Longitudinal survey of antibiotic stewardship practices in Wisconsin nursing homes, before and after a policy change

Alissa E Balke; Victoria L Griffin; Diane Dohm; Brenda J Ryther; Linda L McKinley; Raymond P Podzorski; Anna M Marciniak; Christopher J Crnich; Lindsay N Taylor

doi:10.1017/ash.2022.7

Longitudinal survey of antibiotic stewardship practices in Wisconsin nursing homes, before and after a policy change

Antimicrob Steward Healthc Epidemiol. 2022 Mar 14;2(1):e42. doi: 10.1017/ash.2022.7. eCollection 2022.

Authors

Alissa E Balke¹, Victoria L Griffin², Diane Dohm³, Brenda J Ryther¹, Linda L McKinley⁴, Raymond P Podzorski⁵, Anna M Marciniak⁶, Christopher J Crnich^{4

7}, Lindsay N Taylor⁷

Affiliations

¹ School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin.
² Division of Quality Assurance, Wisconsin Department of Health Services, Milwaukee, Wisconsin.
³ Superior Health Quality Alliance, MetaStar, Madison, Wisconsin.
⁴ William S. Middleton Memorial VA Hospital, Madison, Wisconsin.
⁵ Microbiology Department, St Mary's Hospital, Madison, Wisconsin.
⁶ Division of Public Health, Wisconsin Department of Health Services, Madison, Wisconsin.
⁷ Division of Infectious Disease, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Abstract

The Centers for Medicare and Medicaid mandated that nursing homes implement antibiotic stewardship programs (ASPs) by November 2017. We conducted surveys of Wisconsin nursing-home stewardship practices before and after this mandate. Our comparison of these surveys shows an overall increase in ASP implementation efforts, but it also highlights areas for further improvement.