Antimicrobial Stewardship Program (Provider Page)

Greetings from OIDE

Greetings from the Delaware Public Health Office of Infectious Diseases and Epidemiology (OIDE). Thank you for taking the time to review the information presented on our webpage. It is our hope to join alongside other facilities statewide to promote the appropriate usage of antibiotics while combating multi-drug resistant organisms. If you have not done so already, please take the time to fill out a brief survey located on our page which will allow us to assist you in any additional needs/resources your facility may require. Together we can improve our patients’ outcomes through evidence-based interventions.

Davia McKoy, M.S., PharmD
AR/AS Coordinator

Get Smart about Antibiotic Awareness Week
Get Smart Week is an annual observance to raise awareness of threats of antibiotic resistance and the importance of appropriate antibiotic prescribing and use. The next Get Smart Week is November 18th – 24th, 202 3.

5 Ds of Antimicrobial Stewardship

• Diagnosis: Distinguish between true bacterial infections verse colonization, contaminations, or alternative diagnosis.

• Drug: Select the right drug considering guidelines, local antibiogram, formularies, drug-drug interaction, and allergy history.

• Dose: Calculate the right dose for the patients’ systemic function, weight, and age to minimize risk of toxicity.

• Duration: Choose the right duration of therapy to minimize risk of C. difficile infection, toxicity, or development of resistance.

• De-escalation: Narrow to an effective and safer lower risk agent based on culture data and other relevant parameters.

Reportable Healthcare Associated Infections

The following organisms are reportable in the State of Delaware:

• Candida Auris*

• Carbapenem Resistant Acinetobacter (CRAB)*

• Carbapenem Resistant Enterobacteriaceae (CRE)

• Carbapenemase-Producing CRE (CP-CRE)

• Clostridioides Difficile (C. Diff)*

• Extended Spectrum β-lactamases (ESBL)

• Methicillin-OR oxacillin- Resistant Staph Aureus (MRSA)

• Streptococcal diseases, invasive:

o Non – A/B

o Group A

o Group B

• Vancomycin Intermediate Staphylococcal Aureus (VISA)

• Vancomycin Resistant Enterococcus (VRE)

• Vancomycin Resistant Staphylococcus Aureus (VRSA)

*Not required by the State of Delaware (at the moment), but reportable to CDC NHSN

Clinicians should consult the DPH Office of Infectious Disease Epidemiology at 302-744-4990 (normal business hours) or 1-888-292-5156 (outside of normal business hours), fax 302-622-4149, or email to reportdisease@delaware.gov

Partnerships

• Center for Disease Control and Prevention (CDC)

• NHSH

• APIC

• eBright

Antimicrobial Stewardship Quizzes from the eBright committee can be found on this page.

Office of Infectious Disease Epidemiology

24/7 Emergency Contact Number: 1-888-295-5156

Return to Infectious Disease Home Page

Antimicrobial Stewardship Program (Provider Page)

Home

About

Services

Information

Connect

Delaware's Government