Can benchmarking data actually improve antibiotic prescribing for kids? In this episode of AJIC: Science into Practice, hosts Nicki and Jess talk with Dr. Rana El Feghaly and Dr. Matthew Kronman about how collaborative reporting, smart guidelines, and EMR nudges help reduce unnecessary prescriptions. Hear how 22 institutions are reshaping outpatient stewardship with one smarter antibiotic choice at a time.
Guests:
- Rana Feghaly, MD, MSCI, CPHQ, Pediatric Infectious Diseases Physician, Infectious Diseases Clinical Director, Pediatric Department Director of Quality and Safety, Children’s Mercy Kansas City
- Matthew P. Kronman, MD, MSCE, Professor of Pediatric Infectious Diseases and Associate Vice Chair for Education in the Department of Pediatrics, University of Washington
Article:
Rana El Feghaly
Dr Rana El Feghaly, MD, MSCI, CPHQ, is a pediatric infectious diseases physician, the infectious diseases clinical director, director of quality and safety in the department of pediatrics, and the director of the outpatient antibiotic stewardship program at Children’s Mercy Kansas City. She is a Professor of Pediatrics at the University of Missouri-Kansas City School of Medicine.
Dr El Feghaly received her medical degree from the Lebanese University. Following pediatrics residency at the State University of New York Upstate Medical University in Syracuse, NY, she completed her pediatric infectious diseases fellowship at Washington University School of Medicine in St Louis, MO. After working for 4 years at the University of Mississippi Medical Center and completing her Master of Science in Clinical Investigation, she joined Children’s Mercy Kansas City in 2017 where she’s been leading Children’s Mercy’s outpatient antibiotic stewardship efforts. Board certified in Pediatrics and Pediatric Infectious Diseases, she is an elected fellow of the Pediatric Infectious Diseases Society, the Infectious Diseases Society of America, and the Society of Pediatric Research. Dr. El Feghaly serves on the American Board of Pediatrics Pediatric Infectious Diseases Sub-board, the National Board of Medical Examiners chairing their Microbiology and Immunology committee and serves on multiple national committees in the American Board of Pediatrics and the Pediatric Infectious Diseases Society.
She has led multiple international collaboratives focused on improving antimicrobial stewardship in ambulatory settings. With her expertise in quality improvement, Dr El Feghaly’s research focuses on judicious use of antibiotics and diagnostic tests in the outpatient setting, and health equity related to antimicrobial use.
Matthew P. Kronman
Matthew P. Kronman, MD, MSCE: Professor of Pediatric Infectious Diseases. Dr. Kronman’s primary research area of interest is antimicrobial stewardship, using the tools of pharmacoepidemiology to understand current patterns of antimicrobial use, identify the unintended consequences of antimicrobial overuse, and ultimately improve the overall quality of antimicrobial prescribing across various conditions.
His clinical time is split between inpatient Infectious Diseases consultations and the outpatient Infectious Diseases clinic. In addition, he is the Co-Director of Fellows College at Seattle Children’s Hospital and the Associate Vice Chair for Education in the Department of Pediatrics at the University of Washington,