Bugs and Drugs: Collaboration Between Infection Prevention and Antibiotic Stewardship

Infect Dis Clin North Am. 2020 Mar;34(1):17-30. doi: 10.1016/j.idc.2019.10.001. Epub 2019 Dec 10.

Abstract

Overall goals of antibiotic stewardship and infection prevention programs are to improve patient safety as it pertains to risk of infection or multidrug-resistant organism (MDRO) acquisition. Although the focus of day-to-day activities may differ, the themes of surveillance, education, clinician engagement, and multidisciplinary interactions are prevalent in both programs. Synergistic work between programs has yielded benefits in prevention of MDROs, surgical site infections, Clostridioides difficile infection, and reducing inappropriate testing and treatment for asymptomatic bacteriuria. Collaboration between programs can help maximize resources and minimize redundant work to keep issues related to bugs and drugs at bay.

Keywords: Antibiotic stewardship; Collaboration; Diagnostic stewardship; Infection prevention; MDROs.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / administration & dosage*
  • Anti-Bacterial Agents / therapeutic use
  • Antimicrobial Stewardship / methods*
  • Antimicrobial Stewardship / organization & administration
  • Bacteriuria / prevention & control
  • Clostridium Infections / prevention & control
  • Cross Infection / microbiology
  • Cross Infection / prevention & control*
  • Drug Resistance, Multiple, Bacterial*
  • Humans
  • Intersectoral Collaboration*
  • Public Health / methods
  • Public Health / standards
  • Surgical Wound Infection / prevention & control

Substances

  • Anti-Bacterial Agents