Antimicrobial Stewardship — Focus on Implementation: Evidence-based and practically useful strategies
The following educational program took place on July 22, 2016. Hosted by the MU Sinclair School of Nursing, this full-day conference was made possible through a contract with the Missouri Department of Health and Senior Services who received funding from the CDC. The purpose, target audience and learning objectives are included below. See the detailed conference brochure with a full agenda (PDF). All sessions were videotaped and are provided below, along with the accompanying PowerPoint slides for educational purposes.
To provide a forum for healthcare professionals who are in a position to influence antimicrobial stewardship and who are devoted to leading improvement in HAIs throughout the healthcare system to:
- Discuss the latest evidence in antimicrobial stewardship, and
- Share how to set up successful programs that persist over time.
Physicians, pharmacists, RNs/APRNs, infection preventionists, healthcare administrators, chief nursing executives, chief medical officers, and others interested in antimicrobial stewardship regardless of setting or population served.
Overall objectives for the program
- Describe the essential components of a successful antimicrobial stewardship program and strategies for increasing your chances of creating and maintaining such a program.
- Discuss risk factors for developing C. difficile infection, treatment options and infection control interventions to reduce the risk of transmission.
- Discuss the importance of data to improve antimicrobial prescribing practices.
- Describe successful stewardship interventions including behavioral economic approaches.
Videos for each session have been uploaded to YouTube. To see the video for each session, click on the title.
Antimicrobial Stewardship — Where we are, a vision for the future, and charting a path to get there (1 hr., 3 min.)
Arjun Srinivasan, MD, FSHEA (CAPT, USPHS)
Associate Director for Healthcare Associated Infection Prevention Programs and Medical Director of Get Smart for Healthcare, in the Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention
This session will provide an overview on national efforts to improve antibiotic use with a focus on hospital settings. The talk will provide some data on the proven benefits of improving antibiotic use in hospitals, discuss some of the national efforts to improve antibiotic stewardship in hospitals and provide some specific examples for interventions to improve use.
How to create, implement and sustain ASPs in a Mid-size hospital: University of Missouri Health Care (59 min.)
Joe Cameron, PharmD, BCPS, Infectious Diseases Pharmacist; Christelle Ilboudo, MD, Pediatric Infectious Diseases Physician, Woman’s and Children’s Hospital
The University of Missouri Health Care created an Antimicrobial Stewardship Program in 2009. This session will focus on how the program was initially created, the evolution of the program over the past seven years, and financial information as to why the program needs to be continued long term. Insights from the pharmacy stewardship chairman, chief medical officer, and pediatric infectious diseases physician will be shared, as well as how the team works together for the benefit of our patients in controlling costs and the development of resistant organisms.
How to create, implement and sustain ASPs in a Large health system: Mercy Health System (1 hr.)
Alex Bryant, PharmD, Infectious Diseases Clinical Specialist, Mercy Hospital St. Louis
This session includes a review of the core elements of antimicrobial stewardship, a discussion of ongoing and future antimicrobial stewardship efforts at Mercy Hospital St. Louis and Mercy Health System and the importance of collaboration between antimicrobial stewardship, microbiology lab and infection control.
Treatment and Prevention of Clostridium difficile Infection (52 min.)
Robin L. P. Jump, MD, PhD, Geriatric Research, Education and Clinical Center (GRECC), Louis Stokes Cleveland VA Medical Center; Assistant Professor of Medicine, Division of Infectious Diseases and HIV
Medicine, Case Western Reserve University, Cleveland
This session will address the risk factors for developing C. difficile infection, discuss treatment options for C. difficile infection, including recurrent disease and describe infection control interventions to reduce the risk of C. difficile transmission.
Antimicrobial Stewardship in Community Hospitals: A Collaborative Network Approach (1 hr.)
Rebekah W. Moehring, MD, MPH, Assistant Professor, Division of Infectious Diseases, Duke University Medical Center, Duke Antimicrobial Stewardship Outreach Network (DASON), Durham, NC
Dr. Moehring will discuss her experiences in supporting community hospital antimicrobial stewardship programs within the Duke Antimicrobial Stewardship Outreach Network (DASON). She will discuss program assessments, goal-setting, and the values of shared experiences and data.
Utilizing Data to Perform Antimicrobial Stewardship in Ambulatory and Hospitalized Patients (1 hr.)
Jason G. Newland MD, MEd, Associate Professor of Pediatrics, Washington University; Director, Antimicrobial Stewardship Program, St. Louis Children’s Hospital
In this session we will discuss the development of antimicrobial stewardship interventions in ambulatory and hospitalized patients and the importance of data to help improve antimicrobial prescribing. Additionally, successful stewardship interventions including behavioral economic approaches will be included.
Evolving Stewardship: Building Toward a Cutting Edge Stewardship Model - Panel Discussion (31 min.)
Kevin Hsueh, MD, Washington University & colleagues, Barnes Hospital, St. Louis; Ed Casabar, PharmD, BCPS, AQ-ID, Clinical Specialist, Infectious Diseases, Barnes-Jewish Hospital and Washington University School of Medicine; Jason G. Newland, MD, MEd, Associate Professor of Pediatrics, Washington University; Director, Antimicrobial Stewardship Program, St. Louis Children’s Hospital; Amanda Hays, PharmD, MHA, BCPS, CPHQ, System Pharmacy and Outcomes Manager, BJC HealthCare
A panel discussion on how Barnes is trying to build a flexible system to support and advance the practice of stewardship throughout its institutions. Key issues are how to reduce workload and facilitate activities, ensuring and standardizing regulatory compliance, and ensuring safety and quality of patient care in the process.