Innovations in Ambulatory Stewardship

Mei Chang, Hongkai Bao, Kelsie Cowman, Austin Golia, Yi Guo, Priya Nori

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Ambulatory antibiotic use accounts for most of the global consumption of antibiotics leading to selection pressure, multidrug resistance, and significant healthcare costs (https://www.cdc.gov/antibiotic-use/community/pdfs/16_268900-A_CoreElementsOutpatient_508.pdf) The Centers for Disease Control and Prevention established the Core Elements of outpatient antimicrobial stewardship in 2016 as a framework to develop, expand, and evaluate ambulatory stewardship programs, which must address overuse in multiple settings (e.g., urgent care centers, adult and pediatric outpatient practices, dental practices, and retail clinics). As such, we present examples of innovative yet adaptable outpatient stewardship initiatives encompassing a variety of settings. We also address patterns of ambulatory antibiotic prescribing and novel stewardship initiatives implemented during the novel coronavirus disease 2019 (COVID-19) pandemic.

Original languageEnglish (US)
Title of host publicationInfection Prevention
Subtitle of host publicationNew Perspectives and Controversies: Second Edition
PublisherSpringer International Publishing
Pages363-370
Number of pages8
ISBN (Electronic)9783030984274
ISBN (Print)9783030984267
DOIs
StatePublished - Jan 1 2022

Keywords

  • Ambulatory antimicrobial stewardship
  • Antibiotic use metrics
  • COVID-19
  • Monoclonal antibodies

ASJC Scopus subject areas

  • General Medicine

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