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The Legislative Momentum of Antimicrobial Stewardship: the US Perspective

Opinion statement

The aim of this review is to describe new and evolving legislation concerning antimicrobial stewardship at both the state and national level.

Antimicrobial resistance is a challenge to health worldwide. Recently, the US federal government has issued reports recognizing it as a serious threat to public health and national security acknowledging the need for judicious antimicrobial use. California has been a pioneer in mandating and implementing antimicrobial stewardship initiatives in healthcare institutions. With the White House Executive Order 13676, a number of healthcare organizations have committed to making antimicrobial stewardship policy and regulatory changes, and it will likely soon be mandatory for all states to comply with a newly created set of standards relating to antimicrobial stewardship in US hospitals and nursing homes.

With numerous changes, including governmental and organizational mandates, on the horizon, it is crucial for healthcare institutions to understand and be prepared for this new era in antimicrobial stewardship. The adoption of these new standards by institutions is of an imminent nature.

Key Points:• United States federal agencies and the executive branch have recently issued reports characterizing antimicrobial resistance as threats to public health and national security.• The state of California has implemented regulations requiring the establishment of antimicrobial stewardship programs (ASPs) in all acute-care hospitals and long-term care facilities.• A goal of the National Action Plan for Combating Antimicrobial Resistance is establishment of ASPs in acute care hospitals.• Veterans Affairs and Department of Defense facilities have already adopted the ASP requirement; for non-federal hospitals, this mandate will likely be achieved through regulators such as the Centers for Medicaid and Medicare Services.

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References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: • Of importance

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Acknowledgments

Kristi Kuper, PharmD and Arjun Srinivasan, MD

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Correspondence to Conan MacDougall PharmD, MAS.

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Dr Linda S. Johnson declare that she has no conflict of interest.

Dr Conan MacDougall declare that he has no conflict of interest.

Dr Kavita K. Trivedi declare that she has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by the authors.

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This article is part of the Topical Collection on Antimicrobial Stewardship

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Johnson, L.S., MacDougall, C. & Trivedi, K.K. The Legislative Momentum of Antimicrobial Stewardship: the US Perspective. Curr Treat Options Infect Dis 8, 93–101 (2016). https://doi.org/10.1007/s40506-016-0076-6

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Keywords

  • Antimicrobial stewardship
  • National legislation
  • Centers for medicare and medicaid services