Pediatric Antibiotic Stewardship Toolkit

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The purpose of this Pediatric Antibiotic Stewardship Program (ASP) Toolkit is to provide helpful resources for improving the use of antibiotics in children cared for in all healthcare settings (e.g., inpatient and outpatient, including emergency/urgent care settings). Additionally, this toolkit addresses ways to improve the use of antibiotics in the food we eat. The toolkit is intended for all clinicians interested in improving the use of antibiotics in all settings. This includes frontline clinicians, antimicrobial stewardship teams, and other groups interested in improving antibiotic use. The toolkit is a collaborative effort between the Pediatric Infectious Diseases Society (PIDS) and the American Academy of Pediatrics (AAP) and its Section on Infectious Diseases (SOID), and Health Care Without Harm Clinician Champions in Comprehensive Antibiotic Stewardship Group.

Get started now by following the steps outlined in the inpatient and outpatient “How To Guides”.

Table of Contents

Specific Tools for Developing Antibiotic Stewardship Interventions in the following areas:

Pediatric ASP Toolkit for Inpatient Settings

  1. How to Guide: Starting an Inpatient Antibiotic Stewardship Program
  2. Reasons for Inpatient Stewardship
    1. Antibiotic Resistance
    2. Adverse Drug Reactions
  3. CDC Core Elements of Inpatient Stewardship
    1. Leadership Commitment
    2. Accountability – Physician Leader
    3. Drug Expertise – Pharmacist Leader
    4. Action to Perform
    5. Tracking Data
    6. Reporting
    7. Education

Pediatric ASP Toolkit for Outpatient Settings

  1. How to Guide: Starting an Outpatient Antibiotic Stewardship Program
  2. Reasons for Outpatient Antibiotic Stewardship
    1. Antibiotic Use
    2. Environmental Exposure to Antibiotic Resistant Bacteria
    3. Adverse Drug Reactions
    4. Clostridium difficile
    5. Antibiotic Resistance
  3. CDC Core Elements of Outpatient Stewardship
    1. Commitment
    2. Action for Policy and Practice
    3. Tracking and Reporting
    4. Education
  4. Vaccines To Reduce Antibiotic Use
  5. Antibiotics in Food for Outpatient Stewardship
  6. Research Gaps / Future Directions

Global, National and State Efforts to Combat Antibiotic Resistance

  1. The World Health Organization Essential Medicines List
  2. The National Action Plan for Combating Antibiotic-Resistant Bacteria
  3. Centers for Disease Control and Prevention (CDC)
  4. The Joint Commission
  5. The Leapfrog Group
  6. Health Care Without Harm (HCWH) and Clinician Champions in Comprehensive Antibiotic Stewardship (CCCAS)
  7. State Mandates and Efforts

General Reference Materials and Organizations

  1. American Academy of Family Practice
  2. American Academy of Pediatrics
  3. Association for Professionals in Infection Control and Epidemiology (APIC) Antibiotic Stewardship Toolkit
  4. CDC Core Elements of Hospital Antibiotic Stewardship Programs
  5. Centers for Medicare and Medicaid Services Infection Control Worksheet
  6. Infectious Diseases Society of America
  7. The Joint Commission Antibiotic Stewardship Toolkit
  8. National Quality Forum Playbook: Antibiotic Stewardship in Acute Care
  9. Pediatric Infectious Diseases Society
  10. Society for Healthcare Epidemiology of American (SHEA) Antibiotic Stewardship Toolkit
  11. The U.S. Stakeholder Forum on Antibiotic Resistance (S-FAR)

Developed by:

  • Rana F. Hamdy, MD
  • Jason G. Newland, MD
  • J. Michael Klatte, MD
  • Zachary I. Willis, MD
  • and the PIDS PCAS and AAP SOID Committees

Resources included within this toolkit does not imply an endorsement by the (AAP) and the Pediatric Infectious Diseases Society (PIDS). The AAP and PIDS are not responsible for the content of external resources. Information was current at the time of publication.