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

“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
2. White House National Strategy for Combating Antibiotic Resistant Bacteria

Get Smart - Test Your Knowledge About Antibiotics

Antibiotic Stewardship News



Patient Safety and Engagement

Originally published in the South Dakota Medicine Journal August 2019 issue. Stephan Schroeder, MD, CMD, CMQ Medical Director, South Dakota Foundation for Medical Care Health care is a complex, adaptive…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.

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. 
ABS Commitment Thumbnail
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.  
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. 
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.
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

Apr 2 @ 1:00 pm – 2:00 pm Webinar - Getting Started
Great Plains Quality Care Coalition Webinar – Getting Started [CANCELED] Please Join Us. Better together!     Learn more about Great Plains Quality Care Coalition (GPQCC). Our team of quality improvement experts will outline the[...]
Jun 18 @ 1:00 pm – 2:00 pm
Download presentation handout Hospital antimicrobial stewardship programs can reduce inappropriate antimicrobial use, length of stay, Clostridium difficile infection, rates of resistant infections and cost. Electronic health records (EHRs) have the potential to enhance antimicrobial stewardship[...]
Jan 29 @ 12:00 pm – 1:00 pm
  Presentation Handout Empowering nurses to participate in antimicrobial stewardship programs is the missing link in strengthening antimicrobial stewardship and improving patient care.  It has been found that nurses are generally not comfortable with microbiology[...]
Nov 6 @ 12:15 pm – 1:00 pm WebEx
Presentation Handout Join us as we discuss the community-wide involvement in antibiotic stewardship that is spreading throughout Huron, SD. Huron, with a population of just over 13,000, is seeing growing community-wide efforts to reduce antibiotic[...]
Oct 25 @ 1:00 pm – 2:00 pm
Presentation handout Overview and Purpose: This webinar will provide a brief explanation of antibiograms and will delve into their value in acute care, long-term care and outpatient settings. Using antibiograms to support improved antibiotic use[...]
Jul 24 @ 12:15 pm – 1:00 pm
  Presentation/Slides Handout Join us as we welcome Johnathan Reeves from the Great Plains QIN, for a cross setting webinar focused on using your quality improvement program to fully utilize antibiotic stewardship efforts.   Target[...]
Apr 24 @ 12:15 pm – 1:00 pm
Presentation Slide Handout Antibiograms are important tools for healthcare professionals to classify types of bacteria found in cultures, to identify patterns of antibiotic susceptibility in those bacteria, and to track changes in antibiotic susceptibility over[...]
Mar 29 @ 12:00 pm – 1:00 pm
Presentation/Slide Handout   On January 1, Nebraska became the first state to require pharmacists and pharmacies to report all dispensed prescriptions daily to the state’s Prescription Drug Monitoring Program (PDMP), not just controlled substances. PDMPs are a[...]
Mar 23 @ 12:15 pm – 1:00 pm
Presentation/Slides Handout Join the Great Plains QIN team in this Coaching Call to discuss and understand the tracking and reporting elements of the CDC’s Core Elements of Outpatient Antibiotic Stewardship. Attendees will share successes, challenges,[...]
Jan 30 @ 12:15 pm – 1:00 pm WebEx Virtual Training
    Presentation Handout WebEx Q&A by Dr. Ashraf   Join staff from Great Plains Quality Innovation Network as we host our Community Antibiotic Stewardship Hot Topic: Urinary Tract Infections in Post-Acute Patients and Long-Term[...]
Oct 31 @ 12:15 pm – 1:00 pm
Presentation Handout 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 the[...]
Oct 19 @ 3:00 pm – 4:00 pm
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) has finalized a[...]
Sep 19 @ 11:30 am – 12:30 pm
Presentation Handout   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[...]
Dec 15 @ 3:00 pm – 4:00 pm
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 consider and highlight the[...]
Nov 17 @ 3:00 pm – 4:00 pm
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 how to get[...]
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

Antibiotics, Immunizations & Sepsis: Connecting the Dots

External Resources

American Society of Health-System Pharmacists ASHP.ORG
Antibiotic Awareness Resources for Professionals
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 Pediatric Treatment Recommendations
IV to PO Conversion Policy and Procedure Sample
IV to PO Conversion Quick Reference Guide
Joint Commission Antimicrobial Stewardship Toolkit
Joint Commission
Map of Antibiotic Prescriptions Dispensed by State CDC.GOV

Nursing Home External Resources

Agency for Healthcare Research and Quality AHRQ.GOV
Antibiotic Stewardship Resources for Long-Term Care GREATPLAINSQIN.ORG
LTC Requirements of Participation Infection Control Components Checklist GREATPLAINSQIN.ORG
North Carolina Statewide Program for Infection Control and Epidemiology UNC.EDU
Minnesota AS toolkit and resources HEALTH.STATE.MN.US
The PEW Trust: Antibiotic Stewardship in Long-Term Care Facilities PEWTRUSTS.ORG


Meet the Experts

Jayme Steig

Jayme Steig, PharmD, RPh

Pharmaceutical Care Specialist
North Dakota
Email Jayme

Quality Care Coalition

Join our mission to make healthcare in your organization and community better. We are looking for committed nursing homes, community leaders and healthcare organizations to partner with us. Don’t miss out on this exciting opportunity to be change makers. Join the Great Plains Quality Care Coalition today.