By Gina Pugliese, RN, MS, vice president of Premier, Inc. and director of the Premier Safety Institute®
The Premier alliance applauds the President for convening a White House Forum on the critical need for antibiotic stewardship. Premier and its alliance members are committed to substantially reducing antibiotic resistance. To that end, Premier has pledged to support the President’s National Action Plan for Combating Antibiotic-Resistant Bacteria by implementing additional antibiotic stewardship initiatives over the next five years to slow the emergence of antibiotic resistant bacteria, detect resistant strains, preserve the efficacy of our existing antibiotics and prevent the spread of resistance infections.
Recent research conducted by Premier and the Centers for Disease Control and Prevention found that 78 percent of patients treated received unnecessary and duplicative intravenous (IV) antibiotics. Moreover, three specific combinations of IV antibiotics used to treat anaerobic infections accounted for 70 percent of the inappropriate use. These insights are now the basis of Premier’s initiative to reduce antibiotic resistance, as we undertake a data-driven, national collaborative focused on reducing the overuse of the three IV combinations identified in the research. Alliance members are already joining Premier in this effort.
This new initiative builds on our alliance’s ongoing commitment to reduce healthcare-associated infections. For instance, since 2010 the 365 hospitals participating in our national QUEST® collaborative have prevented 21,700 instances of harm, such as hospital-acquired infections. We’ve found that antimicrobial stewardship programs, the electronic surveillance of antibiotic use and provider collaboration are proven strategies to reduce antibiotic resistance. We look forward to joining with other stakeholders to address this serious national problem.
-Gina Pugliese, RN, MS, vice president of Premier, Inc. and director of the Premier Safety Institute®