Question: More than how many pounds of drugs were collected at the April 2019 National Prescription Drug Take Back Day?
A. 537,000 pounds
B. 737,000 pounds
C. 937,000 pounds
D. 1,137,000 pounds
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The answer is at the bottom of this newsletter.
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Annual Meeting
The Minnesota One Health Antibiotic Stewardship Collaborative joined together on January 9 to discuss 2019 progress and to chart the course for 2020. Look for the summary of the meeting and our 2019 activities in the next email bulletin.
Thank you to the outgoing 2019 work group chairs!
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Nikki Neeser, DVM, MPH, Minnesota Department of Agriculture, Chair of the Animal Health Antibiotic Stewardship Work Group
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Krista Gens, PharmD, BCPS-AQ ID, BCIDP, DPLA Abbott Northwestern Hospital, Chair of the Human Health Antibiotic Stewardship Work Group
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Emma Leof, MPH, University of Minnesota, Chair of the One Health Engagement Work Group
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Ashley Suchomel, MPH, Minnesota Department of Health, Chair of the Antibiotic Footprint Work Group
Two Minnesota Hospitals Identified as Antimicrobial Stewardship Centers of Excellence
Infectious Disease Society of America (IDSA) has identified twelve U.S. institutions to receive the Antimicrobial Stewardship Center of Excellence designation. Two of these hospitals are located in Minnesota: University of Minnesota Medical Center and Mayo Clinic Hospital–Rochester. Congratulations, and thank you for continuing to advance antimicrobial stewardship in Minnesota!
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University of Minnesota Medical Center stewardship team (left to right):
Susan Kline, MD, MPH
Kimberly Boeser, PharmD, MPH, BCIDP
Jocelyn Mason, PharmD, BCIDP
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Mayo Clinic Hospital–Rochester stewardship team (left to right):
Lynn Estes, PharmD; Nipunie Rajapakse, MD, MPH; and Aaron Tande, MD
Professional Field Exchanges: Stewardship in Action
Professional Antibiotic Stewardship Field Exchanges provide MOHASC members with opportunities to see how antibiotics are used, and how stewardship is practiced, in human, animal, and environmental health settings.
On October 30, MOHASC members were hosted by the University of Minnesota College of Veterinary Medicine to learn about antibiotic use and stewardship in small animal medicine. The Saint Paul event included a presentation and a tour of the Veterinary Medical Center. Discussion identified unique and shared barriers and opportunities across veterinary and human stewardship.
On December 10, MOHASC members were hosted by Walker Methodist Health Center in Minneapolis to learn about antibiotic use and stewardship in long-term care. Discussion highlighted unique challenges faced by nursing homes when ensuring that residents receive antibiotics only when needed.
Antimicrobial Resistance and Stewardship Initiative (ARSI) Launched by University of Minnesota College of Veterinary Medicine (CVM)
The Antimicrobial Resistance and Stewardship Initiative (ARSI) website is home to antimicrobial resistance, antimicrobial stewardship, and infection prevention resources and tools for the veterinary profession.
New resources for small animal stewardship have been posted, including a Pocket Guide: Antimicrobial Prescribing for Common Small Animal Diseases (PDF) containing first-line antimicrobial recommendations for common canine and feline conditions and Antibiotic Use Talking Points for Vet Clinics (PDF).
Stay tuned for a new resource to help small animal clinics successfully implement antimicrobial stewardship initiatives.
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New York State Medicare Part B Data Show Changes in Prescribing for Cystitis
International Dental Federation Adopts Antibiotic Stewardship Policy Statement
- The policy “highlights the crucial role that dentists, their teams, and National Dental Associations… have in proactive engagement in antibiotic stewardship to ensure appropriate use of antibiotics.”
- The policy statement references the need for a One Health approach, through which all sectors work for improvement.
- Read the policy at International Dental Journal: Antibiotic Stewardship in Dentistry.
Publication Shows Value of Reflex Urine Culture Intervention to Diagnostic Stewardship
Support for Handshake Stewardship Approaches Continues to Grow
Electronic Health Records to Assess Prescribing for Canine Acute Diarrhea
- The Small Animal Veterinary Surveillance Network (SAVSNET) program at University of Liverpool collects data from small animal primary care practices in an effort to understand more about veterinary disease and practice.
- Although canine acute diarrhea is a common presenting complaint, the varied approaches to patient care, including dietary modification and antimicrobial use, have not been comprehensively described.
- In this 2019 publication, researchers report that systemic antimicrobials were the most commonly prescribed pharmaceutical agents for acute canine diarrhea, and are estimated to be used for 49.7% (95% CI 46.1–53.2) of cases.
- Although there are currently no guidelines from the International Society for Companion Animal Infectious Diseases, there is growing evidence that antibiotics might not be indicated in most situations. More research, as well as consensus among veterinary internal medicine and infectious disease experts, will be welcome as veterinarians strive to put stewardship interventions into practice.
- Read the full report at Frontiers in Veterinary Science: Pharmaceutical Prescription in Canine Acute Diarrhoea: A Longitudinal Electronic Health Record Analysis of First Opinion Practices.
MN Veterinary Medical Association Annual Meeting
Join us as MOHASC members provide CE on antibiotic use, resistance, and surveillance at this year's Minnesota Veterinary Medical Association Annual Meeting on Thursday, February 20.
- 9:00-10:15 a.m.
Antibiotic Stewardship in the Swine Industry
Dr. Laura Dalquist
- 3:45-4:15 p.m.
Carbapenem-resistant Enterobacteriaceae: What is it, and What are the Implications for Companion Animal Settings?
Dr. Amanda Beaudoin
- 4:15-4:35 p.m.
You Can’t Manage What You Can’t Measure: Why Must We (and can) Harness Big Data to Revolutionize Companion Animal Disease Surveillance
Dr. Jennifer Granick
Register Now: Exploring New Horizons – MVMA 123rd Annual Meeting
2020 Minnesota Antibiotic Stewardship Conference
 When: May 18, 2020
What: Free full-day conference focused on antibiotic stewardship
Who: For health care providers, nurses, infection preventionists, pharmacists, dental professionals, administrators, public health professionals, and others!
Where: Wilder Center, 451 Lexington Avenue North, Saint Paul, MN 55104
Save the Date: 2020 Minnesota Antibiotic Stewardship Conference (PDF)
International Conference on Healthcare-Associated Infections and Antimicrobial Resistance
Centers for Disease Control and Prevention (CDC) and the Society for Healthcare Epidemiology of America (SHEA) are hosting the 6th International Conference on Healthcare Associated Infections (Decennial 2020) focusing on global solutions to antibiotic resistance (AR) in health care and will feature in-depth sessions on:
- Diverse strategies to address health care transmission
- The impact of innovation on patient care, infection prevention, and transmission in health care
- Advances in surveillance for healthcare-associated infections (HAIs) and antibiotic resistance
Register for the March 26-30, 2020, conference in Atlanta, GA, at Decennial 2020.
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C. 937,443 pounds (468.72 tons) of medications were collected at the 17th annual National Prescription Drug Take Back Day in April 2019. These events help people safely dispose of unwanted, unneeded, and expired prescription drugs like antibiotics and opioids at a convenient location. Proper disposal helps prevent substance misuse and contamination of our lakes and rivers. You can dispose of medications properly year-round by finding a location at Minnesota Pollution Control Agency: Dispose of Unwanted Medications.
For the trivia buffs out there, since the inception of National Drug Take Back Day, 11,816,393 pounds have been collected, of which 184,870 pounds were from Minnesotans.
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