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Updates and News from the Minnesota One Health Antibiotic Stewardship Collaborative

Wednesday, February 28, 2018   (0 Comments)
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Updates and News from the
Minnesota One Health Antibiotic Stewardship Collaborative

February 28, 2018

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Stewardship quiz? You betcha!

Quiz Icon

Which antibiotic is properly matched to its antibiotic class?




a. Furazolidone – Oxasilodinone


b. Vancomycin – Ansamycin


c. Gentamicin – Glycopeptide


d. Tylosin – Polypeptide


e. Levofloxacin – Fluoroquinolone

The answer is at the bottom of this newsletter.

Update from Your Minnesota Stewardship Collaborative

New Factsheets Available

Three new factsheets are available from the One Health Antibiotic Stewardship Collaborative.

Antibiotic Use and Resistance: Answers for Patients(PDF)

Antibiotic Use in Companion Animal Veterinary Practice (PDF)

Antimicrobial Use and Resistance Module: A tool to manage, use, and report hospital antibiotic use data (PDF)

2018Minnesota Antibiotic Stewardship Conference for Healthcare Professionals

When:May 1, 2018

What:Free full-day conference focused on stewardship in ambulatory care settings!

Who:Relevant for prescribers, clinical staff, and pharmacists in outpatient medical clinics, emergency departments, and dental clinics. Administrators and those involved in patient engagement and quality improvement are also welcome to attend.

Where:Wilder Center,451 Lexington Avenue North, Saint Paul, MN 55104

Registration:Antibiotic Stewardship Conference: Focus on Ambulatory Care

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News to Note

UpdatedClostridium difficiletreatment guidelines released

New publication focuses on fluoroquinolone use

  • In a new publication, CDC antibiotic stewardship experts report that 5% of all fluoroquinolones prescribed for adults in doctor’s offices and emergency departments are unnecessary, and about 20% of all fluoroquinolone prescriptions in these settings are not recommended first-line treatment.
  • Fluoroquinolones are associated with adverse events, such as musculoskeletal and nervous system damage and rising rates of fluoroquinolone resistance.
  • Inappropriate prescribing of fluoroquinolones is common and occurs in situations when antibiotics are and are not indicated.
  • Read the article.Clinical Infectious Diseases: Opportunities to Improve Fluoroquinolone Prescribing in the United States for Adult Ambulatory Care Visits

AVMAformalizes "antimicrobial stewardship" definition for veterinary medicine

  • Reflective of the unique realities that characterize a diverse multispecies profession, American Veterinary Medical Association has released a definition of "antimicrobial stewardship"and has identified stewardship core principles.
  • Read the definition and core principles.AVMA: Antimicrobial Stewardship Definition and Core Principles

Acinetobacterspp.isolated from healthy canine skin

  • In a paper published in Veterinary Dermatology, researchers confirm the ability ofAcinetobacterspp.,includingA. baumannii,to survive on canine skin.
  • With growing resistance globally in humanAcinetobacterisolates, awareness ofthis pathogen as a cause of canine infection should be heightened, and emphasis should continue to be placed on routine use of culture and susceptibility testing in companion animal medicine.
  • Also evident from this study is the potential for canines to become carriers ofAcinetobacterwhen in the care of infected owners or when employed in healthcare-based pet therapy.
  • Read the abstract.Isolation and identification ofAcinetobacterspp.from healthy canine skin.

World Health Organization releases first global report on antimicrobial resistance in healthcare

  • With over 50 countries enrolled in the World Health Organization's (WHO) Global Antimicrobial Resistance Surveillance System (GLASS), we are one step closer to understanding the global problem of antimicrobial resistance.
  • Resistance of common bacteria to important antibiotics varied significantly by country, highlighting the need for robust national surveillance systems.
  • Covering 12 classes of antimicrobials, countries reported susceptibility profiles forEscherichia coli, Klebsiella pneumoniae, Staphylococcus aureus, Streptococcus pneumoniae, Salmonellaspp,Neisseriagonorrhoeae,andShigellaspp.
  • The GLASS report also describes status, funding, and structureof national surveillance systems for antimicrobial resistance.
  • Read the report.WHO GLASS Report: 2016-2017 Early Implementation

Request for proposals:Institute for Antimicrobial ResistanceResearch and Education

  • Association of Public and Land-Grant Universities (APLU) and Association of American Veterinary Medical Colleges (AAVMC) havereleased a request for proposals to establish an Institute for Antimicrobial ResistanceResearch and Education.
  • Read the request for proposals, which are due onApril 1, 2018.APLU-AAVMC Memorandum
  • Learn about the APLU-AAVMC Joint Task Force and read the 2015 Report.APLU: Antibiotics and Agriculture
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Upcoming Events

CDC Online Antibiotic Stewardship Training

  • CDC has launched the first of a four-section web-based training course on Antibiotic Stewardship.
  • Doctors, nurse practitioners, physician assistants, certified health education specialists, nurses, pharmacists, and public health practitioners with a master’s degree in public healthare eligible to receive up to eight hours of free CE for the entire course.
  • Register for the training.CDC Training on Antibiotic Stewardship: Section 1

May 1, 2018: MN Antibiotic Stewardship Conference

  • This full-day conference in Saint Paul, MN,will be committed toantibiotic stewardship in ambulatory care settings.
  • Conference is hosted by Minnesota Department of Health, Stratis Health, and Minnesota Hospital Association.
  • Registration is now open. See theconference details webpage.

Antibiotic Resistance: Policy Challenges and Solutions Lecture Series

Quiz Answer!

Quiz Icon

e. Levofloxacin – Fluoroquinolone

Fluoroquinolone antibiotics used in healthcare include levofloxacin, ciprofloxacin, and moxifloxacin. Veterinary fluoroquinolones includeenrofloxacin, orbifloxacin, marbofloxacin, and ciprofloxacin. Each veterinary drug has species-specific approval (or lack thereof) and labeling.

Rising rates of fluoroquinolone resistance and adverse effects on individual patients have ensured the increased scrutiny of fluoroquinolones in all health disciplines. Fluoroquinolones are effective against a range of Gram-negative organisms and some Gram-positive aerobes, including intracellular pathogens.

See above for news of a new publication about fluoroquinolone overprescribing in outpatient healthcare settings.

Curious about fluoroquinolone resistance in Minnesota? Have a look at theState Antibiogramdeveloped annually by the Minnesota Department of Health.

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