Antibiotic StewardshipCoordinated 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.¹
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
Antibiotic Stewardship News
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.
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.
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.
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.
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.
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.
Documents & Resources
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|
|National Nursing Home Quality Improvement Campaign
|North Carolina Statewide Program for Infection Control and Epidemiology
|Minnesota AS toolkit and resources||HEALTH.STATE.MN.US|
|The PEW Trust: Antibiotic Stewardship in Long-Term Care Facilities||PEWTRUSTS.ORG|
Meet the Experts
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.