Updates and News from the Minnesota One Health Antibiotic Stewardship Collaborative

May 28, 2019

• Update from Your Minnesota Stewardship Collaborative
• News to Note
• Upcoming Events
• Handy Links

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Update from Your Minnesota Stewardship Collaborative

MOHASC Annual Meeting summary available

In February, the Minnesota One Health Antibiotic Stewardship Collaborative (MOHASC) gathered to discuss 2018 progress and to chart the course for 2019.

A summary of progress and next steps from the 2019 Annual Meeting is now available at MDH: One Health Minnesota Antibiotic Stewardship Strategic Plan.

Annual Antibiotic Stewardship Conference materials available

The May 13, 2019, Minnesota Antibiotic Stewardship Conference was focused on patient and provider education across health care settings, with a keynote address from Dr. Julia Szymczak, who discussed social determinants of antibiotic prescribing.

Slides from the conference are available from MDH: 2019 Minnesota Antibiotic Stewardship Conference.

Thank you to our national and Minnesota-based speakers and to conference attendees for participating.

New resources added to Outpatient Antibiotic Stewardship Toolkit

Two new resources are now available in the MDH: Minnesota Antimicrobial Stewardship Program Toolkit for Outpatient Clinics.

• Use the MDH: Minnesota Sample Antibiotic Stewardship Plan for Outpatient Clinics to customize an antibiotic stewardship plan for your clinic.
• MDH: Provider Talking Points on Antibiotic Use can help improve communication between clinicians and patients about appropriate antibiotic use.

Other toolkit resources include cough and cold care guides, fact sheets, a viral prescription pad, commitment posters, waiting room materials, and more. 

Lights, Camera, Action for Antibiotics Video Contest is complete

More than 40 students in grades 6-12 submitted a video to the Lights, Camera, Action for Antibiotics Video Contest in 2019, helping to spread the word about antibiotic resistance and responsible antibiotic use.

Congratulations to all finalists and winners!

• First Place: YouTube: The Proper Disposal of Antibiotics, Brayden LeLoup, Eastview High School
• Second Place: YouTube: Antibiotics Disposal: How YOU Can Protect Our Lakes, Abigail Jacobson, Eastview High School
• Third Place: YouTube: Don’t Overuse Antibiotics, Jack Odette, Eastview High School

View the finalist and winning videos at MDH: Lights, Camera, Action for Antibiotics Video Contest. Winning videos are available for use by partners for social media posts, videos in waiting or exam rooms, or on websites and patient portals.

MOHASC members receive grant funding for companion animal disease surveillance

Collaborative members from University of Minnesota College of Veterinary Medicine received funding to establish and pilot a passive surveillance system for companion animal disease and treatment, including antimicrobial use.

Companion Animal Veterinary Surveillance Network Minnesota (CAVSNET-MN) is modeled after the University of Liverpool: Small Animal Veterinary Surveillance Network, which uses near real-time clinical data to define trends in animal disease and veterinary practice across the U.K.

The UMN research team will also conduct a pilot point prevalence study of antibiotic use and resistance in Minnesota small animal and equine medicine.

News to Note

CID publication describes antibiotic prescribing in outpatient cancer center

A new article in Clinical Infectious Diseases (CID) describes prescribing for adult upper respiratory tract infections (URI) in an outpatient cancer center.

• Nearly one third of patients presenting with URI received an antibiotic, which is similar to other outpatient settings.
• Follow-up visits for URI were not significantly different for patients prescribed and not prescribed antibiotics at the initial encounter.
• URI viral testing was associated with a lower likelihood of antibiotic prescription.

Read the abstract at CID: Antibiotic Prescribing and Respiratory Viral Testing for Acute Upper Respiratory Infections Among Adult Patients at an Ambulatory Cancer Center

New publications highlight antibiotic stewardship in dentistry

Dentists prescribe 10% of antibiotics in the outpatient setting and are an important partner in antibiotic stewardship.

The University of Illinois at Chicago College of Dentistry saw a 73% decrease in antibiotic prescribing in the dental urgent care setting after assessing practices and implementing stewardship interventions.

• Read the full report at Open Forum Infectious Diseases: Successful Implementation of an Antibiotic Stewardship Program in an Academic Dental Practice.

Also recently published is the American Dental Association: Panel Report on Antibiotic Use in Endodontic Infections.

AVMA publishes antimicrobial use definitions

• The American Veterinary Medical Association (AVMA) has published definitions of antimicrobial uses for prevention, control, and treatment of disease.
• Concise definitions are needed to avoid confusion and help veterinarians clearly communicate intention when prescribing antimicrobials.
• Read the abstract at PubMed: The AVMA's definitions of antimicrobial uses for prevention, control, and treatment of disease

California Department of Food and Agriculture completes first year under new antibiotic legislation

The California Department of Food and Agriculture (CDFA) has completed its first year of full implementation of SB-27, a law that created the CDFA Antimicrobial Use and Stewardship (AUS) Program.

• SB-27 brings all medically important antimicrobial (MIA) use in livestock under veterinary oversight, prohibits MIA use for growth-promotion, limits use for disease prevention, provides resources to veterinarians and livestock producers to implement antimicrobial stewardship plans, and initiates collection of antimicrobial use information and monitoring of trends of antimicrobial resistance in bacteria.
• The CDFA: 2019 Antimicrobial Use and Stewardship (AUS) Program Report to the Legislature was recently completed and describes CDFA's relationships with federal, state, and academic partners and approach to data acquisition, as well as results of AUS outreach activities and monitoring efforts to date.
• The CDFA News Release: Strong First Year for California Antimicrobial Use and Stewardship Program is also available.

New ISCAID guidelines published for diagnosis and management of canine and feline UTI

• International Society of Companion Animal Infectious Diseases (ISCAID) has updated the 2011 Antimicrobial Use Guidelines for Treatment of Urinary Tract Diseases in Dogs and Cats.
• This update provides recommendations for diagnosis and management of sporadic bacterial cystitis, recurrent bacterial cystitis, pyelonephritis, bacterial prostatitis, and subclinical bacteriuria.
• Read the full guidelines at Science Direct: ISCAID guidelines for the diagnosis and management of bacterial urinary tract infections in dogs and cats.

Upcoming Events

Webinar opportunity: System Journey to Impact Antibiotic Stewardship

What: Free webinar hosted by the Lake Superior Quality Innovation Network (LSQIN)

When: Thursday, June 20, 2:00-3:00 p.m. CT

Registration: Register at LSQIN Webinar: System Journey to Impact Antibiotic Stewardship

Veterinary Antibiotic Stewardship Webinar Series

What: Five-part webinar series for veterinarians with continuing education credit, hosted by Minnesota One Health Antibiotic Stewardship Collaborative and Minnesota Veterinary Medical Association

Who: Open to and free of cost to all

When: One day each month during April-August. Upcoming dates:

• June 18: Antibiotic Stewardship in Production Animal Medicine: Regulations and Practice Mike Apley, DVM, PhD, Kansas State University
• July 16: Antibiotics in the Environment: What do we know, and what is the veterinary role? Irene Bueno-Padilla, DVM, PhD, University of Minnesota
• August: Antibiotic Stewardship and Prescribing in Equine Practice Wendy Vaala, VMD, Merck Animal Health

Registration: Register for the webinars on the MVMA: Veterinary Antibiotic Stewardship Webinar Series website.

Archived webinars: You can view the entire webinar series on YouTube, once they are posted. Use the webinar series registration site for updated links.

• YouTube: Realities of Antibiotic Resistance and Stewardship in Small Animal Practice Jennifer Granick, DVM, PhD, DACVIM, University of Minnesota

Antibiotic Stewardship Policy Writing Workshop for Long-term Care

What: Minnesota Department of Health (MDH) workshop to support Duluth-area long-term care facilities in writing an effective antibiotic stewardship policy

• The workshop will utilize the MDH: Minnesota Sample Antibiotic Stewardship Policy for Long-term Care Facilities (PDF)

When: July 11, 2019

Where: MDH Duluth District Office; Duluth Technology Village 11 East Superior Street, Suite 290, Duluth, MN

Registration: Learn more and register at MDH: Minnesota Antibiotic Stewardship Policy Writing Workshop for Long-term Care

Stay tuned for more policy-writing workshop opportunities!

CDC and CMS trainings on infection prevention and control for nursing home staff

Centers for Medicare and Medicaid Services (CMS) offer a free online training course in infection prevention and control for nursing home staff in long-term care settings, developed with the Centers for Disease Control and Prevention (CDC).

Courses range from 10 – 60 minutes long, and cover core activities for an infection prevention and control program, with detailed explanation of recommended practices to prevent pathogen transmission and reduce healthcare-associated infections and antibiotic resistance in nursing homes.

Course overview and materials are available the CDC TRAIN Website: Nursing Home Infection Preventionist Training.

Quiz Answer!

D. 80% Studies show that 80% of farm workers in animal agriculture have experienced a needlestick injury. Accidental needlesticks can be serious and might require medical attention. Farmers, ranchers, veterinarians, and onsite workers are susceptible to needlesticks on the job, including needles contaminated with antibiotics and vaccines. Find resources on needlestick prevention at UMASH, Needlestick Prevention, UMASH, Best Practices for Veterinary Sharps, and MDH, Injection Safety.

Handy Links

• Minnesota One Health Antibiotic Stewardship Collaborative
• MDH: Antimicrobial Resistance and Stewardship
• CDC: Antimicrobial Resistance
• CDDEP: Antibiotic Resistance
• CIDRAP: Antimicrobial Stewardship Project
• CDC: Antibiotic Prescribing and Use
• MPCA: Managing Unwanted Medications
• FDA: Antimicrobial Resistance
• USDA: Antimicrobial Resistance

To better serve visitors to the Minnesota Department of Health website, we reorganized content, which changed the URLs (website links). Please update your bookmarks and links,
and search the site to find what you need.

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