Antibiotic Stewardship

Coordinated interventions designed to improve and measure the appropriate use of antimicrobials

Antibiotic Resistance: A Serious National and Global Health Problem

The discovery of antibiotics in the early 20th century fundamentally transformed human and veterinary medicine. Antibiotics now save millions of lives each year in the United States and around the world. However, the rise of antibiotic-resistant bacterial strains represents a serious threat to public health and the economy. The CDC estimates that annually at least two million illnesses and 23,000 deaths are caused by antibiotic-resistant bacteria in the United States alone

As more strains of bacteria become resistant to an ever-larger number of antibiotics, our drug choices will become increasingly limited and expensive and, in some cases, non-existent. If this trend continues unchecked, a wide range of modern medical procedures, from basic dental care to organ transplants, likely would be accompanied by a much greater risk of developing a difficult-to-treat or untreatable antibiotic infection. The safety of many modern medical procedures is dependent on the ability to treat bacterial infections that can arise as post-treatment complications.²

We are working within our region to help slow the emergence of resistance bacteria and prevent the spread of resistant infections. We are sharing information and education on the principles of antimicrobial stewardship, which is defined as ‘coordinated interventions designed to improve and measure the appropriate use of antimicrobials by promoting the selection of the optimal antimicrobial drug regimen, dose, duration of therapy and route of administration’.

Our team offers outreach, education and technical assistance. We are partnering with practitioners, pharmacists, system leadership as well as consumers of care. Antibiotics are a precious resource and preserving their usefulness will require cooperation and engagement by all.

Join our Learning and Action Network to access information, education and resources on this important topic.

“Every day we don’t act to better protect antibiotics, we will make it harder and more expensive to address drug resistance in the future. Drug resistance can undermine both our ability to fight infectious diseases and much of modern medicine.”
– Dr. Tom Frieden, MD, MPH, Director U.S. Centers for Disease Control and Prevention

1. Centers for Disease Control and Prevention

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Antibiotic Stewardship News

News

01Sep

Making Medication Safety a Top Priority

Medication reconciliation has always been a problematic process for a variety of reasons. Patients visit multiple providers and pharmacies and they may take over the counter and herbal medications unbeknownst…read more →

See All Antibiotic Stewardship News Posts 

CDC Outpatient Core Element Video Series

The Great Plains QIN has developed the following video series as a framework for providers to identify and select key actions for implementation from each of the CDC Core Elements of Outpatient Antibiotic Stewardship.

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Part 1
Introduction to the CDC Core Elements of Outpatient Antibiotic Stewardship

Runtime: 16 Minutes
This introductory video presents the CDC Core Elements of Outpatient Antibiotic Stewardship, providing a framework for providers to identify and select key actions for implementation. Through increased awareness, you will learn the benefits of antibiotic stewardship and why this is important to your community. 
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Part 2
CDC Core Elements of Outpatient Antibiotic Stewardship: Commitment
Runtime: 12 Minutes
This video provides an overview of commitment, outlining the importance of dedication and accountability for optimizing antibiotic prescribing and patient safety. Any person involved in patient care can act as an antibiotic steward for the health of your patients and the community in which you serve.  
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Part 3
CDC Core Elements of Outpatient Antibiotic Stewardship: Action for Policy and Practice
Runtime: 18 Minutes
This video delivers the implementation of policies and interventions to promote appropriate antibiotic prescribing practices. Action is necessary to transform policy and practice into measurable outcomes. Effective communication, documented justification and support for clinical decisions are key practices endorsed by the CDC. 
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Part 4
CDC Core Elements of Outpatient Antibiotic Stewardship: Tracking and Reporting
Runtime: 12 Minutes
This video offers several alternatives to improve tracking and reporting of antibiotic prescribing. Examples of measures and outcomes to be tracked will be identified and opportunities for improvement or percentage of all visits led to antibiotic prescriptions are discussed.
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Part 5
CDC Core Elements of Outpatient Antibiotic Stewardship: Education and Expertise
Runtime: 15 Minutes
This video provides valuable educational resources and health literacy for clinicians, patients and caregivers to improve appropriate antibiotic use and potential adverse drug events. Education to each person involved in patient care can help improve the overall quality of care. A number of resources can be found online from the CDC. 
Training Events
Oct 31 @ 12:15 pm – 1:00 pm
  Register Now November 13-19, 2017 is Antibiotic Awareness Week. This observance is a key component of Centers for Disease Control and Prevention (CDC) efforts to improve antibiotic stewardship in communities, healthcare facilities and on[...]
Oct 19 @ 3:00 pm – 4:00 pm
  Join WebEx Up to 70 percent of nursing home residents receive an antibiotic during a year and up to 75 percent of antibiotics are prescribed incorrectly.¹ The Centers for Medicare & Medicaid Services (CMS)[...]
Sep 19 @ 11:30 am – 12:30 pm
Register Now Sepsis is a complication caused by the body’s overwhelming and life-threatening response to infection. It can lead to tissue damage, organ failure, and death. Sepsis is difficult to diagnose. It happens quickly and[...]
Dec 15 @ 3:00 pm – 4:00 pm
Start WebEx Playback   Presentation handout In this second program in the antimicrobial stewardship series more specific functions and activities that can be incorporated into your stewardship program will be covered. Specific stewardship activities to[...]
Nov 17 @ 3:00 pm – 4:00 pm
Start WebEx Playback Presentation Handout: The basics of antimicrobial stewardship getting started The first program in this two-part antimicrobial stewardship series will focus on background and general concepts driving the need for antimicrobial stewardship and[...]
Oct 20 @ 12:00 pm – 1:00 pm WebEx
Presentation handout: Outpatient Antibiotic Prescribing  Start WebEx Playback In May, the Centers for Disease Control and Prevention (CDC), in collaboration with Pew Charitable Trusts and others, released new data showing that at least 30 percent[...]
Documents & Resources

External Resources

American Society of Health-System Pharmacists
CDC Adult Treatment Recommendations 
APIC Antibiotic Stewardship
CDC Antibiotic / Antimicrobial Resistance
CDC Antibiotic Stewardship Continuing Education for Healthcare Professionals
CDC Core Elements of Antibiotic Stewardship for Nursing Homes
CDC Core Elements of Antibiotic Stewardship for Nursing Homes
CDC Core Elements of Outpatient Antibiotic Stewardship
CDC Get Smart: Know When Antibiotics Work - Materials and References
CDC Pediatric Treatment Recommendations 
Joint Commission Antimicrobial Stewardship Toolkit
Trends in US Antibiotic Use by the PEW Charitable Trusts 

Nursing Home External Resources

National Nursing Home Quality Improvement Campaign
Agency for Healthcare Research and Quality
Antibiotic Stewardship Resources for Long-Term Care
LTC Requirements of Participation Infection Control Components Checklist
Nebraska Medicine
North Carolina Statewide Program for Infection Control and Epidemiology
Minnesota AS toolkit and resources
The PEW Trust: Antibiotic Stewardship in Long-Term Care Facilities

Meet the Experts

Nadyne Hadmeier

Nadyne Hagmeier, RN

Regional Task Lead
Quality Improvement Project Manager
Kansas
785-271-4174
Email Nadyne

Jackie Trojan

Jackie Trojan, RN, BSN, CPHQ

Quality Improvement Advisor
Nebraska
402-476-1399 x531
Email Jackie

Jean Roland

Jean Roland

Quality Improvement Specialist
North Dakota
701-989-6227
Email Jean

Jayme Steig

Jayme Steig, PharmD, RPh

Pharmaceutical Care Specialist

North Dakota

701-989-6224

Email Jayme

Michelle Lauckner

Michelle Lauckner, RN, BA, RAC-CT, IP-BC

Quality Improvement Specialist

North Dakota

701-989-6229

Email Michelle

Cheri Fast

Cheri Fast, RN, BSN, WOCN

Program Manager
South Dakota
605-354-2553
Email Cheri

Learning and Action Network

We invite you to join the Great Plains Learning and Action Network (LAN). All LAN partners will be invited to attend educational sessions on a variety of topics, have opportunities to learn from peers throughout the state and region and have access to an abundance of resources and tools. The LAN is a great opportunity to get connected and demonstrate your commitment to quality improvement.

Join Today