28. Action
Infection -Specific Interventions
• CAP
• UTIs
• SSTI
• Empiric coverage of (MRSA) infections
• Clostridium difficile infections
• Treatment of culture-proven invasive infections
29. Track antibiotic use and outcomes.
• Process measures
• Periodic assessments of the use of antibiotics or the treatment of infections
to determine the quality of antibiotic use.
• Assess if antibiotics are being given in a timely manner.
• Assess prescribers’ compliance with the facility’s antibiotic-use policies.
• Outcome measures
• Track rates of hospital-onset Clostridium difficile infections.
• Track antibiotic resistance.
• Monitor antibiotic costs.
30. Reporting
• to prescribers and staff
• compares regional or national.
• Reporting (C-diff) to the National Healthcare Safety Network (NHSN)
31. Education
• Any antibiotic stewardship program should provider regular updates
and/or training on antibiotic prescribing, antibiotic resistance, and
infectious disease management on updated or emerging local or
national trends.
Editor's Notes
In his Nobel Prize acceptance speech, Fleming warned the world of the dangers of misusing antibiotics. He had already noted bacteria in his lab becoming resistant to penicillin, just a few years after its discovery! After decades of antibiotic misuse, today we find ourselves facing bacteria which has become resistant to most, if not all antibiotics.
identifying a lead
physicians and pharmacists
Infection control
monitoring and prevention
Auditing
Analyzing
reporting of data.
Quality-improvement staff
Laboratorians
appropriate lab tests
results communicated.
facility’s antibiogram.
IT staff
point of care
Prompts
Data collection and reporting
Tracking the prescribing of antibiotics in the facility is important because it will help stewardship team members identify areas for improvement and to assess the impact of any improvement efforts that are implemented. Both processes and outcomes can be tracked and measured.
Tracking antibiotic use and outcomes is only beneficial if the information is reported back to the prescribers themselves, the facility's antimicrobial stewardship team, and the facility's executive leadership. By sharing this information, prescribers and staff can identify where improvements can be made or where interventions should be targeted. Reporting of both antibiotic use and antibiotic resistance in a facility can help clinicians make more informed decisions in patient care and potentially prevent misuse of antibiotics.
