Antimicrobial Stewardship News and Resources

Antimicrobial Stewardship News and Resources

Antibiotic Stewardship Playbook

Welcome to the Southwest Health System Antimicrobial Stewardship Resource Center!

We work closely with the Colorado Hospital Association, the CDC, University of Colorado, and many other hospitals to be effective and informed regarding antimicrobial stewardship.

We are pleased to share an article about antibiotic stewardship in The Rural Monitor that Marc Meyer made a large contribution to over the last few months. The writer, Kay Miller Temple, said that Marc is “what we writers refer to as “the glue” that made the story work: you were the one with the national expertise, state expertise and the boots-on-the-ground in small hospitals.” Thanks for Marc for your hard work in our organization and for all you to do to help other organizations improve their antibiotic stewardship efforts!

Here is a small snippet:

Meyer, the Southwest Memorial Hospital pharmacist, says AS programs have to be community programs where all antibiotic prescribers in and outside hospital walls work together. Meyer said the main focus of this collaboration is an AS goal that shouldn’t be forgotten: decreasing bacterial resistance.
​“To me, stewardship means community. It means clinics, ambulatory surgical centers, nursing homes, dentists and veterinarians, anyone prescribing antibiotics, cutting down on antibiotic days when appropriate,” he said.

View the article here:

Antibiotic stewardship was also discussed in an interview by The Journal:

“If the health-care profession does not act decisively to deal with antibiotic resistance, we could start to see patients dying from bacterial illnesses that right now are easily treated with antibiotics,” Meyer said. “Essentially we would return to a pre-antibiotic era.”

Antibiotics are not effective against viruses, yet it is commonly prescribed for that. For example, although most upper respiratory infections are viral, many patients demand antibiotics for such conditions. The CDC estimates that as many as 60 percent of antibiotic prescriptions for upper respiratory symptoms do not target the cause of the infection and may contribute to antibiotic resistance and other problems.

Other problems also result from overprescribing antibiotics, which destroy the normal bacteria present in the body. In the United States each year, more than $3 billion is spent treating Clostridium difficile, an opportunistic pathogen that causes severe diarrhea and results in death in approximately 5-10 percent of patients who develop a C. difficile infection. Between 1999 and 2011, the mortality rate of C. difficile has increased tenfold.

A key component of the playbook are the five Ds of effective antibiotic use: diagnosis, drug, dose, duration of therapy, and de-escalation.

“One lesson I learned was that as a small hospital, Southwest Memorial can move more rapidly than larger organizations when it comes to effectively choosing the best medication for each individual patient,” Meyer said.

University of Colorado  News Details – UCH antibiotic stewardship conference targets the meds that battle the bugs.

More than two dozen hospitals join forces to discuss ways to manage prescribing.

Published: May 11, 2016, By Tyler Smith, UCHealth Latest Antibiotic Stewardship News- University of Colorado

Questions? Please contact Marc Meyer, registered pharmacist and infection preventionist at Southwest Health System, ( or Teri Hulett with the Colorado Hospital Association (

To learn more about antibiotic stewardship, visit

Antibiotic Stewardship in Long-Term Care Presentation materials can be downloaded here:

Video presentations are available below on youtube:


Haley Leonard
Marketing Director
Southwest Health System
1311 N. Mildred Road
Cortez, Colorado 81321