatment guidelines, access to COVID-19 therapeutics, and ensuring appropriate use. Although prior research has explored implementation of ASP guidance documents, few ASPs review utilization of their educational resources or measure efforts required for maintenance. Understanding which tools are most utilized may facilitate efficient deployment of limited stewardship resources. Web analytics can evaluate the use of online resources and may be helpful in guiding ASP efforts.
Our ASP utilizes a web-based application (CustomID) as the primary means of efficient communication with clinicians in our hospital. Duke CustomID includes institution-specific guidelines for treatment of various infections, local antibiograms, policies for restricted antimicrobials, and more. The resource is maintained directly by our ASP pharmacists and physicians, allowing for rapid updates. The application is readily accessible from all standard web browsers and is optimized for use on mobile devices. Users are primarily prescribers [ie, medical doctors (MDs and DOs), physician assistants, and nurse practitioners] and pharmacists who must have access to the local network to access the site.