Premier Communications
SafetyShare® newsletter brought to you by the Premier Safety Institute®
May 26, 2016

Editor: Gina Pugliese RN MS


NQF, CDC Issue Guidance to Help Manage Use of Antibiotics

Leading experts from the public and private sectors released an urgently needed tool to help acute-care hospitals implement strategies to promote appropriate, safe use of antibiotics. Antibiotic Stewardship in Acute Care: A Practical Playbook was released by The National Quality Forum (NQF) and the Centers for Disease Control and Prevention (CDC) and developed by more than 25 experts and organizations, including Premier.

Scope of the problem

The CDC estimates the inappropriate use of antibiotics causes antimicrobial resistance that leads to two million illnesses and 23,000 deaths annually. Antibiotic overuse and misuse spur the spread of Clostridioides difficile infections that can cause life-threatening colitis.

Real world examples

This practical guide with real world examples is based on CDC's Core Elements of Hospital Antibiotic Stewardship Programs. Examples of strategies in the Playbook include team-wide, systematic approaches to: assessing when patients need antibiotics and when treatment should be adjusted; educating staff, family, and patients about appropriate antibiotic use; and, tracking and reporting antibiotic prescribing, use, and resistance.

"Antibiotic resistance is a public health crisis that can strike anyone with devastating effects," said Arjun Srinivasan, M.D. (CAPT, USPHS), associate director CDC's Division of Healthcare Quality Promotion, and co-chair of NQF antibiotic stewardship action team. "The Playbook provides a flexible structure with real-word examples for hospitals to use as they create high-quality antibiotic stewardship programs that meet the needs of their communities."

Strategies to assist with implementing CDC's Core Elements

The Playbook provides examples of both strategies and tactics to assist acute care hospitals with implementing the CDC's Core Elements:

  • Leadership commitment from administration (Leadership)
  • Single leader responsible for outcomes (Accountability)
  • Single pharmacy leader (Drug expertise)
  • Antibiotic use tracking (Track)
  • Regular reporting on antibiotic use and resistance (Report)
  • Educating providers on use and resistance (Educate)
  • Specific improvement interventions (Act)

For additional tools, resources and webinars please visit The Premier Safety Institute's® Antimicrobial Stewardship website


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