![]() 2,3,4 At least 30% of outpatient antibiotic prescriptions in the United States are unnecessary. Approximately half of outpatient antibiotic prescribing in humans might be inappropriate, including antibiotic selection, dosing, or duration, in addition to unnecessary antibiotic prescribing. 1 The most important modifiable risk factor for antibiotic resistance is inappropriate prescribing of antibiotics. Antibiotic-resistant infections can lead to increased health care costs and, most importantly, to increased morbidity and mortality. 1 Although antibiotics are life-saving drugs that are critical to modern medicine, infections with pathogens resistant to first-line antibiotics can require treatment with alternative antibiotics that can be expensive and toxic. to ensure that the right drug, dose, and duration are selected when an antibiotic is neededĪntibiotic resistance is among the greatest public health threats today, leading to an estimated 2 million infections and 23,000 deaths per year in the United States.to minimize misdiagnoses or delayed diagnoses leading to underuse of antibiotics.to improve antibiotic prescribing by clinicians and use by patients so that antibiotics are only prescribed and used when needed.Establishing effective antibiotic stewardship interventions can protect patients and improve clinical outcomes in outpatient health care settings. Finally, leaders of outpatient clinics and health systems can provide clinicians with education aimed at improving antibiotic prescribing and with access to persons with expertise in antibiotic stewardship. Clinicians can provide educational resources to patients and families on appropriate antibiotic use. Clinicians and leaders of outpatient clinics and health care systems can track antibiotic prescribing practices and regularly report these data back to clinicians. ![]() Outpatient clinicians and facility leaders can commit to improving antibiotic prescribing and take action by implementing at least one policy or practice aimed at improving antibiotic prescribing practices. The four core elements of outpatient antibiotic stewardship are commitment, action for policy and practice, tracking and reporting, and education and expertise. Improving antibiotic prescribing involves implementing effective strategies to modify prescribing practices to align them with evidence-based recommendations for diagnosis and management. Antibiotic stewardship is the effort to measure and improve how antibiotics are prescribed by clinicians and used by patients. ![]() In 20, respectively, CDC released the Core Elements of Hospital Antibiotic Stewardship Programs and the Core Elements of Antibiotic Stewardship for Nursing Homes. This report augments existing guidance for other clinical settings. The Core Elements of Outpatient Antibiotic Stewardship provides a framework for antibiotic stewardship for outpatient clinicians and facilities that routinely provide antibiotic treatment. MMWR – Core Elements of Outpatient Antibiotic Stewardship Summary ![]() Core Elements of Outpatient Antibiotic Stewardship pdf icon Ĭlinician Checklist for Outpatient Antibiotic Stewardship pdf icon įacility Checklist for Outpatient Antibiotic Stewardship pdf icon Īppendix A: Supplemental Evidence Supporting Outpatient Stewardship pdf icon
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