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

  • Julia Moody (a1), Sara E. Cosgrove (a2), Russell Olmsted (a3), Edward Septimus (a4), Kathy Aureden (a5), Shannon Oriola (a6), Gita Wasan Patel (a7) and Kavita K. Trivedi (a8)...
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.

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Copyright
Corresponding author
Clinical Director, Infection Prevention, Workgroup Chair, Clinical Services Group, HCA, Inc., Nashville, TN 37203 (julia.moody@hcahealthcare.com)
Linked references
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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1. JG Bartlett . A call to arms: the imperative for antimicrobial stewardship. Clin Infect Dis 2011;53(suppl 1):S4S7.

2. G Cuzon , T Naas , HV Truong , et al.Worldwide diversity of Klebsiella pneumoniae that produce β-lactamase WOKPC-2 gene. Emerg Infect Dis 2010;16:9.

3. TH Dellit , RC Owens , JE McGowan Jr, et al.Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Infect Dis 2007;44:159177.

5. KK Kumarasamy , MA Toleman , TR Walsh , et al.Emergence of a new antibiotic resistance mechanism in India, Pakistan, and the UK: a molecular, biological, and epidemiological study. Lancet Infect Dis 2010;10:597602.

9. N Fishman . Antimicrobial stewardship. Am J Infect Control 2006;34(suppl):S55S63.

12. Y Hayashi , DL Paterson . Strategies for reduction in duration of antibiotic use in hospitalized patients. Clin Infect Dis 2011;52:12321240.

13. CA Ohl , ES Dodds Ashley . Antimicrobial stewardship programs in community hospitals: the evidence base and case studies. Clin Infect Dis 2011;53(suppl 1):S23S28.

14. EJ Septimus , RJ Owens Jr. Need and potential of antimicrobial stewardship in community hospitals. Clin Infect Dis 2011; 53(suppl 1):S8S14.

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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
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