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Review
. 2022 Nov 3;9(11):ofac599.
doi: 10.1093/ofid/ofac599. eCollection 2022 Nov.

A Baker's Dozen of Top Antimicrobial Stewardship Intervention Publications in Non-Hospital Care Settings in 2021

Sarah B Green  1 , Ashley H Marx  2 , Elias B Chahine  3 , Jillian E Hayes  4 , Benjamin Albrecht  1 , Katie E Barber  5 , Matthew L Brown  6 , Darrell Childress  7 , Spencer H Durham  8 , Gabrielle Furgiuele  9 , Lacie J McKamey  10 , Summer Sizemore  11 , Michelle S Turner  12 , Hana R Winders  13 , P Brandon Bookstaver  14 , Christopher M Bland  15
Affiliations
Review

A Baker's Dozen of Top Antimicrobial Stewardship Intervention Publications in Non-Hospital Care Settings in 2021

Sarah B Green et al. Open Forum Infect Dis. .

Abstract

The scope of antimicrobial stewardship programs has expanded beyond the acute hospital setting. The need to optimize antimicrobial use in emergency departments, urgent, primary, and specialty care clinics, nursing homes, and long-term care facilities prompted the development of core elements of stewardship programs in these settings. Identifying the most innovative and well-designed stewardship literature in these novel stewardship areas can be challenging. The Southeastern Research Group Endeavor (SERGE-45) network evaluated antimicrobial stewardship-related, peer-reviewed literature published in 2021 that detailed actionable interventions specific to the nonhospital setting. The top 13 publications were summarized following identification using a modified Delphi technique. This article highlights the selected interventions and may serve as a key resource for expansion of antimicrobial stewardship programs beyond the acute hospital setting.

Keywords: antibiotics; antimicrobial stewardship; emergency department; nursing homes; outpatient.

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Conflict of interest statement

Potential conflicts of interest. All authors: no reported conflicts of interest. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.

Figures

Figure 1.
Figure 1.
Patient care areas included in the SERGE-45 nonhospital definition based on inclusion in the CDC Core Elements for Outpatient and Nursing Home Antimicrobial Stewardship. Abbreviations: ASP, antimicrobial stewardship program; CDC, Centers for Disease Control and Prevention; SERGE, Southeastern Research Group Endeavor.
Figure 2.
Figure 2.
Flowchart of the database search and article selection process. Abbreviation: SERGE, Southeastern Research Group Endeavor.
See this image and copyright information in PMC

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