Antimicrobial Stewardship Program - HAN
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Overview
Introduction to General Practice Principles of Antimicrobial Stewardship
Improving antibiotic use is a medication-safety and patient safety issue. Research indicates that 30-50% of antibiotics prescribed in hospitals is either not indicated or not appropriate. Overprescribing and misprescribing is contributing to the growing challenges posed by Clostridiodies difficile infections and antibiotic-resistant bacteria. Studies have demonstrated that improved prescribing practices in hospitals can not only help reduce rates of C. difficile infections and antibiotic resistance, but can also improve patient outcomes, all while reducing healthcare costs. Interventions to improve antibiotic use can be implemented in any healthcare setting - from the smallest to the largest. This site contains resources to build and sustain antimicrobial stewardship programs in a variety of healthcare settings, including long-term care, acute care, and outpatient clinics.
U.S. Antibiotic Awareness Week
Webinars
Antimicrobial Stewardship Resources
Title |
Source |
Type |
---|---|---|
CDC Core Elements of Antimicrobial Stewardship for Nursing Homes |
CDC |
Website |
CDC Core Elements of Antimicrobial Stewardship for Nursing Homes - main pdf |
CDC |
|
CDC Core Elements of Antimicrobial Stewardship for Nursing Homes – Checklist |
CDC |
|
Agency for Healthcare Research and Quality (AHRQ): Nursing Home Antimicrobial Stewardship Guide |
AHRQ |
Website |
Telligen: Antimicrobial Stewardship in Long-term Care Resources |
Telligenqinqio |
Website |
Nebraska Medicine |
Website |
|
Rochester Patient Safety |
Website |
|
Minnesota Department Of Health |
Website |
|
Massachusetts Coalition: Improving Evaluation and Treatment of UTI in the Elderly |
Macoalition |
Website |
Alberta Health Services (AHS) and British Columbia Center for Disease Control (BC CDC) |
Do Bugs Need Drugs? |
Website |
Antimicrobial Stewardship Resources for Outpatient Clinics
Title |
Source |
Type |
---|---|---|
CDC Core Elements for Outpatient Antimicrobial Stewardship Website |
CDC |
Website |
CDC Core Elements for Outpatient Antimicrobial Stewardship - main pdf |
CDC |
|
CDC |
||
CDC |
Website |
|
Telligen Quality Innovation Network-Quality Improvement Organization (QIN-QIO) - Field Guide to Antimicrobial Stewardship in Outpatient Settings | QIN-QIO Guide |
|
Telligen (QIN-QIO) Outpatient Antimicrobial Stewardship Sample Policy |
Outpatient Antimicrobial |
|
Telligen (QIN-QIO) Antimicrobial Stewardship Outpatient Playbook |
Telligenqinqio |
Website |
MITIGATE Antimicrobial Stewardship Toolkit |
||
IDPH |
||
Illinois Department of Public Health Outpatient Antimicrobial Stewardship Toolkit for Dentists |
IDPH |
Antimicrobial Stewardship Resources for Hospitals
Title |
Source |
Type |
---|---|---|
CDC |
Website |
|
CDC Core Elements for Hospital Antimicrobial Stewardship - main pdf |
CDC |
|
CDC Core Elements for Hospital Antimicrobial Stewardship - Checklist |
CDC |
|
CDC |
Website |
|
National Quality Partners Playbook: Antimicrobial Stewardship in Acute Care |
National Quality Partners Playbook |
|
The Joint Commission New Standard for Antimicrobial Stewardship |
New Standard For Antimicrobial Stewardship |
|
Joint Commission Resources |
Website |
|
American Hospital Association – Antimicrobial Stewardship Tookit |
AHA |
|
CDC |
||
The PEW Charitable Trusts: 2018 Report on Trends in US Antibiotic Use |
PEW Trusts |
|
The PEW Charitable Trusts: Antibiotics and Antimicrobial Resistance |
PEW Trusts |
Website |
World Health Organization (WHO) Resources on Antimicrobial Resistance and Stewardship |
WHO |
Website |
Antimicrobial Stewardship Resources for Patients
Title |
Source |
Type |
---|---|---|
CDC |
Website |
|
CDC |
Website |
|
CDC Patient Education Video: Antibiotics Aren’t Always the Answer |
CDC |
YouTube Video |
CDC Patient Education Commercial: "The Right Tool" Public Service Announcement |
CDC |
YouTube Video |
AHRQ |
||
APIC |
Website |
|
APIC |
Website |
Antimicrobial Stewardship Toolkits
NHSN Resources
Title | Source | Type |
---|---|---|
NHSN Resource Document | CDPH | |
NHSN Antimicrobial Use and Resistance (AUR) Module Protocol | CDC | Website |
NHSN AUR Promoting Interoperability Guidance | CDC | |
Antimicrobial Use and Resistance (AUR) Options | CDC | Website |
NHSN AUR Training Videos | CDC | Website |
NHSN/CMS Requirements for Acute Care Hospitals | CDC | Website |
SDS Certified AU Vendor List | CDC | Website |
SDS Certified AR Vendor List | CDC | Website |
Resources for One Health Veterinary Guidance
Infection Control
Title |
Source |
Type |
---|---|---|
|
Website |
|
2018 AAHA Infection Control, Prevention, and Biosecurity Guidelines | AAHA |
Website |
How to Read a Disinfectant Label (PDF) | Iowa State University | |
Infection Control Pocket Guide (Poster) |
UMN VMC ARSI | Poster |
Antimicrobial Spectrum of Disinfectants | Iowa State | Website |
MDRO Infection Control Pocket Guide (Poster) |
UMN VMC | Poster |
Areas for special consideration (aaha.org) | AAHA | Website |
Veterinary Standard Precautions- 2015 | National Association for State Public Health Veterinarians | Compendium |
Title | Source | Type |
---|---|---|
Antimicrobial Therapy Do’s and Don’ts for Felines |
AVMA | |
Antimicrobial Therapy Do’s and Don’ts for Canines |
AVMA | |
ARSI: Pocket Guide: Antimicrobial Prescribing for Common Small Animal Diseases |
UMN ASRI | |
Treatment Options for Companion Animals | Ohio State | Website |
Example Practice-Level Antibiotic Drug Tiers and Selection List for Companion Animals |
UMN ASRI | |
(ISCAID) Urinary Tract Guidelines table | Journal of Japanese Association of Veterinary Nephrology and Urology | |
(ISCAID) Respiratory Guidelines tables | Antimicrobial Guidelines Working Group of the International Society for Companion Animal Infectious Diseases | |
(ISCAID) Bacterial Folliculitis Guidelines Table | Antimicrobial Guidelines Working Group of the International Society for Companion Animal Infectious Diseases | |
Enteropathogenic Bacteria: Diagnosis, Epidemiology, Treatment and Control | ACIM | Paper |
Title | Source | Type |
---|---|---|
The Hidden Carbapenem-Resistant Enterobacterales (CRE) Threat: What Vets Need to Know | UMN ASRI | Vido |
FAQs about Carbapenem-resistant Enterobacterales (CRE) for Veterinarians | CDC | Website |
Antibiotics for Diarrhea: Friend or Foe? | UMN ASRI | Video |
Title | Source | Type |
---|---|---|
AVMA CORE Principles of Antimicrobial Stewardship | AVMA | |
Antibiotic Use in Companion Animal Veterinary Practice | MDH |
Title | Source | Type |
---|---|---|
Antibiotics and Your Pets: What you Should Know | MDH | Poster |
Antimicrobial Resistance in Pets and People |
CDC | Poster |
Additional Antimicrobial Stewardship Information
Title | Source | Type |
---|---|---|
CDC Antimicrobial Stewardship Continued Education for Healthcare Professionals | CDC | Website |
Society of Infectious Disease Pharmacist (SIDP) Stewardship Certificate Education | SIDP | Website |
Related Links
Chicago Department of Public Health & Illinois Department of Public Health:
Chicago Department of Public Health Healthcare Associated Infections
Illinois Department of Public Health - Antimicrobial Stewardship Website
Other Antimicrobial Stewardship Related Links:
Infectious Disease Society of America Practice Guidelines
CDC Core Elements of Antimicrobial Stewardship in Nursing Homes Website
CDC Core Elements of Hospital Antimicrobial Stewardship Programs Website
CDC Core Elements of Outpatient Antimicrobial Stewardship Website
Antimicrobial Stewardship Reporting
For questions related to Healthcare Associated Infection/Antibiotic Resistance, please contact the Chicago Department of Public Health at: CDPHHAIAR@cityofchicago.org
NHSN AUR Workgroup
Star (Estrella) Cervantes, PharmD, BCPS, AAHIVP
Infectious Disease - Antimicrobial Stewardship Pharmacist
Estrella.Cervantes@cityofchicago.org