Antimicrobial Stewardship

                                                          Pill bottle and bacterial culture


Antibiotics revolutionized the practice of medicine by providing a rapid cure to many illnesses that were once fatal. But those days may soon be gone. Overuse and misuse of antibiotics has fueled the emergence of antibiotic-resistant bacteria. There are now some bacteria that are resistant to nearly all — or, in some cases, all — available antibiotics.

“The end of antibiotics is no longer a question” said Arjun Srinivasan, MD, (CAPT, USPHS) Associate Director for Healthcare Associated Infection Prevention Programs for the Centers for Disease Control and Prevention. “We are quickly running out of therapies to treat some infections that previously had been eminently treatable.”

Pharmacists and physicians play a key role in Antimicrobial Stewardship (ASP) – using the right antibiotic at the right time and only when necessary. Through it's Statewide Antimicrobial Stewardship Initiative the Washington State Hospital Association, along with the Washington State Pharmacy Association and the Antimicrobial Stewardship Consortium of Washington healthcare providers and organizations are collaborating to find innovative strategies for more judicious use of antibiotics and to prevent the emergence of drug-resistant organisms such as Clostridium difficile. 

Strategies and Tools

Washington State Antimicrobial Stewardship (ASP) Collaborative  -

Intro Webcast/Three Tiers of ASP and Data Definitons

Three Tiers of ASP - MaP

Measure Definition Sheet

Sample ASP Policy and Procesure

Strategies Specific to Critical Access Hospital

Help for obtaining data - Days of Therapy Report Writing Specifications

Antimicrobial Stewardship in the News

Presidential Executive Order on Antimicrobial Stewardship