Minnesota Department of Health MN Antibiotic Stewardship Collaborative Update Bulletin

 

 

 

Stewardship quiz? You betcha! (scroll down for answer)

Which of the following big changes are on the horizon for antibiotic stewardship in the U.S.?

a. FDA regulation for the Veterinary Feed Directive, changing how antibiotics are used in animal feed

b. CMS ruling for hospital antibiotic stewardship, ensuring antibiotic stewardship programs in participating hospitals and critical access hospitals

c. CMS ruling for long-term care antibiotic stewardship, requiring participating skilled-nursing and nursing facilities to maintain antibiotic stewardship programs

d. Joint Commission standard requiring antimicrobial stewardship programs for hospitals, critical access hospitals, and nursing care centers

e. All of the above

Update from Your Minnesota Stewardship Collaborative

Director of One Health Antibiotic Stewardship has arrived

Amanda Beaudoin, DVM, PhD, DACVPM has joined Minnesota Department of Health (MDH) as Director of One Health Antibiotic Stewardship. She will work with all collaborators of the One Health Antibiotic Stewardship Agenda to move the existing strategic plan and other Minnesota antibiotic resistance activities forward over the coming years.

Amanda comes to MDH from the Centers for Disease Control and Prevention (CDC), where she worked in the Division of Healthcare Quality Promotion’s International Infection Control Program. She has worked in both equine and small animal clinical practice and conducted research on influenza in swine, poultry, and human populations. While working for CDC, Amanda was active in many facets of human public health practice, including outbreak investigation and response to foodborne, zoonotic, and health care-associated infections, providing infection prevention and control support to health care facilities across the continuum of care, and assisting foreign governments to establish national surveillance systems for antibiotic resistant organisms. Reach Amanda and the One Health Antibiotic Stewardship Collaborative at health.stewardship@state.mn.us.

Call to Action from Collaborative Healthcare-Associated Infection Network (CHAIN)

In response to the national changes around antibiotic stewardship and Minnesota’s One Health Stewardship Collaborative, CHAIN has issued a Call to Action to all Minnesota hospitals.  Read more

Stay tuned for meeting announcements, including:

• One Health Coalition full workgroup meeting (Fall or Winter 2016)
• Human Health Care Antibiotic Stewardship Conference (Winter 2016 or 2017) 

News to Note

NARMS 2014 Human Isolates Surveillance Report is now available. Read more

United Nations General Assembly to meet about antibiotic resistance, urged on by scientists to set global targets for use. Read more

CDC study finds wide variation among health plans for appropriate prescribing. Read more 

Genes identified that might assist doctors in differentiating between bacterial and viral infections by rapid test. Read more

Antibiotic resistant E. coli found in French drinking water. Read more

Upcoming Events

National Institute for Animal Agriculture 2016 Antibiotics Symposium

• November 1-3, 2016 in Herndon, VA
• Learn more 

Collaborative Healthcare-Associated Infection Network (CHAIN) Fall Conference

• September 28, 2016 in Brooklyn Center, MN
• Learn more

Quiz Answer!

Correct Answer: e. All of the above

a. Food and Drug Administration (FDA) has issued a final ruling that requires all antibiotics administered to animals in feed and water for prevention or treatment of disease to be used under veterinary oversight and a veterinary feed directive (VFD). VFD is a written order (essentially, a prescription) that is issued by a licensed veterinarian with an established veterinary-client-patient relationship (where the client is a producer, owner, etc.). The VFD authorizes the client to obtain and use the antibiotic as directed in or on feed. Antibiotics prescribed by VFD must only be used as labeled by FDA. Takes effect January 1, 2017. Read more

b. Centers for Medicare and Medicaid Services (CMS) has proposed ruling that would require a hospital to develop and maintain an antibiotic stewardship program as an effective means to improve hospital antibiotic-prescribing practices and curb patient risk for Clostridium difficile and antibiotic-resistant infections. Read more 

c. CMS has proposed a ruling that would require long-term care facilities to ensure that an antibiotic stewardship program is maintained within the infection prevention and control program. The stewardship program must incorporate protocols for the use of antibiotics and tracking of antibiotic use. The proposed ruling also includes requirements for review of resident medical records by a pharmacist, which could have an additional positive impact on antibiotic stewardship. Read more 

d. The Joint Commission has approved a Medical Management standard that requires hospitals, critical access hospitals, and nursing care centers to have an antimicrobial stewardship program based on current scientific literature. Takes effect January 1, 2017. Read more

 

Handy Links

Minnesota One Health Collaborative

CDC: Antimicrobial Resistance

CDDEP: Antibiotic Resistance

CIDRAP: Antimicrobial Stewardship

CDC: Antibiotic Stewardship

MPCA: Chemicals in Our Water

FDA: Antimicrobial Resistance

USDA: Antimicrobial Resistance

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