Antimicrobial Stewardship An Issue Of Infectious Disease Clinics

Together with Consulting Editor Dr. Helen Boucher, Drs. Elizabeth Dodds-Ashley and S. Schaefer Spires have put together a unique issue that discusses collaborative antimicrobial stewardship. Expert authors have contributed clinical review articles on the following topics: Collaborative Antimicrobial Stewardship for Hospitalists; Collaborative Antimicrobial Stewardship in Microbiology; Collaborative Antimicrobial Stewardship in Nursing; Infection Prevention in Collaborative Antimicrobial Stewardship; Collaborative Antimicrobial Stewardship in the Health Department; Collaborative Antimicrobial Stewardship in Primary Care; Collaborative Antimicrobial Stewardship in Health System Administration; Collaborative Antimicrobial Stewardship for Surgeons; Collaborative Antimicrobial Stewardship in the Emergency Department; and Collaborative Antimicrobial Stewardship in Long-Term Care Facilities. Readers will come away with the information they need to collaborate across disciplines to improve the incidence of antibiotic resistance in their healthcare settings.

This issue of Infectious Disease Clinics, edited by Sara Cosgrove, MD, Pranita Tamma, MD, and Arjun Srinvasan, MD, is devoted to Infection Prevention and Stewardship. Articles in this issue include Behavior Issues in Antimicrobial Stewardship; Research Methods and Measurement Approaches for Analyzing the Impact of Antimicrobial Stewardship Programs; The Role of the Microbiology Laboratory in Antimicrobial Stewardship; Antimicrobial Stewardship in Long Term Care Facilities; Antimicrobial Stewardship in the NICU; Antimicrobial Stewardship in Immuno-compromised Populations; Antimicrobial Stewardship in Community Hospitals/Lower Resources Settings; Antimicrobial Stewardship in the Outpatient Setting; Informatics and Antimicrobial Stewardship; Antimicrobial Stewardship Interventions; and Teaching and Education in Antimicrobial Stewardship.

In this issue of Infectious Disease Clinics of North America, guest editors Drs. Emily Sydnor Spivak and Sage Greenlee bring their considerable expertise to the topic of Antimicrobial Stewardship: Where We Have Come and Where We Are Going. Throughout the last decade, the field of antimicrobial stewardship has undergone exponential growth due to heightened awareness of antimicrobial use and emerging multidrug-resistant organisms. Additionally, the COVID-19 pandemic highlighted systemic and persistent health disparities in the United States. In this issue, top experts provide a recap of the progress made over the last decade in antimicrobial stewardship and provide direction for next steps in this ever-growing field. Contains 12 practice-oriented topics including antimicrobial stewardship and pandemic preparedness: lessons learned from COVID-19; health equity considerations; antimicrobial stewardship at transitions of care; antimicrobial stewardship in immunocompromised populations; health system and tele-antimicrobial stewardship: the role of building networks; and more. Provides in-depth clinical reviews on antimicrobial stewardship, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

This issue of Medical Clinics, guest edited by Dr. Cheston B. Cunha, is devoted to Antimicrobial Stewardship. Articles in this issue include: Principles of Antimicrobial Stewardship; Antibiotic Resistance in Stewardship; Therapy of Resistant Organisms: A Stewardship Approach; Optimal Antibiotic Dosing Strategies; The Importance of Interdisciplinary Collaboration in Antimicrobial Stewardship; Role of Education in Antimicrobial Stewardship; Role of the Hospital Epidemiologist in Antimicrobial Stewardship; Role of the Clinical Microbiology Laboratory in Antimicrobial Stewardship; Role of New and Rapid Diagnostics In Antimicrobial Stewardship; Antimicrobial Stewardship in the Community Hospital; Antimicrobial Stewardship in Long-Term Care Facilities; Role of the Pharmacist in Antimicrobial Stewardship; Pharmacoeconomic Considerations of Antimicrobial Stewardship Programs; Principles of IV-to-PO Switch and PO therapy; Role of Technology in Antimicrobial Stewardship; and Metrics of Antimicrobial Stewardship Programs.

Over the past several decades, “infection control has become a rapidly growing multidisciplinary field of incredible importance with regard to the safety of patients and healthcare workers, regulation and accreditation of healthcare facilities, and finances. The focus of this field has increasingly turned to prevention rather than control of hospital-acquired infections. This issue will bring the infectious disease specialist up to date on important topics such as hand hygiene, sterilization, methicillin-resistant Staphylococcus aureus, antibiotic stewardship, and specific infections of particular concern.

Together with Consulting Editor Dr. Helen Boucher, Drs. Elizabeth Dodds-Ashley and S. Schaefer Spires have put together a unique issue that discusses collaborative antimicrobial stewardship.? Expert authors have contributed clinical review articles on the following topics: Collaborative Antimicrobial Stewardship for Hospitalists; Collaborative Antimicrobial Stewardship in Microbiology; Collaborative Antimicrobial Stewardship in Nursing; Infection Prevention in Collaborative Antimicrobial Stewardship; Collaborative Antimicrobial Stewardship in the Health Department; Collaborative Antimicrobial Stewardship in Primary Care; Collaborative Antimicrobial Stewardship in Health System Administration; Collaborative Antimicrobial Stewardship for Surgeons; Collaborative Antimicrobial Stewardship in the Emergency Department;? and Collaborative Antimicrobial Stewardship in Long-Term Care Facilities. Readers will come away with the information they need to collaborate across disciplines to improve the incidence of antibiotic resistance in their healthcare settings.

Dr. Kaye and Dr. Dhor have assembled top experts to write about facility planning and management in Part I of their two issues devoted to Infection Prevention and Control in Healthcare. Articles in this issue are devoted to: Building a Successful Infection Control Program: Key Components, Processes and Economics; Hand Hygiene Sterilization; High Level Disinfection and Environmental Cleaning; Environement of Care; Infection Control in Alternative Healthcare Settings (Long Term Care and Ambulatory); Antibiotic Stewardship; Outbreak Investigations Water Safety in Healthcare/Legionella in the Healthcare Setting; Construction and Renovation; Bloodborne and Body Fluid Exposures - prevention and management of Occupational Health Issues; and Informatics and Statistics in Infection Control. Part II is devoted to clinical management of infections.

The evolution of Antimicrobial Resistance is outpacing the ability to create novel antibiotics, which is proving to be a global problem in the fact of climate change, population growth, demographic shifts toward aging populations, emerging infections, and other crises. Therefore, clinicians are forced to use the existing antimicrobials more responsibly to preserve their longevity for generations to come. In a parallel vein, there has been a recent regulatory acknowledgement of the importance of prudent antimicrobial prescribing, mandating the implementation of Antimicrobial Stewardship across all healthcare settings. This is harder to manage in a non-traditional setting, which include long-term care facilities, outpatient care clinics, urgent care centers, and others. Given the trends in patient care in these settings—particularly where the aging community is concerned—this is proving to be a growing problem. This is troublesome even for spaces that have university and large hospital affiliations. There is a plethora of data describing the implementation and outcomes of Antimicrobial Stewardship Programs in acute-care hospitals with open-access, evidence-based guidelines endorsed by the Infectious Diseases Society of America. However, non-traditional settings often find themselves struggling to implement the same practices and procedures due to their unique needs and limited resources. There may be variability in access to resources, applicability, and patient-type. This book seeks to inform those in non-traditional healthcare settings on the principles, practice, and outcomes of Antimicrobial Stewardship Programs to improve patient care across all settings. The text begins by unpacking Antimicrobial Stewardship in nontraditional settings then covers specific environments, including long-term care facilities, outpatient clinics, and emergency departments. The text also covers special topics, including veterinary medicine, HIV, oncology, and immunocompromised patients, pediatrics, neonates, transplant, and critical care patients.