Antimicrobial stewardship – resources, references and tools

Premier healthcare alliance

Tools, programs and initiatives to assist with implementation of effective antimicrobial stewardship programs. More information.

Safety Program for Improving Antibiotic use.
Toolkit for Reduction of Clostridioides difficile Infections Through Antimicrobial Stewardship
This toolkit is designed to help hospitals consider the organization changes and resources needed to create and sustain an effective program with tools to tailor strategies and implementation to specific organizational needs, structures, and culture.

White Paper ANA-CDC Workgroup: Redefining the Antibiotic Stewardship Team:
Recommendations from the American Nurses Association/Centers for Disease Control and Prevention Workgroup on the Role of Registered Nurses in Hospital Antibiotic Stewardship Practices

ASHP Therapeutic Guidelines (2013). Clinical Practice Guidelines for Antimicrobial Prophylaxis in Surgery
Bratzler DW, Dellinger EP, Olsen KM, et al. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Health-Syst Pharm. 2013; 70:195-283. These guidelines were developed jointly by the American Society of Health-System Pharmacists (ASHP), the Infectious Diseases Society of America (IDSA), the Surgical Infection Society (SIS), and the Society for Healthcare Epidemiology of America (SHEA).

California antimicrobial stewardship program initiative Acute care hospitals in California are required by law to implement programs for monitoring the use of antibiotics with oversight from a quality improvement committee.

CDC Vital Signs– covers important health threats such as antimicrobial resistance.
- CDC Vital Signs: Containing Unusual Resistance April 2018
  - Accompanying Morbidity & Mortality Weekly Report (MMWR): Vital Signs: Containment of Novel Multidrug-Resistant Organisms and Resistance Mechanisms — United States, 2006–2017 MMWR April 6, 2018 / 67(13);396-401
- CDC Vital Signs: Making Healthcare Safer- Stopping the Spread of Antibiotic Resistance
  - Accompanying Morbidity & Mortality Weekly Report: Vital Signs: Estimated Effects of a Coordinated Approach for Action to Reduce Antibiotic-Resistant Infections in Health Care Facilities — United States. MMWR August 7, 2015 / 64(30);826-831
- CDC Vital Signs: Making Healthcare Safer: Protecting Patients from HAIs and Antibiotic-Resistant Infections
  - Accompanying Morbidity & Mortality Weekly Report (MMWR) Preventing Antibiotic-Resistant Infections in Hospitals — United States, 2014 MMWR March 11, 2016 / 65(9);235–241

CDC Report: Antibiotic Use in the United States, 2017: Progress and Opportunities (includes programs and resources to support stewardship in healthcare)
Antibiotics and Antimicrobial Resistance
- Resources on top resistant organisms, lab testing, antibiotic-resistant isolate bank, protecting food supply, protecting patients, protecting yourself and your family
Antimicrobial Stewardship: Antimicrobial Prescribing and Use in Hospitals and Long Term Care
- Core Elements of Antimicrobial Stewardship Programs
- Resources on evidence, stewardship program examples, and implementation resources
CDC’s Be Antibiotics Aware: Smart Use and Best Care (formerly Get Smart): CDC’s national effort to help improve antibiotic prescribing and use and to help combat antibiotic resistance.
US Antibiotics Awareness Week, November 12-18, 2018

NQF and CDC: Antibiotic Stewardship in Acute Care: A Practical Playbook. Tools Developed by 25 experts and organizations, including Premier healthcare alliance, to help acute-care hospitals implement strategies to promote appropriate, safe use of antibiotics
National Quality Partners’ Antibiotic Stewardship Action Team: Antibiotic Stewardship in Acute Care: A practical Playbook (May 25, 2016).

Antibiotics and Antibiotic Resistance, includes research, issues papers, podcasts, education, and testimony
Report: Trends in US Antibiotic use, 2018

WHO Resources on Antimicrobial Resistance and Stewardship, including surveillance, global action plan, infection prevention and control, publications/research, guidelines for food, and education.