Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-24T16:40:22.906Z Has data issue: false hasContentIssue false

Antimicrobial Stewardship: A Collaborative Partnership between Infection Preventionists and Healthcare Epidemiologists

Published online by Cambridge University Press:  02 January 2015

Julia Moody*
Affiliation:
Workgroup Chair; HCA, Inc., Nashville, Tennessee
Sara E. Cosgrove
Affiliation:
SHEA Advisor;, Johns Hopkins Medical Institutions, Baltimore, Maryland
Russell Olmsted
Affiliation:
2011 APIC President; Trinity Health, Ann Arbor, Michigan
Edward Septimus
Affiliation:
SHEA Advisor; HCA, Inc., Nashville, Tennessee
Kathy Aureden
Affiliation:
Sherman Hospital, Elgin, Illinois
Shannon Oriola
Affiliation:
Sharp Metropolitan Medical Center, San Diego, California
Gita Wasan Patel
Affiliation:
HCA Supply Chain Services, Dallas, Texas
Kavita K. Trivedi
Affiliation:
Center for Health Care Quality, California Department of Public Health
*
Clinical Director, Infection Prevention, Workgroup Chair, Clinical Services Group, HCA, Inc., Nashville, TN 37203 ([email protected])

Abstract

Misuse and overuse of antimicrobials, primarily involving therapeutic agents used to treat infection in humans, is considered one of the world's most pressing public health problems. Not only does such inappropriate use diminish the therapeutic benefit of essential medications, it also facilitates the development and spread of multidrug-resistant organisms (MDROs). Antimicrobial resistance and the rise in MDROs globally are associated with increased morbidity and mortality, cross-transmission within and between healthcare settings, and increased consumption of limited patient-care resources. Despite elevated awareness, publication of guidelines on antimicrobial stewardship, and several initiatives, the proportion of resistant strains causing both health care- and community-associated infections continues to increase and the number of new antimicrobials continues to decline.

Type
Apic/Shea Position Paper
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Bartlett, JG. A call to arms: the imperative for antimicrobial stewardship. Clin Infect Dis 2011;53(suppl 1):S4S7.CrossRefGoogle Scholar
2. Cuzon, G, Naas, T, Truong, HV, et al. Worldwide diversity of Klebsiella pneumoniae that produce β-lactamase WOKPC-2 gene. Emerg Infect Dis 2010;16:9.CrossRefGoogle ScholarPubMed
3. Dellit, TH, Owens, RC, McGowan, JE Jr, et al. Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Infect Dis 2007;44:159177.Google Scholar
4. Hidron, AI, Edwards, JR, Patel, J, et al. National Healthcare Safety Network Team. NHSN annual update: antimicrobial-resistant pathogens associated with healthcare-associated infections: annual summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2006-2007. Infect Control Hosp Epidemiol 2008;29:9961011.CrossRefGoogle Scholar
5. Kumarasamy, KK, Toleman, MA, Walsh, TR, et al. Emergence of a new antibiotic resistance mechanism in India, Pakistan, and the UK: a molecular, biological, and epidemiological study. Lancet Infect Dis 2010;10:597602.Google Scholar
6. Centers for Disease Control and Prevention. Get Smart: Know When Antibiotics Work. Get Smart Web site, http://www.cdc.gov/getsmart/. Accessed November 23, 2011.Google Scholar
7. Centers for Disease Control and Prevention. Get Smart for Healthcare. Get Smart Web site, http://www.cdc.gov/getsmart/healthcare/?s_cid = dhqp_002. Accessed November 23, 2011.Google Scholar
8. World Health Organization (WHO). World Health Day: 7 April 2011. Antimicrobial Resistance: No Action Today, No Cure Tomorrow. World Health Organization Web site, http://www.who.int/world-health-day/2011/en/index.html. Accessed November 23, 2011.Google Scholar
9. Fishman, N. Antimicrobial stewardship. Am J Infect Control 2006;34(suppl):S55S63.CrossRefGoogle ScholarPubMed
10. The Joint Commission (TJC). Assets for Acute Care Hospital Accreditation 2011: Comprehensive Accreditation Manual for Hospitals. http://www.jointcommission.Org/assets/l/6/2011_NPSGs_HAP.pdf. Accessed May 7, 2011.Google Scholar
11. California State Senate Bill 739. http://www.dhcs.ca.gov/provgovpart/initiatives/nqi/Documents/SB739.pdf. Accessed January 19, 2012.Google Scholar
12. Hayashi, Y, Paterson, DL. Strategies for reduction in duration of antibiotic use in hospitalized patients. Clin Infect Dis 2011;52:12321240.CrossRefGoogle ScholarPubMed
13. Ohl, CA, Dodds Ashley, ES. Antimicrobial stewardship programs in community hospitals: the evidence base and case studies. Clin Infect Dis 2011;53(suppl 1):S23S28.Google Scholar
14. Septimus, EJ, Owens, RJ Jr. Need and potential of antimicrobial stewardship in community hospitals. Clin Infect Dis 2011; 53(suppl 1):S8S14.Google Scholar