{"id":9624,"date":"2025-03-01T13:59:13","date_gmt":"2025-03-01T18:59:13","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/haiasp\/"},"modified":"2025-03-02T00:28:50","modified_gmt":"2025-03-02T05:28:50","slug":"haiasp","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/epi\/haiasp\/","title":{"rendered":"epi\/haiasp ~  HAI Antibiotic (Antimicrobial) Stewardship Program  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\n\n\n\n\n\n  <br>\n\n\n  \n\n\n\n\n\n  \n\n\n  <div class=\"container\" id=\"main_header\">\n\n\n    \n\n\n\n\n\n <!-- BEGIN readspeaker div -->\n\n\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\n\n\n      <a accesskey=\"L\" class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&#038;lang=en_us&#038;readid=main_content&#038;url=https:\/\/dhss.delaware.gov\/dph\/epi\/haiasp.html\" title=\"Listen to this page using ReadSpeaker\">\n\n\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\n\n\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\n\n\n      <\/a>\n\n\n    <\/div>\n\n\n    <!-- END readspeaker div -->\n\n\n\n\n\n\n\n\n    \n\n\n    <header class=\"pull-left\">\n\n\n      <h1><!--[type=EDIT name=\"Page Title\"]-->Delaware Healthcare-Associated Infection (HAI) Antimicrobial Stewardship<!--[END]--><\/h1>\n\n\n    <\/header>\n\n\n    \n\n\n  <\/div><br>\n\n\n \n\n\n  <div class=\"container\">\n\n\n    <div class=\"row\">\n\n\n      <div class=\"col-md-3\" id=\"leftCol\">\n\n\n        <div class=\"panel-group\" id=\"accordion\">\n\n\n          <div class=\"panel sectionmenu_panel\">\n\n\n            <div class=\"panel-heading\">\n\n\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i> Public Health Menu<\/strong><\/a><\/p>\n\n\n            <\/div>\n\n\n\n\n\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\n\n\n              <div class=\"panel-body\" id=\"clf_nav\">\n\n\n                  <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\n    <li><a href=\"\/dph\/\"><h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2><\/a><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\"><h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n      <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\n        <li><a href=\"\/dph\/about.html\">About DPH<\/a><\/li>\n        <li><a href=\"\/dph\/sections.html\">Sections &#038; 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font-size: 40px;\">What is Antimicrobial Stewardship?\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<img decoding=\"async\" alt=\"\" src=\"\/wp-content\/uploads\/sites\/10\/dph\/img\/Picture1.png\" style=\"width: 122px; height: 135px;\"><\/span><\/h3>\n\n\n\n\n\n\n\n<p>Antimicrobial Stewardship refers to a set of coordinated strategies to improve the use of antimicrobial medications, including antibiotics, antivirals, antifungals, and antiparasitics, with the goal of enhancing patient health outcomes, reducing resistance, and decreasing unnecessary costs.<\/p>\n\n\n\n\n\n\n\n<p>Antibiotic Stewardship encourages healthcare providers to use the right dose and duration of antibiotics to reduce adverse reactions and to achieve the best possible care for the patient. When stewardship is achieved, the spread of infections caused by multidrug-resistant organisms will decrease, and it will drastically minimize the likelihood of developing antimicrobial resistance. The misuse of antimicrobials is one of the world\u2019s most pressing public health problems.<\/p>\n\n\n\n<\/div>\n\n\n\n\n\n\n\n<div class=\"section\">\n\n\n\n<h1>Antibiotic Stewardship Mission Statement<\/h1>\n\n\n\n\n\n\n\n<p>The Delaware Division of Public Health (DPH) and the Healthcare-Associated Infections Advisory Committee (HAIAC) support a coordinated statewide program to promote the appropriate use of antibiotics across the healthcare continuum, thus improving patient outcomes and decreasing the spread of multidrug-resistant bacteria.<\/p>\n\n\n\n\n\n\n\n<p><a href=\"https:\/\/obamawhitehouse.archives.gov\/the-press-office\/2014\/09\/18\/executive-order-combating-antibiotic-resistant-bacteria\">White House Proclamation on Antibiotic Stewardship<\/a><\/p>\n\n\n\n\n\n\n\n<p>The <em>National Action Plan for Combating Antibiotic-Resistant Bacteria<\/em>, issued by President Obama on September 18, 2014, provides a road map to guide the nation in rising to this challenge. It outlines steps for implementing the <em>National Strategy for Combating Antibiotic-Resistant Bacteria<\/em> and addressing the policy recommendations of the President\u2019s Council of Advisors on Science and Technology (PCAST).<\/p>\n\n\n\n\n\n\n\n<p>Although its primary purpose is to guide activities by the U.S. government, the National Action Plan is also designed to guide actions by public health, health care, and veterinary partners in a common effort to address urgent and serious drug-resistant threats that affect people in the U.S. and around the world. Implementation of the National Action Plan urges action at the national, regional, and local levels to combat resistance.<\/p>\n\n\n\n<\/div>\n\n\n\n\n\n\n\n<div class=\"section\">\n\n\n\n<h2><strong>Get Smart about Antibiotic Awareness Week<\/strong><\/h2>\n\n\n\n\n\n\n\n<p>Get Smart Week is an annual observance to raise awareness of the threats of antibiotic resistance and the importance of appropriate antibiotic prescribing and use. The next Get Smart Week is <a href=\"https:\/\/www.cdc.gov\/antibiotic-use\/week\/index.html\" style=\"color:#0066ff;\">November 18<sup>th<\/sup> \u2013 24<sup>th<\/sup>, 2024<\/a>.<\/p>\n\n\n\n<\/div>\n\n\n\n\n\n\n\n<div class=\"section\">\n\n\n\n<h2>Get Smart: Know When Antibiotics Work<\/h2>\n\n\n\n\n\n\n\n<p>Antibiotic resistance is a growing problem, and the main cause of this problem is the misuse of antibiotics. <a href=\"https:\/\/www.cdc.gov\/antibiotic-use\/index.html\">CDC\u2019s <em>Get Smart: Know When Antibiotics Work<\/em><\/a> program works to make sure antibiotics are prescribed only when they are needed and used as they should. The Get Smart program focuses on <img decoding=\"async\" alt=\"\" src=\"\/wp-content\/uploads\/sites\/10\/dph\/img\/antibiotics.png\" style=\"width: 510px; height: 316px; float: left;\">common illnesses that account for most of the antibiotic prescriptions written for children and adults in doctors\u2019 offices and other outpatient settings.<\/p>\n\n\n\n\n\n\n\n<p><a href=\"https:\/\/www.cdc.gov\/antibiotic-use\/about.html\">Get Smart: About Antibiotics Use and Resistance<\/a><\/p>\n\n\n\n\n\n\n\n<p>Since their discovery in the 1920s, antibiotics have transformed our ability to treat infections. As antibiotic resistance increases, these lifesaving drugs do not work as well as they once did, and successfully treating common infections has become more difficult.<\/p>\n\n\n\n\n\n\n\n<p><a href=\"https:\/\/www.cdc.gov\/antibiotic-use\/common-illnesses.html\">Get Smart: Know When Antibiotics Work for Patients\/Consumers<\/a><\/p>\n\n\n\n\n\n\n\n<p>Common infections, whether caused by bacteria or viruses, are often painful and can get in the way of our well-being and everyday lives. Many infections do not require antibiotics, but there are other actions you can take to lessen symptoms.<\/p>\n\n\n\n\n\n\n\n<p><a href=\"https:\/\/www.cdc.gov\/antibiotic-use\/clinicians.html\">Get Smart: Know When Antibiotics Work for Healthcare Professionals<\/a><\/p>\n\n\n\n\n\n\n\n<p>CDC\u2019s Get Smart program has resources for healthcare professionals working in outpatient and inpatient healthcare settings, as well as community pharmacies. Recommendations for appropriate antibiotic prescribing, including clinical practice guidelines, have been developed to improve outpatient treatment of common infections in children and adults. CDC\u2019s <em>Get Smart: Know When Antibiotics Work<\/em> program has developed materials that outpatient healthcare professionals can use to educate their patients about when antibiotic treatment is appropriate.<\/p>\n\n\n\n\n\n\n\n<p><a href=\"https:\/\/www.cdc.gov\/antibiotic-use\/week\/toolkit.html\">Get Smart: Know When Antibiotics Work for Partners<\/a><\/p>\n\n\n\n\n\n\n\n<p>Working with a wide variety of partners is critical to the success of the Get Smart: Know When Antibiotics Work program. Learn more about what partners are doing to combat antibiotic resistance in their communities and how you can become a partner.<\/p>\n\n\n\n\n\n\n\n<p><a href=\"https:\/\/www.fda.gov\/drugs\/resources-you-drugs\/educational-resources-antibiotics-and-antibiotic-resistance\">Educational Resources: Antibiotics and Antibiotic Resistance<\/a><\/p>\n\n\n\n\n\n\n\n<p>These educational resources provide information on antibiotics and antibiotic resistance. They are intended for use by educators, healthcare professionals, and consumers.<\/p>\n\n\n\n<\/div>\n\n\n\n\n\n\n\n<div class=\"section\">\n\n\n\n<h3><a href=\"https:\/\/www.cdc.gov\/antibiotic-use\/healthcare\/pdfs\/core-elements.pdf\">Core Elements of Hospital Antibiotic Stewardship Programs<\/a><\/h3>\n\n\n\n\n\n\n\n<p>Antibiotics have transformed the practice of medicine, making once-lethal infections readily treatable.<\/p>\n\n\n\n\n\n\n\n<p>The core elements of hospital antibiotic stewardship programs cover these 6 important areas:<\/p>\n\n\n\n\n\n\n\n<ul>\n\n\n\n <li><strong>Leadership Commitment<\/strong>: Dedicating necessary human, financial, and information technology resources.<\/li>\n\n\n\n <li><strong>Accountability<\/strong>: Appointing a single leader responsible for program outcomes.<\/li>\n\n\n\n <li><strong>Drug Expertise<\/strong>: Appointing a single pharmacist leader responsible for working to improve antibiotic use.<\/li>\n\n\n\n <li><strong>Action<\/strong>: Implementing at least one recommended action, such as systemic evaluation of ongoing treatment needs after a set period of initial treatment.<\/li>\n\n\n\n <li><strong>Tracking<\/strong>: Monitoring antibiotic prescribing and resistance patterns.<\/li>\n\n\n\n <li><strong>Reporting<\/strong>: Regular reporting of information on antibiotic use and resistance to doctors, nurses, and relevant staff.<\/li>\n\n\n\n <li><strong>Education<\/strong>: Educating clinicians about resistance and optimal prescribing.<\/li>\n\n\n\n<\/ul>\n\n\n\n<\/div>\n\n\n\n\n\n\n\n<div class=\"section\">\n\n\n\n<h3><a href=\"https:\/\/www.cdc.gov\/longtermcare\/prevention\/antibiotic-stewardship.html\">Core Elements of Antibiotic Stewardship for Nursing Homes<\/a><\/h3>\n\n\n\n\n\n\n\n<p>The Core Elements Of Antibiotic Stewardship for Nursing Homes adapts the CDC Core Elements of Hospital Antibiotic Stewardship into practical ways to initiate or expand antibiotic stewardship activities in nursing homes. Nursing homes are encouraged to work in a stepwise fashion, implementing one or two activities to start and gradually adding new strategies from each element over time. Any action taken to improve antibiotic use is expected to reduce adverse events, prevent emergence of resistance, and lead to better outcomes for residents in this setting.<\/p>\n\n\n\n<\/div>\n\n\n\n\n\n\n\n<div class=\"section\">\n\n\n\n<h3><a href=\"https:\/\/www.cdc.gov\/foodsafety\/challenges\/antibiotic-resistance.html\">Antibiotic Resistance and Food Safety<\/a><\/h3>\n\n\n\n<img decoding=\"async\" alt=\"\" src=\"\/wp-content\/uploads\/sites\/10\/dph\/img\/Ar-infographic-950px.jpg\" style=\"height: 453px; width: 350px; float: right;\"><\/div>\n\n\n\n\n\n\n\n<div>\n\n\n\n<p><strong>Growth Promotion<\/strong> \u2013 The use of some antibiotics can destroy certain bacteria in the gut and help livestock and poultry convert feed to muscle more quickly, causing more rapid growth. This class of use has been the subject of controversy and scrutiny<\/p>\n\n\n\n\n\n\n\n<p>, and in 2012, the FDA asked livestock and poultry producers to phase out the use of antibiotics for growth purposes.<\/p>\n\n\n\n\n\n\n\n<p><strong>Farm to Table<\/strong><\/p>\n\n\n\n\n\n\n\n<p>Animals can carry harmful bacteria in their intestines. When antibiotics are given to animals, antibiotics kill most bacteria, resulting in resistant bacteria that can survive and multiply.<\/p>\n\n\n\n<\/div>\n\n\n\n\n\n\n\n<div class=\"section\">\n\n\n\n<h3><a href=\"\/dph\/epi\/haihomepage.html\">Healthcare-Associated Infections (HAIs)<\/a><\/h3>\n\n\n\n\n\n\n\n<p>State of Delaware, Delaware Health and Social Services, Division of Public Health<\/p>\n\n\n\n\n\n\n\n<p>Healthcare-Associated Infections (HAIs) are infections that a person acquires while being treated in a healthcare facility, such as a hospital, rehab, or nursing home. HAIs are common and can be painful and sometimes deadly. The Division of Public Health (DPH) works to reduce the number of HAIs by encouraging prevention methods, such as handwashing, and antibiotic stewardship. To learn more about this topic and their collaboration with national organizations please visit the HAI webpage.<\/p>\n\n\n\n<\/div>\n\n\n\n\n\n\n\n<div class=\"section\">\n\n\n\n<h3>Antimicrobial Stewardship Toolkit (SHEA)<\/h3>\n\n\n\n\n\n\n\n<p>The <a href=\"http:\/\/www.ahaphysicianforum.org\/resources\/appropriate-use\/antimicrobial\/ASP-Toolkit-v3.pdf\">SHEA Antimicrobial Stewardship Toolkit<\/a> is comprised of three sections:<\/p>\n\n\n\n\n\n\n\n<ol>\n\n\n\n <li>Hospital and Health Resources<\/li>\n\n\n\n <li>Clinician Resources<\/li>\n\n\n\n <li>Patient Resources<\/li>\n\n\n\n<\/ol>\n\n\n\n<\/div>\n\n\n\n\n\n\n\n<div class=\"center\">\n\n\n\n<h2><a href=\"\/dph\/epi\/haihomepage.html\">Return to HAI Home Page<\/a><\/h2>\n\n\n\n\n\n\n\n<p class=\"red-text\">Office of Infectious Disease Epidemiology<\/p>\n\n\n\n\n\n\n\n<p class=\"red-text\">24\/7 Emergency Contact Number: 1-888-295-5156<\/p>\n\n\n\n\n\n\n\n<p><a href=\"\/dph\/epi\/epi.html\" style=\"font-size: 20px; font-weight: bold;\">Return to Infectious Disease Home Page<\/a><\/p>\n\n\n\n<\/div>\n\n\n\n  <!--[END]-->\n\n\n  \n\n\n      <\/div>\n\n\n    <\/div>\n\n\n  <\/div><!-- \/container -->\n\n\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Delaware Healthcare-Associated Infection (HAI) Antimicrobial Stewardship Public Health Menu Home About About DPH Sections &#038; Programs Office Locations Contact Info Calendar Services A-Z Services Air &#038; Water Quality Birth, Death, &#038; Marriage Records Clinics Health Data &#038; Statistics Emergency Preparedness Health &#038; Wellness Healthy Homes Healthy Workplaces Laboratory Restaurant Inspections Screening and Testing WIC [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":9615,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-9624","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9624","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/comments?post=9624"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9624\/revisions"}],"predecessor-version":[{"id":10838,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9624\/revisions\/10838"}],"up":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9615"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/media?parent=9624"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}