Improve Antibiotic Use
While antibiotic-resistant infections can happen anywhere, most deaths related to antibiotic resistance happen in health care settings such as hospitals and nursing homes.
CDC’s 6|18 Initiative In Action
Plan an Evidence-Based Intervention
Following is the intervention to improve antibiotic use identified by the CDC as having a proven evidence base for improving health outcomes and controlling health care costs:
- Require antibiotic stewardship programs in all hospitals and skilled nursing facilities, in alignment with CDC’s Core Elements of Hospital Antibiotic Stewardship Programs and The Core Elements of Antibiotic Stewardship for Nursing Homes.
- Improve outpatient antibiotic prescribing by incentivizing providers to follow CDC’s Core Elements of Outpatient Antibiotic Stewardship.
Explore Implementation Resources
The following resources can help payers, state officials, and providers to implement high-opportunity interventions aimed at improving antibiotic use. Does your state/program have resources to share? Send an email to firstname.lastname@example.org.
See also CDC’s antibiotic prescribing and use web page.
- The Core Elements of Outpatient Antibiotic Stewardship – The CDC has highlighted the need to improve antibiotic use as one of four key strategies required to address the problem of antibiotic resistance in the United States. The following reports provide guidance on implementing and expanding antibiotic stewardship programs in a variety of clinical settings. (CDC, 2015)
- CDC Public Health Grand Rounds: Be Antibiotics Aware: Smart Use, Best Care – This video features experts who discuss efforts to measure and improve antibiotic prescribing through stewardship, lessons learned from improving antibiotic use in pediatrics, and what providers and health systems can do to improve use among adults. (CDC, 2018)
- CDC’s Morbidity and Mortality Weekly Report – Core Elements of Outpatient Stewardship – This report provides an antibiotic stewardship framework for outpatient clinicians and facilities that routinely provide antibiotic treatment, and augments existing guidance for other clinical settings. (CDC, 2016)
- Effect of an Outpatient Antimicrobial Stewardship Intervention on Broad-spectrum Antibiotic Prescribing by Primary Care Pediatricians: A Randomized Trial – This randomized control study evaluated the effect of an antimicrobial stewardship intervention on antibiotic prescribing for pediatric outpatients. (JAMA, 2013)
- Antibiotic Prescribing and Use in Doctor’s Offices Communication Materials – These communication materials provide information on antibiotic resistance, and appropriate prescribing and use. Target audiences include healthcare professionals, adults, parents of young children, American Indians/Alaska Natives, and Spanish speakers. (CDC, 2018)
- Patient Safety Atlas – These interactive datasets share state-by-state statistics on antibiotic resistance, healthcare-associated infections, outpatient antibiotic use, and inpatient antibiotic stewardship. (CDC)
- Healthcare and Infection Control Gateway – Resource center offers tools for state health agencies on controlling and responding to infectious disease risks in healthcare settings, including a wide range of national and state-level resources. (Association of State and Territorial Health Officials)
- Topic-Specific Infection Prevention – Online tool includes curated information on key infection prevention topics for health care professionals and consumers, including a topic-specific page on antimicrobial stewardship. (Association for Professionals in Infection Control and Epidemiology)
- Infection Prevention and You – Website houses an extensive library of materials to promote infection prevention among consumers and health care professionals. (Association for Professionals in Infection Control and Epidemiology)
- Alaska Antibiotic Stewardship Survey for Long-Term Care Facilities – Survey can be used to collect details on the status of implementing antibiotic stewardship programs in long-term care facilities. (State of Alaska, 2017)