Division of Infectious Diseases

Antimicrobial Stewardship efforts in the state of Nebraska

Content provided courtesy Dr. Salman Ashraf: Associate Medical Director, Nebraska Antimicrobial Stewardship Assessment and Promotion Program (ASAP) & Medical Director, Nebraska Infection Control Assessment and Promotion Program (ICAP) CDC’s most recent (2019) report on Antibiotic Resistance Threats in the United States describes 2.8 million infections due to antibiotic resistant organisms in the US resulting in over 35,000 deaths annually. The Division of Infectious Diseases at University… Continue Reading

How Nebraska ASAP is Making Everyone Antibiotic Aware

The following was written by Dr. Salman Ashraf, co-Medical Director of the Nebraska Antimicrobial Stewardship Assessment & Promotion Program (ASAP): Antibiotic Resistance is one of the most urgent threats to the public health. Overuse and misuse of antibiotics allows the development of antibiotic-resistant bacteria. Unfortunately, a significant proportion of antibiotic use in various healthcare settings continues to be unnecessary or inappropriate. About a third (30%)… Continue Reading

What happened at the first Nebraska Antimicrobial Stewardship Summit?

After almost a year of planning, the First Annual Nebraska Antimicrobial Stewardship Summit convened on Friday, June 1st, 2018 in La Vista, NE.  This conference is the first of its kind in Nebraska in which information on antimicrobial stewardship in various healthcare settings is the focus of the meeting.  The conference center was abuzz with excitement as close to 270 healthcare professionals attended the Summit… Continue Reading

Nebraska Antimicrobial Stewardship Summit: A Step Forward in Fighting Antibiotic Resistance

The CDC estimates 30% of all antibiotics prescribed in outpatient setting in the US are unnecessary. Similarly 30% of antibiotics used in hospitals are estimated to be unnecessary or incorrectly prescribed. Inappropriate antibiotic prescribing in long-term care facilities have been found to be even higher in some studies (up to 75%). Improving antibiotic use is essential in the fight against antibiotic resistance. In the US,… Continue Reading

At Nebraska Medicine, we are proud to Be Antibiotics Aware!

At Nebraska Medicine, we have been supporting Antimicrobial Stewardship activities for over a decade, and we are proud to Be Antibiotics Aware. The CDC has recognized our efforts by including the Nebraska Medicine Stewardship Program as an example for other institutions to model. We have recently partnered with the state of Nebraska to promote these activities at the state level through the Nebraska Antimicrobial Stewardship Assessment and… Continue Reading

Be Antibiotics Aware…in the Outpatient Clinics

Nebraska Medicine and Antimicrobial Stewardship in the Outpatient Setting Antimicrobial stewardship is not only about inpatient prescribing. Recent studies measuring antibiotic use in ambulatory settings have estimated that antibiotics are prescribed inappropriately 30-77% of visits(1).  Despite being one of the leaders in implementing antimicrobial stewardship in hospitals, Nebraska ranks 44th (out of 50 states and District of Columbia) in outpatient antibiotic prescriptions dispensed. The practice of inappropriate antibiotic… Continue Reading

Be Antibiotics Aware…in Small and Critical Access Hospitals

In 2014, the CDC published The Core Elements of Hospital Antibiotic Stewardship Programs to assist acute care facilities implement antimicrobial stewardship program (ASP).  While these efforts were relatively successful in hospitals with more than 50 beds, they were less successful in hospitals with 25 beds or less.  In response to this disparity based on hospital size, the CDC published The Implementation of Antibiotic Stewardship Core… Continue Reading

Be Antibiotics Aware…in Long-Term Care Facilities

Nebraska ASAP efforts promote antimicrobial stewardship activities in long-term care facilities across the state Up to 70% of residents in long-term care facilities receive at least one course of systemic antibiotic annually, with 40-75% of prescribed antibiotics being considered unnecessary or inappropriate.  As part of the condition for participation, the Centers for Medicare and Medicaid Services (CMS) will require all long-term care facilities to have… Continue Reading

Be Antibiotics Aware… in Hospitals

Since 2004, (Antimicrobial Stewardship Program (ASP) at Nebraska Medicine) has been helping patients to receive the best antimicrobials for their infection, and assisting with decisions by prescribers on when to avoid giving antibiotics. The philosophy of the program is not to restrict access to life saving medications, but to focus on patient safety by guiding clinicians in the optimal use of these potentially dangerous drugs…. Continue Reading

Be Antibiotics Aware…to Preserve our Future

Antimicrobial Stewardship: Preserving the Future Antimicrobials were an amazing discovery and have been appropriately credited, along with vaccination and sanitation, with the significant improvements in human life expectancy over the last century.  With their amazing impact has come the opportunity for new therapies including organ transplant, complex surgery, and care for extremely preterm infants.  The success of these medical interventions is founded upon the ability… Continue Reading

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