Surveillance For Antibiotic Resistant Bacteria

Healthcare-associated infections (HAIs) and infections due to antibiotic-resistant organisms are leading causes of morbidity and mortality. A large consortium of healthcare facilities dedicating to conducting high-quality studies relating to infection prevention and control and antibiotic stewardship.

But the study demonstrating that surveillance for antibiotic-resistant bacteria continues to be a core focus for healthcare facilities. As comparing to a similar 2013 survey; active surveillance for methicillin-resistant Staphylococcus aureus (MRSA) has declining, while active surveillance for carbapenem-resistant Enterobacteriaceae (CRE) is now performed in half of centers.

Prevention of these infections requires a multifaceting approach; collaboratively led by infection prevention and control (IPC) and antimicrobial stewardship programs. In 2013, the Society for Healthcare Epidemiology of America Research Network (SRN) performing a survey evaluating IPC and ASP practices among SRN-affiliated facilities.

Antibiotic resistant bacteria

But the frequent use of rapid molecular diagnostic tests to expedite appropriate antibiotic therapy for patients with bloodstream infections. Finally, while half of facilities anticipated increasing responsibilities for infection control and antibiotic stewardship staff; the minority anticipated increases in funding for this important work.

However, the frequency of US hospitals with an ASP increased to 100%, with almost 80% reporting financial support for a physician medical director; likely reflecting the 2017 Joint Commission Antimicrobial Stewardship Standard mandating implementation
of ASPs in all acute-care hospitals.

Increases of adherence

Finally, consistent with prior studies demonstrating increases in adherence to the CDC’s Core Elements of Hospital Antibiotic Stewardship over time, guideline development, monitoring of antibiotics days of therapy; and pharmacist-driving interventions were frequently reporting ASP activities.

Data demonstrating the positive impact of ASPs on relevant healthcare quality measures, including lowering antimicrobial costs, decreasing gram-negative resistance; and reducing the frequency of C. difficile infections are highlighting in the 2016 SHEA/Infectious Diseases Society of America (IDSA) guidelines; and underscore the importance of universal ASP implementation for hospital systems.