Antibiotic Stewardship Task Force
Who We Are
The focus of the AAEM Antibiotic Stewardship Task Force is to promote the appropriate use of antibiotics in the emergency department through use of the Centers for Disease Control and Prevention (CDC) Be Antibiotics Aware campaign.
Task Force Chair: Michael Pulia, MD MS FAAEM
Board Liaison: David A. Farcy, MD FAAEM FCCM
Emergency Medicine Antibiotic Stewardship Pledge
AAEM’s Develops Antibiotic Stewardship Pledge to Support CDC's Global Antimicrobial Resistance Challenge
In honor of U.S. Antibiotic Awareness Week (#USAAW18), AAEM has announced it will join the CDC's Global Antimicrobial Resistance Challenge by reaffirming our commitment to improving emergency department antibiotic stewardship. AAEM is the leading organization in emergency medicine around issues of responsible antibiotic use having established a task force in 2015 as part of the White House One Health summit. Building upon these efforts, AAEM has developed the Antibiotic Stewardship Pledge by which emergency care providers can affirm their commitment to being stewards of this precious public health resource. The spread of antibiotic resistance one of the greatest global health issues of our time, and is threatening our progress in health care, food security, and life expectancy.
Be Antibiotics Aware
The Antibiotic Stewardship Task Force participates in the Be Antibiotics Aware campaign each year, spreading educational materials for patients and providers on the appropriate use of antibiotics. In addition, The Task Force is responsible for other CDC antibiotics use promotions throughout the year.
Emergency Department and Urgent Care Stewardship Toolkit
The MITIGATE (A Multifaceted Intervention to Improve Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings) toolkit is intended as a "gold standard," step by step implementation guide for health care providers and administrators interested in designing quality improvement programs in antimicrobial stewardship in emergency department (ED) and urgent care healthcare settings. When implemented as written, the toolkit will fulfill the CDC Core Elements of Outpatient Antibiotic Stewardship. For more background information on the toolkit visit the SHEA website.
Be Antibiotics Aware Week
Be Antibiotics Aware Week is an annual one-week observance to raise awareness of antibiotic resistance and the importance of appropriate antibiotic prescribing and use.
The use of antibiotics is the single most important factor leading to antibiotic resistance around the world. Antibiotics are among the most commonly prescribed drugs used in human medicine. However, up to 50% of all the antibiotics prescribed for people are not needed or are not optimally effective as prescribed. Antibiotics are also commonly used for promoting growth in food animals, one type of use that is not necessary.
- Promoting adherence to appropriate prescribing guidelines among providers
- Decreasing demand for antibiotics for viral upper respiratory infections among healthy adults and parents of young children
- Increasing adherence to prescribed antibiotics for upper respiratory infections.
Antimicrobial stewardship in the ED ripples outward into the rest of the hospital. “The ED is the nexus of the [United States] health care system. 20% of the US population goes to an ED each year. ED visits trigger about 75% of all hospital admissions and about 30% of acute care visits. Antibiotics are administered in about 25% of the nearly 35 million ED visits annually in the United States, making them the second most common category of drug used in the US health care system,” said Michael Pulia, MD FAAEM, from the University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, in his session.
Michael S. Pulia, MD FAAEM
Chair, AAEM Antimicrobial Stewardship Task Force
As a participant in the White House forum, AAEM strengthened its national leadership role and committed to improving antibiotic stewardship in the ED over the next five years with seven initiatives. Read the article above for full details.
- AAEM Makes Strong Commitments to Combating Antibiotic Resistance (June 2, 2015)
- AAEM Attends Forum on Antibiotic Stewardship at the White House (June 1, 2015)
Michael Pulia, MD FAAEM; Stephan Liang, MD; Larissa S. May; MD MSPH
- Antibiotic Stewardship Defined
- CDC Partners with AAEM
- Top 10 Ways to Improve Stewardship in Your ED
Focusing Stewardship to Help Tackle CDI
Libby S. Dodds-Ashley, PharmD, MHS