Healthcare-Associated Infections (HAI)
Antibiotic Stewardship
What is Antibiotic Stewardship?
Antibiotic stewardship is the overall effort and programs that encourage appropriate and correct antibiotic prescribing.

Why Antibiotic Stewardship?
  • Antibiotic resistance is a real and increasing problem
  • 30-50% of antibiotic use in hospitals is unnecessary or inappropriate
  • Antibiotic overuse also contributes to the growing problem of Clostridium difficile infection
  • Reducing unnecessary antibiotic use can decrease antibiotic resistance, Clostridium difficile infections, and healthcare costs, and improve patient outcomes
  • Improving antibiotic use is a patient-safety issue since antibiotics can cause have adverse effects

Efforts in Nebraska to Promote Antibiotic Stewardship

Nebraska Antimicrobial Stewardship and Assessment Program (ASAP) is a program based at Nebraska Medicine and supported by Nebraska DHHS. ASAP provides guidance to facilities to help develop antibiotic stewardship programs. ASAP develops tools to assist in development of stewardship programs.

MDStewardship is a group of Omaha-based infectious disease doctors who provide telestewardship to remote institutions. These services may be available to some rural critical access hospitals on a scholarship basis and hospitals may consult with them privately.

Great Plains Quality Innovation Network (GPQIN) promotes antimicrobial stewardship through two programs, one in outpatient settings and one in long-term care facilities.

Stewardship Resources from CDC

Stewardship Information for Acute Care Hospitals (CDC)

Stewardship Information for Smaller Hospitals (CDC)

Stewardship Information for Long-Term Care (CDC)

Stewardship Information for Outpatient Facilities (CDC)

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