Antibiotic Use For Clinicians

The Infectious Diseases Society of America (IDSA), the Society for Healthcare Epidemiology of America (SHEA), and the Pediatric Infectious Diseases Society (PIDS) define Antibiotic Stewardship as “coordinated interventions designed to improve and measure the appropriate use of antibiotic agents by promoting the selection of the optimal antibiotic drug regimen including dosing, duration of therapy, and route of administration.”1

The Centers for Disease Control and Prevention (CDC) has designed Core Elements documents of Antibiotic Stewardship to assist hospitals (including critical access and small and rural hospitals), long term and post-acute care facilities, and outpatient practices in designing and implementing processes to improve antibiotic use.  These can be found on the following links:

Additionally, the National Quality Partners Playbook: Antibiotic Stewardship in Acute Care offers intervention options, practical guidance on implementing each core element, common barriers, and how to overcome them.

The Tennessee Department of Health tracks stewardship progress, in the form of core element achievement, through the National Healthcare Safety Network’s Annual Facility Survey.  Stewardship progress results from this survey can be found here:

  • Antibiotic Stewardship Progress Dashboard (SITE UNDER CONSTRUCTION)

Tennessee has one of the highest rates of outpatient antibiotic prescribing across the nation, with 1,169 antibiotic prescriptions filled for 1,000 persons in 2016.  The state ranked as the sixth highest in the nation.

Community Antibiotic Map 2016