272626 An overview of state and national programs to monitor and improve antimicrobial use and related legislative efforts

Monday, October 29, 2012 : 3:05 PM - 3:20 PM

Kavita K. Trivedi, MD , Healthcare-Associated Infections Program, California Department of Public Health, Richmond, CA
In 2003, it was estimated that 1.1 billion dollars was spent annually on unnecessary antibiotic prescriptions for adult upper respiratory infections in the United States; this number has undoubtedly increased. In the hospital, recent studies estimate that 30% of antimicrobials are unnecessary and inappropriate contributing to the development of antimicrobial resistance and patient toxicities, further complicated by the development of few novel antimicrobial agents in the pipeline. The plausability of a post-antibiotic era has forced clinicians and healthcare institutions to make better use of available antimicrobial agents by practicing antimicrobial stewardship. Currently, California is the only US state to have a legislative mandate requiring the judicious use of antibiotics in general acute care hospitals. The California Antimicrobial Stewardship Program (ASP) Initiative at the California Department of Public Health is the first state-based public health program with the goal of improving the appropriate use of antimicrobials in all licensed healthcare settings. This portion of the session will highlight state and national programs working to promote the appropriate use of antimicrobials within all levels of health care. We will also cover antimicrobial susceptibility and utilization surveillance efforts at the state and national levels. Finally, we will discuss current and pending state and national legislative efforts designed to address the growing problem of antibiotic resistance and the limited armamentarium of antimicrobial agents.

Learning Areas:
Protection of the public in relation to communicable diseases including prevention or control
Public health or related laws, regulations, standards, or guidelines
Public health or related public policy

Learning Objectives:
Describe state and national programs in place to improve antimicrobial use in the inpatient and outpatient settings Describe antimicrobial susceptibility and utilization surveillance efforts at the state and national levels Describe current and pending state and national legislative efforts to address antimicrobial stewardship and to expand the limited armamentarium of antimicrobial agents

Keywords: Antimicrobial Drugs, Policy/Policy Development

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Dr. Trivedi, a medical epidemiologist, created and leads the California Antimicrobial Stewardship Program (ASP) Initiative, California Department of Public Health. She serves on the Society for Hospital Epidemiology of America (SHEA) ASP Taskforce and has co-authored multiple manuscripts on antimicrobial stewardship. Dr. Trivedi received her medical degree from Stanford University School of Medicine and completed residency in Internal Medicine at the University of California-SF prior to serving in the United States Public Health Service.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.