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Antimicrobial Stewardship in Critical Access Hospitals

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Antimicrobial Stewardship in Non-Traditional Settings

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Abstract

Critical access hospitals (CAH) are small medical facilities that serve rural areas across the USA. Their geographic isolation and limited resources present challenges for safety and quality initiatives such as antimicrobial stewardship programs (ASP). Despite the lower clinical acuity of the patients they serve, studies suggest that the utilization of antimicrobials, the indication for antimicrobials, and the local antimicrobial-resistance patterns at CAHs may be comparable to those seen at larger hospitals. Therefore, CAHs should invest in ASP programs for the safety of their patients. Key barriers to ASP implementation may include a lack of infectious disease expertise and information technology resources. Some CAHs have successfully implemented ASP programs utilizing national guidelines to develop local programs that include leadership support, identification of an ASP champion, additional financial resources, telemedicine and telehealth, regional collaboratives, and ASP training.

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Author information

Authors and Affiliations

  1. Department of Pharmacy, Emory University Hospital, Atlanta, GA, USA

    Sarah B. Green

  2. Novant Health Institute for Safety and Quality, Novant Health, Winston-Salem, NC, USA

    David H. Priest

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  1. Sarah B. Green
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Correspondence to Sarah B. Green .

Editor information

Editors and Affiliations

  1. Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, MA, USA

    Shira Doron

  2. Department of Pharmacy, Tufts Medical Center, Boston, MA, USA

    Maureen Campion

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Green, S.B., Priest, D.H. (2023). Antimicrobial Stewardship in Critical Access Hospitals. In: Doron, S., Campion, M. (eds) Antimicrobial Stewardship in Non-Traditional Settings. Springer, Cham. https://doi.org/10.1007/978-3-031-21710-4_4

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  • DOI: https://doi.org/10.1007/978-3-031-21710-4_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-21709-8

  • Online ISBN: 978-3-031-21710-4

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