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Antimicrobial Stewardship: A Collaborative Partnership between Infection Preventionists and Healthcare Epidemiologists

Published online by Cambridge University Press:  02 January 2015

Julia Moody*
Affiliation:
Workgroup Chair; HCA, Inc., Nashville, Tennessee
Sara E. Cosgrove
Affiliation:
SHEA Advisor;, Johns Hopkins Medical Institutions, Baltimore, Maryland
Russell Olmsted
Affiliation:
2011 APIC President; Trinity Health, Ann Arbor, Michigan
Edward Septimus
Affiliation:
SHEA Advisor; HCA, Inc., Nashville, Tennessee
Kathy Aureden
Affiliation:
Sherman Hospital, Elgin, Illinois
Shannon Oriola
Affiliation:
Sharp Metropolitan Medical Center, San Diego, California
Gita Wasan Patel
Affiliation:
HCA Supply Chain Services, Dallas, Texas
Kavita K. Trivedi
Affiliation:
Center for Health Care Quality, California Department of Public Health
*
Clinical Director, Infection Prevention, Workgroup Chair, Clinical Services Group, HCA, Inc., Nashville, TN 37203 (julia.moody@hcahealthcare.com)

Abstract

Misuse and overuse of antimicrobials, primarily involving therapeutic agents used to treat infection in humans, is considered one of the world's most pressing public health problems. Not only does such inappropriate use diminish the therapeutic benefit of essential medications, it also facilitates the development and spread of multidrug-resistant organisms (MDROs). Antimicrobial resistance and the rise in MDROs globally are associated with increased morbidity and mortality, cross-transmission within and between healthcare settings, and increased consumption of limited patient-care resources. Despite elevated awareness, publication of guidelines on antimicrobial stewardship, and several initiatives, the proportion of resistant strains causing both health care- and community-associated infections continues to increase and the number of new antimicrobials continues to decline.

Type
Apic/Shea Position Paper
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

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References

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