In-Patient Antimicrobial Resistance Dr. Arjun Srinivasan, Associate Director for Healthcare-Associated Infection Prevention Programs, Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention (CDC), talks about what is being done in hospitals to improve antibiotic use. Dr. Srinivasan outlines notable goals about the future of patient care around antibiotics. Key in hospitals is that physicians do not like to be "managed" so the shift is forward the phase "stewardship". Take aways: Many experts, including advisers to the President, have called for the government to require hospitals and nursing homes to have antibiotic stewardship programs [video].
Beef Antibiotic Stewardship Dr. Tiffany Lee, Beef Cattle Institute, Kansas State University, provides information on the beef producer perspective and their view of antibiotic stewardship. Dr. Lee points out this survey is aimed at discovering more about the producer side and provide a voice to producers. Dr. Lee summarizes the results and some of the direction beef producers are taking with their use of antibiotics [video].
Poultry Antibiotic Stewardship Dr. Chuck Hofacre, Center for Food Safety, Department of Avian Medicine, College of Veterinary Medicine, University of Georgia, brings the poultry perspective on antibiotic resistance and stewardship actions being taken by farm operations. One aspect of poultry production that is key is cost. And he says several key drivers of change in poultry antibiotic use are large retailers, not the end consumer; government regulations; and export markets. Dr. Hofacre says the key person for this stewardship role is the veterinarian. This presentation also provides a summary of the US poultry industry and the top level economics of how it operates [video].
State Level Antimicrobial Stewardship Dr. Marion A. Kainer, Director, Healthcare Associated Infections and Antimicrobial Resistance Program, Tennessee Department of Health, provides a state level view of antibiotic stewardship in the State of Tennessee. One of the key actions that helped reduce healthcare associated infections was the public reporting of hospital names in published metric reports. Dr. Kainer closes with recommendations from the Council of State and Territorial Epidemiologists (CSTE), of which a key items is increased funding at the state level for monitoring antimicrobial resistance [video].
Antimicrobial Resistance Impacts Global Health Security Dr. Benjamin Park, Senior Advisor for International Healthcare Quality, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention (CDC), gives insight on the global health security threats antibiotic resistance could have. One of the focus areas being looked at are the countries that do not have the ability to respond well or survive prolonged occurrences of disease outbreaks where antibiotics are failing. Some of the details Dr. Park provides focuses on the process steps to identify issues and be ahead of the issue in the high risk countries [video].
US FDA Antibiotic Strategy Dr. Craig Lewis, Veterinary Medical Office, Center for Veterinary Medicine, U.S. Food and Drug Administration (FDA), explains why organizations like the US FDA needs to collect data and analysis around antibiotic resistance. The current plan aims to develop an approach to offer greater transparency, organize analysis to assess Guidance #213 adoption, and understand the rollout of the new FDA antibiotic policies, regulations, and stewardship [video].
Wastewater Treatment and Antibiotics Dr. Tim Lapara, Professor, Department of Civil, Environmental, and Geoengineering, University of Minnesota, looks at how antibiotics in the environment filter out through the ecosystem of lakes, rivers, and streams. Dr. Lapara shares current research into wastewater treatment and how antibiotics are discovered in the various stages of treatment. Take home message: Treated wastewater still contains a lot of antibiotic resistance genes [video].
Farm Foundation Result Highlights Dr. Larry Granger, Antimicrobial Resistance Program; Animal and Plant Health Inspection Service, Veterinary Services; U.S. Department of Agriculture (USDA), describes the USDA antimicrobial resistance strategy from conversations of round tables through the Farm Foundation Public Meetings. Dr. Granger looks at the USDA surveillance, data collection, and analysis action being taken and how it coordinates with the US FDA guidelines. Some of his take aways: There will be some impacts to minor species; veterinarians are concerned about compliance and liability; and measurement of success is a major issue [video].
Actions and Recommendations on Antibiotics Dr. Chase Crawford, Director, Antimicrobial Resistance Initiative, Association of American Veterinary Medical Colleges; Association of Public & Land-grant Universities, talks about what agriculture's role is in addressing antibiotic resistance. Key is partnering with the human health initiatives and seek to continue to protect animal health. Dr. Crawford brings a perspective from key task force members, like the Association of American Veterinary Medical Colleges (AAVMC) and the Association of Public and Land-grant Universities (APLU) [video].
CDC’s Overall Effort on Antibiotics, FY 2015 Requested Funding and CARB Program Dr. Beth Bell, Director of the National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention (CDC), talks about the overall efforts and work of the CDCs work on antibiotic resistance. Dr.Bell shares the federal government level view of combating antibiotic resistant bacteria. She leads in with an overview of the disease burden, risks to US citizens, and the economic impacts. Dr. Bell points out how communication plays a part in helping the efforts of awareness and action [video].