MN One Health Antibiotic Stewardship Collaborative Newsletter: August 2024

Minnesota One Health Antibiotic Stewardship Collaborative

Minnesota One Health Antibiotic Stewardship Collaborative Newsletter

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August 2024
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Greetings!

We hope you’re enjoying the summer and all the fun activities that come with it. We’ll be featuring our participation in one of the greatest Minnesota summer traditions in this issue of our newsletter. Read on to learn more about the Minnesota One Health Antibiotic Stewardship Collaborative (MOHASC) Superheroes Fight Superbugs-themed booth at the Minnesota State Fair, as well as many other exciting initiatives that are currently underway.

MOHASC is made up of leaders in human, animal, and environmental health who work together to promote judicious antibiotic use and stewardship and to reduce the impact of antibiotic-resistant pathogens across the One Health spectrum. If you’re not already a member and are interested in being a part of these efforts, complete this brief membership information form indicating your interests: MOHASC Partner Information Form. There are exciting things happening, and we hope you’ll join us!

In this issue:

Stewardship trivia? You betcha!

Quiz Icon

 

At our largest public outreach event of the year, approximately how many fairgoers do MOHASC volunteers interact with each year at our booth during the Minnesota State Fair?

 

          A) 4,000

          B) 7,500

          C) 10,000

          D) 14,500

The answer is at the bottom of this newsletter.

Partner Spotlight

Mark Ferrey, MS
Environmental Scientist, MN Pollution Control Agency

Mark Headshot

When I was finishing my degree in microbiology in the 1980s, I was interested in pursuing research on Mycobacterium tuberculosis (TB). I ran the thought past one of the professors in the department, who, while encouraging, said it might be better to pursue a different interest. Tuberculosis, he told me, would likely be pretty much wiped out by antibiotics in a few years, together with sexually transmitted diseases. At the time, that seemed like pretty reasonable advice1.

So, I pursued environmental microbiology, eventually focusing on bioremediation of contaminants in groundwater. Eventually, I found my way into the work of monitoring emerging contaminants — including antibiotics — in lakes, rivers, and streams across Minnesota. To date, of the 32 antibiotics tested in these studies, 19 have been detected in water.

Everything old is new again, as the saying goes. The stunning rate at which bacteria have become resistant to antibiotics has made TB frighteningly multidrug-resistant, and the appearance of antibiotics in our aquatic environment — together with antibiotic resistance genes2 — a very real worry. The work that we are all doing in MOHASC to raise awareness of antibiotic stewardship now seems very timely — 40 years later.

References:

  1. The new face of an old disease: TB over 3 decades. https://www.healio.com/news/pediatrics/20170206/the-new-face-of-an-old-disease-tb-over-3-decades.
  2. Bueno, et al. 2021. Quantifying and predicting antimicrobials and antimicrobial resistance genes in waterbodies through a holistic approach: a study in Minnesota, United States.  Scientific Reports 11 (1):18747.

MOHASC Updates

Minnesota State Fair Booth: Aug. 22 - Sept. 2

The countdown to the Minnesota State Fair has officially begun and MOHASC will again have a booth in the Eco Experience Building! This is our largest public outreach event of the year, where we get to interact with around 10,000 fair attendees. This year’s theme is “Superheroes Unite Against Superbugs: Protect your health by using antibiotics only when needed.” Attendees will be able to engage with experts from diverse fields and show their commitment to responsible antibiotic use by signing an antibiotic stewardship pledge, participating in our engagement question activity, and proudly displaying a "Superheroes Fight Superbugs" temporary tattoo.

MOHASC at the Minnesota State Fair

MSF 2023

Save the Date: U.S. Antibiotic Awareness Week is November 18-24

Mark your calendars for Nov. 18-24! MOHASC will again be collaborating with the Centers for Disease Control and Prevention (CDC) and our state partners to celebrate U.S. Antibiotic Awareness Week. Efforts will include a news release and governor's proclamation, as well as email and social media campaigns. And new this year, there will be expanded lighting of Minnesota landmarks in purple down the I-35 corridor!

USAAW

MOHASC Working Group Leadership Changes

There have recently been some transitions to our MOHASC Environmental and Animal Health Working Group (WG) leadership.

For our Environmental Health WG, we want to thank Mark Ferrey with the Minnesota Pollution Control Agency for his continued leadership as Chair for the remainder of the calendar year after serving as Interim Chair for the past several months. We’d also like to welcome Nancy Rice with the Minnesota Department of Health (MDH) as our new Vice Chair.

For our Animal Health WG, we want to send best wishes to Chair Dr. Jessica Evanson as she pursues a new opportunity outside the Minnesota Department of Agriculture. We also want to thank Dr. Jan Mladonicky for agreeing to move from Vice Chair to Chair for the remainder of the calendar year.

Huge thanks to each of you for your outstanding leadership! These working groups continue to be in good hands, and we look forward to what’s ahead.

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New Initiatives and Resources

2019-2021 Minnesota Statewide Acute Care Antibiograms Now Available

An antibiogram is the compilation of antimicrobial susceptibilities of selected pathogens isolated from a specific human or animal population. Antibiograms can serve as valuable tools in guiding therapy choices.

The annual Acute Care Statewide Antibiogram was made for the years 2019-2021 and is available at Minnesota Antibiotic Stewardship Data. During the timeframe, there was an increase in the number of submitted antibiograms from 41 to 61, leading to better representation of acute care Minnesota hospitals. While there were some changes noted in susceptibility patterns, the majority were not consistent over the time frame or had minimal clinical significance due to the standards already implemented in prescribing practices by most providers.


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In the News

CDC Releases New Antimicrobial Resistance (AR) Threats Data

In July 2024, CDC published Antimicrobial Resistance Threats in the United States, 2021-2022. Using new data, CDC updated the U.S. burden of seven antimicrobial-resistant pathogens typically found in health care settings. These new data show that AR increased by a combined 20% during the COVID-19 pandemic compared to the pre-pandemic period, peaking in 2021, and remaining above pre-pandemic levels in 2022.

In addition, the number of reported clinical cases of C. auris—a type of yeast that can spread in health care facilities, is often resistant to antifungal medications, and can cause severe illness—increased nearly five-fold from 2019 to 2022. These data show that additional action is critical to slow the spread and impact of antimicrobial resistance.


AVMA Updates Antimicrobial Policies

The American Veterinary Medical Association (AVMA) has updated two of its policies concerning the judicious therapeutic use of antimicrobials and endorsed a joint statement from the American Association of Bovine Practitioners and Academy of Veterinary Consultants on the therapeutic use of medically important antimicrobials in cattle. Read more at AVMA updates antimicrobial policies.


CDC Study Highlights COVID’s Impact on Infection Control, Multidrug-Resistant Pathogens in U.S. Hospitals

A new study by CDC researchers illustrates the impact that the COVID-19 pandemic had on infection control (IC) practices in U.S. hospitals, even in parts of the country that experienced lower SARS-CoV-2 transmission.

The study, published in the American Journal of Infection Control, describes outbreaks of emerging multidrug-resistant organisms (eMDROs) in 18 health care facilities in 10 states over the course of the pandemic. Survey results from the facilities indicate that changes in IC practices linked to the pandemic—along with shortages of and strategies to conserve personal protective equipment—may have contributed to eMDRO transmission.

To read a summary of the study and access the full article, visit CDC study highlights COVID's impact on infection control, multidrug-resistant pathogens in hospitals.


New APIC Council Dedicated to Veterinary Medicine Infection Prevention and Control

The Association for Professionals in Infection Control (APIC) has been a long-standing professional organization for infection preventionists (IPs) working in human health care. They currently provide a space for community engagement and networking, resources, education, and certification for IPs in human health care. Starting in August this year, APIC will also begin supporting and assisting to advance the field of veterinary infection prevention and control (IPC) by creating a veterinary medicine IPC council. This will give veterinary staff working in IPC, a central location to share resources, collaborate to improve guidance and research, and network.

The vision of the council is for professionals who work in all aspects of veterinary medicine and animal health to advance the science of veterinary IPC and biosecurity, promote and support One Health interprofessional collaboration, and assist and support colleagues working in veterinary IPC. This will cover all animal care disciplines and facilities including small and large companion animal clinics/hospitals, zoos, shelters, and sanctuaries as well as production animal, wildlife rehabilitation, research, education, public health, and human health care facilities that allow animal visitation.

The new council will be led by Leslie Kollmann, BS, AAS, CVT, CIC, veterinary infection preventionist with the MDH Zoonotic Diseases Unit and Regina Wagner, BSN, JD, RN, infection prevention manager for the Matthew J. Ryan Veterinary Hospital at the University of Pennsylvania School of Veterinary Medicine.

APIC members can join the council at no cost. If you are not a current APIC member and would like to join the council, go to https://apic.org, sign up, and for a limited time, APIC is offering a discount code for new vet IPC members. Use the code “VETIPC” for the discount. If you have questions regarding the new council or APIC membership, please reach out to Leslie Kollmann at leslie.kollmann@state.mn.us.


New Resources Available for Youth Livestock Exhibitors from 4-H and Minnesota Department of Agriculture

MDA

The Minnesota Department of Agriculture teamed up with 4-H this spring to create a bundle of resources for livestock exhibitors. This bundle pulls together antibiotic stewardship resources that our Drug Residue Prevention Team has developed over the past seven years. We hope our bundle is just a starting point and can be re-worked each year to meet the needs of 4-H and other organizations who support youth in agriculture.

You can access the bundle at MDA: Drug Residue Prevention Resource Library for Youth in Agriculture.


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Upcoming Events and Opportunities

MDH MDRO Webinar Series

MDH will present a series of webinars on multidrug-resistant organisms (MDROs) including carbapenemase-producing organisms and Candida auris. Discussion and topics will vary by webinar and will include the containment strategy, organism information, annual case counts, case studies, enhanced barrier precautions, and discussions of MDRO screening. Webinars aim to be highly interactive and will provide time for questions.

Upcoming webinars:

The intended audience includes congregate settings such as long-term care and assisted living providers, including infection preventionists, directors of nursing, and interested health care staff.

Nursing CEUs will be provided to those who attend the webinar.

Trivia Answer!

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At our largest public outreach event of the year, approximately how many fairgoers do MOHASC volunteers interact with each year at our booth during the Minnesota State Fair?

 

          C) 10,000

 

We hope you'll visit us at the Eco Experience building! See you there!


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