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Category: News

Management of Common Infections in Long-Term Care

Published July 25, 2018

During the Nebraska Antimicrobial Stewardship Summit on June 1st, 2018, Dr. Christopher Crnich from the University of Wisconsin at Madison delivered an excellent review on the management of common infections in long-term care.  Dr. Crnich reviewed the management of Clostridium difficile infections (CDI), and what he called ‘pus infections’ which included urinary tract infections (UTI),… Read More

New CDC Antibiotic Stewardship Training Targets Outpatient Settings

Published July 18, 2018

This week, CDC launched the second installment of the free web-based antibiotic stewardship training.  The first installment, which include 3 modules, was launched in February this year.  It provided an overview on the threat of antibiotic resistance and the benefits of antimicrobial stewardship programs in combating this threat.  The current installment, which is divided in… Read More

What Happened at the Nebraska Antimicrobial Stewardship Summit?

Published June 8, 2018

After almost a year of planning, the First Annual Nebraska Antimicrobial Stewardship Summit convened on Friday, June 1st, 2018 in La Vista, NE.  This conference is the first of its kind in Nebraska in which information on antimicrobial stewardship in various healthcare settings is the focus of the meeting.  The conference center was abuzz with… Read More

IDSA and SHEA Update Clostridium difficile Infection Clinical Practice Guidelines

Published March 15, 2018

Clostridium difficile* infections (CDI) are associated with significant morbidity and mortality in the United States.  Based on data from 2006 to 2011, studies estimated close to 500,000 CDI cases annually, resulting in 15,000 to 30,000 deaths and 4.8 million dollars in excess costs to acute care facilities.  C difficile infections remain a major public health problem,… Read More

FDA Issues New Safety Communication on Clarithromycin Use in Patients with Heart Disease

Published March 1, 2018

On February 22nd, the Food & Drug Administration (FDA) issued a new drug safety communication to health care providers regarding the long-term risks of clarithromycin use in patients with heart disease.  Clarithromycin is a macrolide antibiotic used for treatment of a variety of respiratory tract and skin infections, and infections caused by Helicobacter pylori and non-tuberculous… Read More

CDC Launched Web-Based Training on Antibiotic Stewardship

Published February 21, 2018

In order to improve health care providers’ understanding on the threats of antibiotic resistance and the role of antibiotic stewardship program in combating these threats, CDC launched the first of a 4-part web-based series on antibiotic stewardship training. In this first part of the self-paced, knowledge-based training program (course number WB2968), health care providers are… Read More

Antimicrobial Stewardship in the Outpatient Setting

Published November 17, 2017

Antimicrobial stewardship is not only about inpatient antimicrobial prescribing.  Inappropriate outpatient antibiotic prescribing has contributed to the development of resistant organisms.  Nebraska is one of the leading states in the country contributing to the problem of inappropriate outpatient antibiotic prescribing.  Recognizing this as a national issue with global implications, in 2014 the President called for… Read More

Establishing Antimicrobial Stewardship Programs in Small and Critical Access Hospitals

Published November 16, 2017

In 2014, the CDC published The Core Elements of Hospital Antibiotic Stewardship Programs to assist acute care facilities implement antimicrobial stewardship program (ASP).  While these efforts were relatively successful in hospitals with more than 50 beds (>50% were compliant with all seven ASP core elements), only 26% of hospitals with 25 beds or less had… Read More

Nebraska ASAP Efforts to Promote Antimicrobial Stewardship Activities in Long-Term Care Facilities Across the State

Published November 15, 2017

Antibiotic use is common in long-term care facilities (LTCF) with 70% of residents receiving at least one course of systemic antibiotic every year.  A significant proportion of this antibiotic use (40% to 75%) is either unnecessary or inappropriate.  Centers for Medicare and Medicaid Services (CMS) will require all LTCF to have an antimicrobial stewardship program… Read More

The Antimicrobial Stewardship Program at Nebraska Medicine

Published November 14, 2017

Since 2004, the Antimicrobial Stewardship Program (ASP) at Nebraska Medicine (www.nebraskamed.com/ASP) has been assisting prescribers determine the best antimicrobials for their patients’ infections and when to avoid giving antibiotics.  The philosophy of the program is not to restrict access to these life-saving medications but to guide clinicians in the optimal use of these potentially dangerous… Read More

Page last reviewed: November 14, 2017

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