Antibiotic Stewardship: A Decade of Progress

doi:10.1016/j.idc.2023.06.003

Review

. 2023 Dec;37(4):659-667.

doi: 10.1016/j.idc.2023.06.003. Epub 2023 Aug 1.

Antibiotic Stewardship: A Decade of Progress

Sara E Cosgrove¹, Arjun Srinivasan²

Affiliations

¹ Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Halsted 827, Baltimore, MD 21287, USA. Electronic address: scosgro1@jhmi.edu.
² Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.

PMID: 37537002
PMCID: PMC11320720
DOI: 10.1016/j.idc.2023.06.003

Review

Antibiotic Stewardship: A Decade of Progress

Sara E Cosgrove et al. Infect Dis Clin North Am. 2023 Dec.

. 2023 Dec;37(4):659-667.

doi: 10.1016/j.idc.2023.06.003. Epub 2023 Aug 1.

Authors

Sara E Cosgrove¹, Arjun Srinivasan²

Affiliations

¹ Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Halsted 827, Baltimore, MD 21287, USA. Electronic address: scosgro1@jhmi.edu.
² Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.

PMID: 37537002
PMCID: PMC11320720
DOI: 10.1016/j.idc.2023.06.003

Abstract

Antibiotic stewardship has seen transformative change over the past decade. Antibiotic stewardship infrastructure has grown significantly across the spectrum of health care in hospitals, nursing homes, and ambulatory settings, and issues related to improving antibiotic use have become central to high-level policy discussions, regulations, and legislation. Herein we review important events and developments in stewardship across the spectrum of care with a focus on (1) infrastructure and implementation, (2) requirement and regulation, and (3) measurement of antibiotic use and other outcomes.

Keywords: Antibiotic stewardship; Antimicrobial resistance; Hospital stewardship; Nursing home stewardship; Outpatient stewardship.

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References

1. Staub MB, Ouedraogo Y, Evans CD, et al. Analysis of a high-prescribing state’s 2016 outpatient antibiotic prescriptions: Implications for outpatient antimicrobial stewardship interventions. Infect Control Hosp Epidemiol 2020;41(2):135–42. - PMC - PubMed
1. U.S. Department of Health and Human Services Center for Disease Control and Prevention. 2020 Update: Antibiotic Use in The United States, Progress and Opportunities Available at: https://www.cdc.gov/antibiotic-use/pdfs/stewardship-report-2020-H.pdf. Accessed May 11, 2023.
1. Core Elements of Hospital Antibiotic Stewardship Programs | Antibiotic Use |CDC. Published November 15, 2022. Available at: https://www.cdc.gov/antibiotic-use/core-elements/hospital.html. Accessed May 11, 2023.
1. CDC VitalSigns - Making Health Care Safer. Centers for Disease Control and Prevention. Published March 12, 2014. Available at: https://www.cdc.gov/vitalsigns/antibiotic-prescribing-practices/index.html. Accessed May 11, 2023.
1. Barlam TF, Cosgrove SE, Abbo LM, et al. Implementing an antibiotic stewardship program: guidelines by the infectious diseases society of america and the society for healthcare epidemiology of America. Clin Infect Dis 2016;62(10):e51–77. - PMC - PubMed

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[1] Staub MB, Ouedraogo Y, Evans CD, et al. Analysis of a high-prescribing state’s 2016 outpatient antibiotic prescriptions: Implications for outpatient antimicrobial stewardship interventions. Infect Control Hosp Epidemiol 2020;41(2):135–42. - PMC - PubMed

[2] Staub MB, Ouedraogo Y, Evans CD, et al. Analysis of a high-prescribing state’s 2016 outpatient antibiotic prescriptions: Implications for outpatient antimicrobial stewardship interventions. Infect Control Hosp Epidemiol 2020;41(2):135–42. - PMC - PubMed

[3] U.S. Department of Health and Human Services Center for Disease Control and Prevention. 2020 Update: Antibiotic Use in The United States, Progress and Opportunities Available at: https://www.cdc.gov/antibiotic-use/pdfs/stewardship-report-2020-H.pdf. Accessed May 11, 2023.

[4] U.S. Department of Health and Human Services Center for Disease Control and Prevention. 2020 Update: Antibiotic Use in The United States, Progress and Opportunities Available at: https://www.cdc.gov/antibiotic-use/pdfs/stewardship-report-2020-H.pdf. Accessed May 11, 2023.

[5] Core Elements of Hospital Antibiotic Stewardship Programs | Antibiotic Use |CDC. Published November 15, 2022. Available at: https://www.cdc.gov/antibiotic-use/core-elements/hospital.html. Accessed May 11, 2023.

[6] Core Elements of Hospital Antibiotic Stewardship Programs | Antibiotic Use |CDC. Published November 15, 2022. Available at: https://www.cdc.gov/antibiotic-use/core-elements/hospital.html. Accessed May 11, 2023.

[7] CDC VitalSigns - Making Health Care Safer. Centers for Disease Control and Prevention. Published March 12, 2014. Available at: https://www.cdc.gov/vitalsigns/antibiotic-prescribing-practices/index.html. Accessed May 11, 2023.

[8] CDC VitalSigns - Making Health Care Safer. Centers for Disease Control and Prevention. Published March 12, 2014. Available at: https://www.cdc.gov/vitalsigns/antibiotic-prescribing-practices/index.html. Accessed May 11, 2023.

[9] Barlam TF, Cosgrove SE, Abbo LM, et al. Implementing an antibiotic stewardship program: guidelines by the infectious diseases society of america and the society for healthcare epidemiology of America. Clin Infect Dis 2016;62(10):e51–77. - PMC - PubMed

[10] Barlam TF, Cosgrove SE, Abbo LM, et al. Implementing an antibiotic stewardship program: guidelines by the infectious diseases society of america and the society for healthcare epidemiology of America. Clin Infect Dis 2016;62(10):e51–77. - PMC - PubMed

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Antibiotic Stewardship: A Decade of Progress

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Antibiotic Stewardship: A Decade of Progress

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