Healthcare-Associated Infection (HAI) Advisory Committee

Antimicrobial Stewardship Subcommittee

HAI Prevention Strategies Subcommittee logo

The Antimicrobial Stewardship Subcommittee is a group of medical, microbiology and nursing professionals dedicated to providing education on antibiotic use both to providers and the public. This panel of experts provides information, best practices for stewardship, and technical assistance to healthcare facilities. The Antimicrobial Stewardship Subcommittee is currently working on an antimicrobial stewardship toolkit for healthcare providers and a resource list for providers and the public.

Antimicrobial Stewardship Program (ASP) Slide Set

Antimicrobial Stewardship Programs (ASP) ensures patient safety through judicious use of antimicrobial treatments which includes not using such agents when they are not clinically indicated or when infection has resolved. The objectives of an ASP include the processes and activities through which the goal is achieved - that every patient receives an antimicrobial agent only when one is needed using the right agent, at the right dose, by the right route, and for the right duration. Antimicrobial stewardship interventions have been proven to improve individual patient outcomes, reduce the overall burden of antibiotic resistance, and save healthcare dollars. The need for action, tools, and coordinated efforts to address this issue has been supported by many national healthcare societies, including the Infectious Diseases Society of America (IDSA), Association for Professionals in Infection Control and Epidemiology (APIC), Society for Healthcare Epidemiology of America (SHEA), and Centers for Disease Control and Prevention (CDC).

In fact, this issue was recently highlighted by the Center for Disease Control and Prevention report, Vital Signs: Antibiotic Prescribing Putting Patients at Risk, which focused on proper and judicious use of antibiotics. This report highlights prescribing practices and reaches out to all U.S. hospitals to improve their antibiotic-prescribing practices. This release falls in line with the Antibiotic resistance threats in the United States 2013 CDC report, which gave the first-ever snapshot of the burden and threats posed by antibiotic-resistant germs.

Arizona's Antimicrobial Stewardship Subcommittee has developed an Antimicrobial Stewardship Program (ASP) slide set to aid Arizona's efforts to battle this pressing public health problem. This set is a compendium of over 250 slides which review 14 subtopics, including development, implementation and justification of antimicrobial stewardship programs (ASPs), for use in education and discussion with clinician stakeholders and hospital administrators.

Complete Slide Set

Individual Slide Sets:

  1. Reasons to Optimize Antibiotic Use
  2. Pathways to a Successful ASP
  3. Antimicrobial Stewardship: Making the Case
  4. ASPs: Nuts & Bolts
  5. Antimicrobial Stewardship: Measuring Antibiotic Utilization
  6. Antimicrobial Stewardship: Daily Activities
  7. Antimicrobial Stewardship: Computerized & Clinical Decision Support Services
  8. Microbiology: Cumulative Antibiogram & Rapid Diagnostics
  9. Antimicrobial Stewardship Projects: Initiation & Advanced
  10. Antimicrobial Stewardship Barriers & Challenges: Structural & Functional
  11. Antibiotic Use in the Community
  12. Opportunities to Justify Continuing the ASP
  13. Antimicrobial Stewardship: Perspectives to Consider
  14. Summary

Note: Slide sets provided in PDF files.

Antibiogram Toolkit

Arizona's Antimicrobial Stewardship Subcommittee has developed an antibiogram toolkit that may be used as a guide for development of antibiograms, including templates and special projects in order to link bacterial resistance, empiric antimicrobial selection, and patient demographics. The Antibiogram Toolkit provides additional direction for clinicians involved in constructing the cumulative antibiogram report and educating others on it. This toolkit should be used in conjunction with approved CLSI documents and additional literature regarding microbial resistance. Hopefully, the toolkit enriches discussions on the challenges and opportunities with susceptibility data reporting. While the specific scenarios are detailed, a multidisciplinary antibiotic stewardship team should find ways to implement some of these projects and further analyze their own antibiogram data to produce more accurate and fruitful educational activities.

Additional Resources

  • Vital Signs: Antibiotic Prescribing Putting Patients at Risk
    A Vital Signs report from the Center for Disease Control and Prevention was released March, 2014. This report focused on proper and judicious use of antibiotics. This report also highlights poor antibiotic prescribing practices put patients at unnecessary risk and reaches out to all U.S. hospitals to improve their antibiotic-prescribing practices. This release falls in line with CDC Antibiotic resistance threats in the United States, 2013 report, which gave the first-ever snapshot of the burden and threats posed by antibiotic-resistant germs.
  • Landmark Report
    On September 16th, 2013 the CDC released a report entitled Antibiotic resistance threats in the United States, 2013. This is the first-ever snapshot of the burden and threats posed by the antibiotic-resistant germs having the most impact on human health. The report highlights specific HAI pathogens and rates them on a threat level of concerning, serious, and urgent. This report has even spurred discussion and action in the United States Senate!
  • Multidrug-resistant Organisms (MDROs) Fact Sheet
    Multidrug-resistant organisms (MDROs) are increasing and present challenges in all healthcare settings. Due to their importance and the dedication of Arizona's Healthcare Associated Infection (HAI) Advisory Committee to address them, an informative fact sheet has been developed. It is focused to assist healthcare workers and the general public that have an interest in obtaining more information pertaining to MDROs.