MN Antibiotic Stewardship Collaborative Update Bulletin

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Updates and News from the Minnesota One Health Antibiotic Stewardship Collaborative

August 20, 2019

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Stewardship quiz? You betcha!

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During 2007­–2017, how many pounds of pharmaceutical waste has been collected in Minnesota?


a. >150,000 pounds

b. >300,000 pounds

c. >450,000 pounds

d. >600,000 pounds

e. >1,000,000 pounds

The answer is at the bottom of this newsletter.

Update from Your Minnesota Stewardship Collaborative

Let's Talk Antibiotics at the Minnesota State Fair

Panel Discussion

What: Q&A with medical, veterinary, and environmental professionals. Also enjoy a screening of the winning videos from the Lights, Camera, Action for Antibiotics Video Contest for Minnesota middle and high schools.

Moderator: Ruth Lynfield, MD, State Epidemiologist, Minnesota Department of Health (MDH)

Panel members:

  • Amanda Beaudoin, DVM, PhD, Dir. of One Health Antibiotic Stewardship, MDH
  • Laura Dalquist, DVM, Swine Veterinarian, Swine Vet Center
  • Beth Ferguson, PharmD, BCPS, RPh, Deputy Dir., Minnesota Board of Pharmacy
  • Ashley Suchomel, MPH, Environmental Research Scientist, MDH

When: Thurs. August 22, 10 a.m.

Where: Eco Experience Building Sustainability Stage

MN One Health Antibiotic Stewardship Collaborative Booth

Minnesota One Health Antibiotic Stewardship Collaborative (MOHASC) members will answer questions about antibiotic use and resistance each day of the State Fair in the Eco Experience Building. Stop by to ask your questions, get involved in Minnesota efforts to prevent antibiotic resistance, and sign the Stewardship Pledge! The 2019 Minnesota State Fair runs August 22–September 2.

Sediment sampling for contaminants in the Mississippi River

Sediment collection demonstration, Mississippi River

Professional Field Exchange: Environmental sampling for antibiotic contaminants

On August 1, fourteen MOHASC members, including physicians, pharmacists, scientists, veterinarians, and public health professionals, visited the Mississippi River to learn about environmental sampling for antibiotic contaminants.

The event included a demonstration and discussion of why, when, where, and how water and sediment samples are collected for contaminant testing.

Thank you to MOHASC members Bill Arnold (University of Minnesota), Kris Wammer (University of St. Thomas), Mark Ferrey (Minnesota Pollution Control Agency), and Ashley Suchomel (Minnesota Department of Health) for hosting a great interdisciplinary discussion.

Thank you to students in the Wammer and Arnold laboratories for showing how they collect specimens for MOHASC's state-funded project to map the antibiotic footprint of Minnesota's natural environment—LCCMR: Environment and Natural Resources Trust Fund Work Plan (PDF).

Register for “Antibiotic Stewardship and Prescribing in Equine Practice” Webinar

What: Our five-part series for veterinarians will conclude with a webinar by Laura Hardefeldt, BSc, BVMS, MPH, PhD, DACVIM from the University of Melbourne, Australia.

Who: Open to and free of cost to all, with continuing education credit available.

When: Monday, September 16, 5:30 p.m.-6:30 p.m. CDT

Registration: MVMA, Antibiotic Stewardship and Prescribing in Equine Practice

Thank you to the Minnesota Veterinary Medical Association (MVMA) for partnering with MOHASC to host this informative webinar series.

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News to Note

CDC Releases Antibiotic Use in the United States: Progress and Opportunities, 2018 Update

New Joint Commission Standard on Antibiotic Stewardship in Outpatient Settings

  • As of January 1, 2020, new antimicrobial stewardship requirements will be applicable to Joint Commission-accredited ambulatory health care organizations that routinely prescribe antimicrobial medications.
  • The standard requires identification of stewardship leadership; goal-setting supported by data collection, analysis, and reporting; use of evidence-based practice guidelines; and education for clinical staff.
  • Learn more by reading the Joint Commission: Requirement, Rationale, Reference Report (PDF).

Electronic Medical Records and Stewardship

Feasibility of Antimicrobial Stewardship Interventions at Community Hospitals

FDA Approves New Drug for Treatment-resistant Forms of Tuberculosis (TB)

  • The new drug, pretomanid, in combination with bedaquiline and linezolid, is approved for treating a limited and specific population of adult patients with extensively drug-resistant (XDR), treatment-intolerant or nonresponsive multidrug-resistant (MDR) pulmonary TB.
  • XDR-TB and MDR-TB are public health threats and pose significant challenges for individual patient management.
  • Pretomanid has been approved under the Limited Population Pathway for Antibacterial and Antifungal Drugs mechanism, intended to spur new drug development and approval.
  • Read the FDA news release, FDA: FDA approves new drug for treatment-resistant forms of tuberculosis that affects the lungs.

One Health Bills Introduced in U.S. Senate and House

  • Advancing Emergency Preparedness Through One Health Act of 2019 was introduced by Sen. Tina Smith (D-MN) and Sen. Todd Young (R-IN) in June (S.1903) and by Rep. Kurt Schrader (D-OR) and Rep. Ted Yoho (R-FL) in July (H.R.3771).
  • Both Bills advocate for a One Health approach to improve public health preparedness through a coordinated framework.
  • Read Senate Bill 1903 and House Bill 3771

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Upcoming Events

South Dakota One Health Antibiotic Seminar

Topic: Preserving the Usefulness of Antibiotics for People and Animals

Date: Wednesday, September 11

Time: 9:00 a.m. – 5:00 p.m. CDT

Location: USD Sanford School of Medicine, Health Science Center

Registration:  South Dakota One Health: Preserving the Usefulness of Antibiotics

Abstracts and Registration Open for One Health Conference

The 5th International Conference on One Medicine One Science (iCOMOS) will be held April 1922, 2020, in Santiago, Chile.

Themes for the 2020 conference include antimicrobial resistance and strengthening One Health policies.

Find additional details at iCOMOS Registration.

APIC-Minnesota Conference, Sept. 26–27

Registration is still open for the Association for Professionals in Infection Control (APIC) Minnesota conference.

Presentations will focus on infection prevention measures and theories, the MDH: Infection Prevention Assessment and Response (ICAR) Program, vaccinations, and an infection preventionist's role in antimicrobial stewardship.

Visit the 2019 APIC Minnesota Fall Conference website for registration details and the full agenda.

U.S. Antibiotic Awareness Week, Nov. 18–24

It's not too early to plan for CDC: U.S. Antibiotic Awareness Week (USAAW).

USAAW is an annual one-week observance to raise awareness of the threat of antibiotic resistance and the importance of appropriate antibiotic prescribing.

Look for enhanced antibiotic stewardship messaging from MDH and think about how you can highlight the important issue of antibiotic resistance within your own work and life.

Follow MDH on FacebookTwitterLinkedInInstagram, and YouTube to help spread the word about USAAW.

Utilize these helpful resources as you prepare for USAAW.

Quiz Answer!

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d. >600,000 pounds

More than 600,000 pounds of pharmaceutical waste was collected in Minnesota during 2007-2017. The best way to dispose of unused pharmaceuticals (prescription, over-the-counter, liquid, and pet medicines) is to bring them to the nearest take-back location, including many law enforcement sites and pharmacies. Proper disposal helps keep unused medications out of our lakes and streams and prevent inappropriate use.

Find the closest location to you by visiting Minnesota Pollution Control Agency, Dispose of Unwanted Medications, or just visit the MOHASC booth at the Minnesota State Fair to chat with experts and use the take-back location finder!

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