Minnesota One Health Antibiotic Stewardship Collaborative: A Reproducible Approach to Facilitate Antimicrobial Stewardship Progress

Emma R Bollig; Elizabeth B Hirsch; Irene Bueno; Ruth Lynfield; Jennifer L Granick; Krista D Gens; Ayesha Rashid; Kelly Harris; Kimberly Boeser; Amanda L Beaudoin

doi:10.1093/ofid/ofac602

Minnesota One Health Antibiotic Stewardship Collaborative: A Reproducible Approach to Facilitate Antimicrobial Stewardship Progress

Open Forum Infect Dis. 2022 Dec 16;9(12):ofac602. doi: 10.1093/ofid/ofac602. eCollection 2022 Dec.

Authors

Affiliations

¹ College of Veterinary Medicine, University of Minnesota, St Paul, Minnesota, USA.
² College of Pharmacy, University of Minnesota, Minneapolis, Minnesota, USA.
³ Bristol Veterinary School, University of Bristol, Langford, Bristol, United Kingdom.
⁴ Minnesota Department of Health, St Paul, Minnesota, USA.
⁵ Abbott Northwestern Hospital, Allina Health, Minneapolis, Minnesota, USA.
⁶ St Paul Infectious Disease Associates, Allina Health, St Paul, Minnesota, USA.
⁷ Merck Research Laboratories, Merck & Co, Inc, Rahway, New Jersey, USA.
⁸ MHealth Fairview, University of Minnesota Medical Center, Minneapolis, Minnesota, USA.

Abstract

The Minnesota One Health Antibiotic Stewardship Collaborative (MOHASC) was launched in 2016 with the mission of providing a collaborative environment to promote judicious antibiotic use and antibiotic stewardship (AS) and to reduce the impact of antibiotic-resistant pathogens of human, animal, and environmental health importance. MOHASC goals include improving AS programs in healthcare and veterinary medicine, advancing understanding of environmental impacts of antibiotic use, and promoting a One Health (OH) approach to AS. These goals are accomplished through quarterly meetings of 4 work groups, field trips, collaborative research, an annual member meeting, and public education events. This novel OH approach has strengthened multidisciplinary relationships within Minnesota and led to procurement of funding to enhance AS initiatives beyond the Collaborative. This perspective serves as a blueprint for other jurisdictions, and we advocate for use of this reproducible OH strategy to facilitate broad AS goals.

Keywords: Minnesota; One Health; antibiotic resistance; stewardship.