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


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Training Events
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

Meet the Experts

Nadyne Hadmeier

Nadyne Hagmeier, RN

Regional Task Lead
Quality Improvement Project Manager
Email Nadyne

Jackie Trojan

Jackie Trojan, RN, BSN, CPHQ

Quality Improvement Advisor
402-476-1399 x531
Email Jackie

Jean Roland

Jean Roland

Quality Improvement Specialist
North Dakota
701-852-4231 x735
Email Jean

Jayme Steig

Jayme Steig, PharmD, RPh

Pharmaceutical Care Specialist

North Dakota


Email Jayme

Michelle Lauckner

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

Quality Improvement Specialist

North Dakota


Email Michelle

Cheri Fast

Cheri Fast, RN, BSN, WOCN

Program Manager
South Dakota
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.

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