Antibiotic Stewardship: A Decade of Progress

Sara E Cosgrove; Arjun Srinivasan

doi:10.1016/j.idc.2023.06.003

Antibiotic Stewardship: A Decade of Progress

Infect Dis Clin North Am. 2023 Dec;37(4):659-667. doi: 10.1016/j.idc.2023.06.003. Epub 2023 Aug 1.

Authors

Sara E Cosgrove¹, Arjun Srinivasan²

Affiliations

¹ Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Halsted 827, Baltimore, MD 21287, USA. Electronic address: scosgro1@jhmi.edu.
² Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.

PMID: 37537002
DOI: 10.1016/j.idc.2023.06.003

Abstract

Antibiotic stewardship has seen transformative change over the past decade. Antibiotic stewardship infrastructure has grown significantly across the spectrum of health care in hospitals, nursing homes, and ambulatory settings, and issues related to improving antibiotic use have become central to high-level policy discussions, regulations, and legislation. Herein we review important events and developments in stewardship across the spectrum of care with a focus on (1) infrastructure and implementation, (2) requirement and regulation, and (3) measurement of antibiotic use and other outcomes.

Keywords: Antibiotic stewardship; Antimicrobial resistance; Hospital stewardship; Nursing home stewardship; Outpatient stewardship.

Publication types

Review