Minnesota Department of Health MN Antibiotic Stewardship Collaborative Update Bulletin
Minnesota Department of Health sent this bulletin at 03/31/2017 08:29 AM CDT Updates and News Alerts from the Minnesota One Health Antibiotic Stewardship Collaborative |
Stewardship quiz? You betcha! (scroll down for answer)
A new report has been published reviewing methicillin-resistant Staphylococcus aureus (MRSA) findings from retail meat in the United States during 2010-2011. Data were collected within the framework of the National Antimicrobial Resistance Monitoring System (NARMS). Of the 3520 retail meats collected from 8 U.S. states, how many were found to contain S. aureus and were positive for MRSA?
a. 95 (2.7%) contained S. aureus and 52 (1.5%) positive for MRSA
b. 982 (27.9%) contained S. aureus and 66 (1.9%) positive for MRSA
c. 1290 (36.6%) contained S. aureus and 113 (3.2%) positive for MRSA
Update from Your Minnesota Stewardship Collaborative
Gap Analysis Template for Acute Care Facilities Posted
We have posted a gap analysis template that can be used by acute care hospitals for antibiotic stewardship program assessment. The template is structured based on the Joint Commission standard for antibiotic stewardship, effective on January 1, 2017. Find the template on the Human Health Resources Page, under the "Inpatient Facilities" heading. http://www.health.state.mn.us/onehealthabx/human.html
Honor Roll for Acute Care Antibiotic Stewardship Programs Coming Soon!
The structure of the Minnesota Honor Roll for Acute Care Antibiotic Stewardship has been developed by the Minnesota One Health Antibiotic Stewardship Collaborative and statewide partners, including Minnesota Department of Health, Stratis Health, and Minnesota Hospital Association. Details and materials for application will be available by early May on the One Health Antibiotic Stewardship website and by email communication from state stewardship partners. Stay tuned! Planning for the Minnesota Honor Roll for Long-term Care Antibiotic Stewardship is also underway.
One Health Antibiotic Stewardship Website Revised
The state antibiotic stewardship website has been recently revised to update and streamline resources. http://www.health.state.mn.us/onehealthabx/index.html
News to Note
National Institute of Food and Agriculture Request for Applications.
- U.S. Department of Agriculture’s (USDA) National Institute of Food and Agriculture (NIFA) has announced $11 million in available funding for projects that mitigate antimicrobial resistance (AMR).
New Insight into Ophthalmologic Antibiotic Resistance Concerns in Dogs.
- Researchers showed a changed conjunctival bacteria population with higher likelihood of ofloxacin resistance during a 6-week post-cataract surgery treatment period.
- The publication is in American Journal of Veterinary Research and titled, Alterations in conjunctival bacteria and antimicrobial susceptibility during topical administration of ofloxacin after cataract surgery in dogs.
Maryland Legislature Advances Bill Defining Antimicrobial-Use Situations in Cattle, Swine, and Poultry.
- House and Senate bills limit use of in-feed medically important antimicrobials to disease treatment, disease control, and surgical situations and, unless consistent with these indications, prohibits routine/regular patterns of use.
- Bills allow for preventive use of antimicrobials in times of elevated risk for specific diseases/infections.
- Both bills reiterate FDA rules eliminating production uses of medically important antimicrobials.
- House and Senate bill differences will be reconciled and sent to the Governor for signature.
Government Accountability Office Report Says More Information Needed to Oversee Use of Medically Important Drugs in Food Animals.
- The Government Accountability Office identified gaps in FDA's oversight of antibiotic use in food-producing animals, including lack of metrics to assess FDA actions, lack of farm-specific data, and limited ability to link on-farm information to epidemiologic and clinical data during outbreaks.
Pseudomonas Species Tracked in Aquatic Environments in Three Countries.
- Researchers demonstrated widespread antibiotic resistance in aquatic ecosystem sediments receiving untreated and treated wastewater in Democratic Republic of Congo (DRC), India, and Switzerland.
- Beta lactamase findings differed by study location, with CTX-M found most commonly in Switzerland and VIM-1 found most commonly in DRC and India.
- The publication is in Water Research and titled, Antibiotic resistant Pseudomonas spp. in the aquatic environment: A prevalence study under tropical and temperate climate conditions.
New Cochrane Review: Improving how physicians working in hospital settings prescribe antibiotics.
- Article reviews effectiveness and safety of interventions meant to facilitate proper antibiotic prescribing and behavior change techniques that could influence the success of interventions.
Paper Describes Novel Approach to Antibiotic Stewardship at Hospital Discharge.
- Authors show how a multi-faceted intervention can be used to optimize antibiotic prescribing at hospital discharge.
- The publication is in Infection Control and Hospital Epidemiology and titled, Intervention to Reduce Broad-Spectrum Antibiotics and Treatment Durations Prescribed at the Time of Hospital Discharge: A Novel Stewardship Approach.
Upcoming Events
2017 Minnesota Antibiotic Stewardship Conference was a success!
- This year, the annual conference for antibiotic stewardship in human health care was focused on long-term care settings and hosted by Minnesota Department of Health and Stratis Health.
- Materials from the conference are available on the Stratis Health website.
Quiz Answer!
Correct Answer: b. 982 (27.9%) contained S. aureus and 66 (1.9%) positive for MRSA
Consistent with other US surveys, authors of the paper published in Food Microbiology report a low prevalence of MRSA organisms with diverse lineages. They explain that low MRSA prevalence in retail meats have been documented in countries with both high and low rates of human MRSA infection. This suggests that retail meat findings do not correlate with clinical infection on a population level. Most frequently identified in 2010-2011 was the USA300 MRSA clone, which is the predominant community-associated MRSA epidemic clone currently circulating in the US. The USA300 clone was obtained from all four types of meat studied: turkey, chicken, pork, and beef.
Sources of meat contamination with MRSA include from the pork itself or from contamination by human handling, including processing and repackaging activities. Other studies show that controls in place throughout the pork processing chain successfully decrease MRSA prevalence from pig nose to pig meat.
Handy Links
Minnesota One Health Collaborative
CIDRAP: Antimicrobial Stewardship
USDA: Antimicrobial Resistance
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