Carris Health Care Center lands on the 2018 Minnesota Department of Health Antibiotic Stewardship Honor Roll

Published in News

Author: Staff

Carris Health Care Center is among the facilities to be recognized by the Minnesota Department of Health for their Antibiotic Stewardship efforts. Their stewardship program has met the highest qualifications for Gold level of recognition.

Antibiotic Stewardship Leaders: Kenneth M. Flowe, MD and Amanda Thorson, MSN RN and Christina Jurgenson, RN

Highlighted Antibiotic Stewardship Action: Licensed staff use an interactive tool to determine if clinical criteria for infection are met, and if the prescriber needs to be contacted.

Highlighted Collaborative Activity: Carris Health Care Center initiated a collaboration with Carris Health - Rice Memorial Hospital to reduce inappropriate testing for Clostridium difficile. The initiative has led to improvements in laboratory and clinical practices. Carris HealthCare Center has also provided education on antibiotic use and resistance to over 700 community members through print materials, in-person education, and discussion opportunities. (Carris HealthCare Center provided the information through their health for staff, at their resident and family council and in one-to-one education with residents and families.)

The Gold Level facilities are recognized for looking beyond their facility to practice antibiotic stewardship in a collaborative way—and meet the Silver and Bronze standards: Silver—have taken two actions with staff, families and the public, Bronze—have an antibiotic stewardship policy, antibiotic use protocols, leadership commitment, antibiotic stewardship team members and a description of yearly staff education.

Carris Health - Memorial Hospital received the MDH’s Gold Level recognition in November 2017; as one of the first hospitals to meet the new MDH Antibiotic Stewardship Gold level standard.

Minnesota One Health Antibiotic Stewardship Collaborative

Antibiotics are powerful tools for fighting and preventing infections in human and animal health. However, widespread use of antibiotics has resulted in an alarming increase in antibiotic-resistant infections.

Antibiotic stewardship consists of coordinated interventions aimed at treating infections while promoting judicious antibiotic use. In turn, responsible use of antibiotics can help reduce the emergence and impact of antibiotic-resistant pathogens.

A “One Health” approach recognizes that the health of humans, animals, and the environment is interconnected. Issues like antibiotic stewardship require a collaborative effort across multiple disciplines. By using One Health-oriented communication, Minnesota’s public and professionals will have the awareness needed to think innovatively and responsibly about approaches to optimizing antibiotic use within each health field.

What is judicious antibiotic use? This is a complex question, and the answer differs in each health field. One aspect of judicious use that is common to all fields is the five “D”s:

  1. Diagnosis: using an antibiotic only when clinically indicated;
  2. Drug: choosing the right antibiotic for the infection and the patient;
  3. Dose: giving the right amount of antibiotic;
  4. Duration: giving the antibiotic for the right amount of time;
  5. De-escalation: switching to an antibiotic choice that is better-targeted to the infection when possible.