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ACGME Commits to Antibiotic Stewardship Efforts

The ACGME is committed to working with the CDC and others to identify specialty-specific information for faculty, residents, and fellows, especially in the high-risk/prescribing-prevalence specialties.

CDC’S VITAL SIGNS RECOGNIZES ACHIEVEMENTS IN FIGHT AGAINST HEALTH CARE ASSOCIATED INFECTIONS (HAIs)

In its March 2016 Vital Signs report, the CDC took a close look at progress toward combatting the rise in HAIs, and urged US health care partners to expand prevention efforts against antibiotic-resistant bacteria. The national data featured in this report, along with data from CDC's latest annual progress report on HAI prevention, show that the nation is doing a better job of preventing HAIs, but more work is needed - especially in fighting antibiotic-resistant bacteria. Many of the most urgent and serious antibiotic-resistant bacteria threaten patients while they are being treated in health care facilities for other conditions, which can lead to sepsis or death.

In addition to the Vital Signs and updated annual HAI progress report, the CDC is also unveiling the Antibiotic Resistance Patient Safety Atlas (or AR Atlas), a new web app featuring interactive data on HAIs caused by antibiotic-resistant bacteria. The Atlas uses data reported from 2011-2014 to the CDC's National Healthcare Safety Network (NHSN) from more than 4,000 health care facilities.

Visit the CDC's Vital Signs page for more information.

Read more about CDC Vital Signs Report

National efforts led by federal agencies, health care facilities, and public health departments could prevent many of these infections found in health care, preventing an estimated 619,000 drug-resistant and C. difficile infections and saving as many as 37,000 lives over five years. A coordinated approach—that is, health care facilities and health departments in an area working together—could prevent up to 70 percent of life-threatening carbapenem-resistant Enterobacteriaceae (CRE) infections over five years. Enhanced infection control and improved antibiotic stewardship by an individual facility alone does not have the same impact as facilities across the area working together. Additional information is linked under the RESOURCES header below.

ACGME Invited to White House Forum; Commits to Antibiotic Stewardship Efforts

The ACGME was among a select group of major representatives of health stakeholders invited to attend the White House Forum on Antibiotic Stewardship June 2, 2015.

Read more about ACGME Invited to White House Forum

Recently, the White House released an action plan (see Resources, below) to increase antibiotic stewardship and slow the emergence of antibiotic-resistant bacteria, which it calls one of the most pressing public health issues in the world today. The Centers for Disease Control and Prevention (CDC) estimates antibiotic-resistant bacteria contribute to at least two million illnesses and 23,000 deaths in the United States per year.

ACGME CEO Thomas J. Nasca, MD, MACP made a formal commitment to the nation’s antibiotic stewardship efforts on behalf of the organization.

The ACGME is committed to working with the CDC and others to identify specialty-specific information for faculty, residents, and fellows, especially in the high-risk/prescribing-prevalence specialties.

“Our country need[s] to address the mounting challenge of antibiotic-resistant bacteria,” says Dr. Nasca. “The ACGME has systems to disseminate targeted information to residency and fellowship programs, along with the institutions that sponsor them, across the country. We will use these channels to share relevant information and materials in our efforts to combat this critical challenge.”

In preparation for the June 2 event, the White House released a detailed Fact Sheet (see Resources, below) about the key components of the antibiotic stewardship efforts. Over 150 major health stakeholders, food companies, and retailers, including the ACGME, announced commitments to implement over the next five years to slow the emergence of resistant bacteria and prevent the spread of resistant infections. The ACGME is specifically identified among clinical organizations that “stand out, making some of the most significant commitments to address [the] challenge.”

RESOURCES

From the White House:


CDC:


The Joint Commission:


ANTIBIOTIC STEWARDSHIP IN THE NEWS


The ACGME is a private, non-profit, professional organization responsible for the accreditation of approximately 9,600 residency and fellowship programs and approximately 700 institutions that sponsor these programs in the United States. Residency and fellowship programs educate over 120,000 resident physicians in 130 specialties and subspecialties. The ACGME’s mission is to improve health care and population health by assessing and advancing the quality of resident physicians’ education through accreditation.

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