Antibiotic Stewardship

Long-Term Solutions for Long-Term Care

  • JoAnn Adkins Patient Safety Authority


Antimicrobial resistance is one of the top 10 global health threats identified by the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO). Antibiotics are life-saving drugs, but misuse has led to the development of multidrug resistant organisms1-3 (MRDO), or “superbugs”: bacteria that have developed resistance to several antibiotics.1,2,4 

Author Biography

JoAnn Adkins, Patient Safety Authority

JoAnn Adkins ( is a registered nurse and a senior infection preventionist for the Patient Safety Authority. Prior to joining the PSA, she was the manager of Infection Prevention and Control for several years at a 315-bed acute care hospital, where she initiated and facilitated several process improvements to decrease hospital-acquired infections and enhance patient safety. Adkins is a Fellow of the Association for Professionals in Infection Control and Epidemiology and is board-certified in infection control and epidemiology. She is a member of the Association for Professionals in Infection Control and Epidemiology, the Sigma Theta Tau International Honor Society of Nursing, and the Central Pennsylvania Association for Healthcare Quality.


World Health Organization. Antimicrobial resistance. Accessed April 28, 2019.

Centers for Disease Control and Preven-tion. Antibiotic/antimicrobial resistance. . Accessed April 8, 2019.

Centers for Disease Control and Preven-tion. The core elements of antibiotic stew-ardship for nursing homes. https://www.cdc. gov/longtermcare/prevention/antibiotic-stew-ardship.html. Accessed April 8, 2019.

Ventola, CL. The antibiotic resistance crisis: part 1: causes and threats. P T. 2015 Apr;40(4):277-83. PubMed PMID: 25859123; PubMed Central PMCID: PMC4378521.

Agency for Healthcare Research and Qual-ity. US Department of Health and Human Ser-vices. Nursing home antimicrobial stewardship guide. Accessed April 8, 2019.

Centers for Medicare and Medicaid. US De-partment of Health and Human Services. CMS regulation §483.80 (a)(3) Infection Control. Accessed May 28, 2019.

Montoya A, Mody L. Common infections in nursing homes: a review of current

issues and challenges. Aging Health. 2011 Dec;7(6):889-899. doi: 10.2217/AHE.11.80. PubMed PMID: 23264804; PubMed Central PMCID: PMC3526889

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How to Cite
Adkins, J. (2019). Antibiotic Stewardship: Long-Term Solutions for Long-Term Care. Patient Safety , 1(2), 4. Retrieved from
Patient Safety Initiatives
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