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The Impact of a Massachusetts State-Sponsored Educational Program on Antimicrobial Stewardship in Acute Care Hospitals

  • Adam Weston (a1), Lauren Epstein (a1), Lisa E. Davidson (a1), Alfred DeMaria (a2) and Shira Doron (a1)...

Extract

Antimicrobial stewardship programs (ASPs) are critically important for combating the emergence of antimicrobial resistance. Despite this, there are no regulatory requirements at a national level, which makes initiatives at the state level critical. The objectives of this study were to identify existing antimicrobial stewardship practices, characterize barriers to antimicrobial stewardship implementation in acute care hospitals throughout Massachusetts, and evaluate the impact on these hospitals of a state-sponsored educational conference on antimicrobial stewardship.

In September 2011, a state-sponsored educational program entitled “Building Stewardship: A Team Approach Enhancing Antibiotic Stewardship in Acute Care Hospitals” was offered to interested practitioners from throughout the state. The program consisted of 2 audio conferences, reading materials, and a 1-day conference consisting of lectures focusing on the importance of ASPs, strategies for implementation, improvement strategies for existing programs, and panel discussions highlighting successful practices. Smaller breakout sessions focused on operational issues, including understanding of pharmacodynamics, business models, and electronic surveillance.

Copyright

Corresponding author

Fellow, Division of Infectious Diseases, Department of Medicine, 800 Washington Street, #238. Boston, MA 02111 (aweston@tuftsmedicalcenter.org)

References

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1.Society for Healthcare Epidemiology of America, Infectious Diseases Society of America, Pediatric Infectious Diseases Society. Policy statement on antimicrobial stewardship by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA), and the Pediatric Infectious Diseases Society (PIDS). Infect Control Hosp Epidemiol 2012;33(4):322327.
2.Spellberg, B, Guidos, R, Gilbert, D, et al.The epidemic of antibiotic-resistant infections: a call to action for the medical community from the Infectious Diseases Society of America. Clin Infect Dis 2008;46(2):155164.
3.Boucher, HW, Talbot, GH, Bradley, JS, et al.Bad bugs, no drugs: no ESKAPE! An update from the Infectious Diseases Society of America. Clin Infect Dis 2009;48(1):112
4. Agency for Healthcare Research and Quality Healthcare Innovations Exchange. State Health Department Support Spurs Development of Many Antimicrobial Stewardship Programs After Passage of Legislative Mandate, http://www.innovations.ahrq.gov/content.aspx?id=3638. Accessed November 30, 2012.

The Impact of a Massachusetts State-Sponsored Educational Program on Antimicrobial Stewardship in Acute Care Hospitals

  • Adam Weston (a1), Lauren Epstein (a1), Lisa E. Davidson (a1), Alfred DeMaria (a2) and Shira Doron (a1)...

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