New York City Antimicrobial Workshop Association for Professional Infection Control and Epidemiologist 2016 Annual Meeting Gloria Airall-Simon, PhD, MPHE, MSN, BSN New York City Department of Health and Mental Hygiene (DOHMH) Office of Emergency Preparedness and Response Bureau of Healthcare System Readiness Communicable Disease Preparedness Program October 28th, 2016 Good morning. Thank you for inviting us.

Antibiotic Stewardship Antibiotic Stewardship – What it is Antibiotic Stewardship Program is led by: Mary Foote, MD, MPH Senior Medical, Coordinator for Communicable Disease Preparedness Bureau of Healthcare Systems Readiness, Office of Emergency Preparedness and Response (OEPR) NYC Department of Health and Mental Hygiene (DOHMH) 42-09 28th Street, 6th Floor, 6-115 Long Island City, NY 11101-4132 p: 347.396.2686 | c: 917.992.8241| f: 347.396.2751 Antibiotic/Antimicrobial Stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms. Misuse and overuse of antimicrobials is one of the world’s most pressing public health problems. Infectious organisms adapt to the antimicrobials designed to kill them, making the drugs ineffective. People infected with antimicrobial-resistant organisms are more likely to have longer, more expensive hospital stays, and may be more likely to die as a result of an infection.  2

Antibiotic Stewardship Project Team Members Pamela Kellner, MPH, RN, Consultant Christian Oriuwa, MBBS, MSc., Coordinator Gloria Airall-Simon, PhD, RN, Senior Nurse Educator 3

NYC Perspectives on Antibiotic Stewardship Dr. Mary Foote, MD will present on the New York City’s Department of Health and Mental Hygiene (NYC DOHMH) Antibiotic Stewardship Program. The presentation will include: Site visits Disease Burden Prevention, reducing morbidity, and mortality Infection and cost reduction Preliminary findings from site visits we have made under the CDC National Infection Prevention and Control Initiative which we started March of this year. We have been to Nursing Homes, Ambulatory Centers, Hospitals, Dental Clinics and Community Clinics. What we have found is there is a need for information on Antibiotic stewardship. 4

Antimicrobial Resistance in Nursing Homes Rosalie Giardina, MT New York State Department of Health will present on: Clostridium Difficile (C. diff) Carbapenem-resistant enterobacteriaceae (CRE) Multidrug resistant infections (MDSs) particularly in Nursing Homes.

Using data to support antibiotic stewardship in nursing homes Dr. Ghinwa Dumyati, MD of University of Rochester will present on: -Starting antibiotic stewardship in the nursing homes she dealt with.

Partnering for Success This presentation will be a collaboration with: Montefiore Hospital headed by Belinda Ostrowsky, MD of Montefiore Hospital. She will be joined by: – United Health Foundation(UHF) - Greater New York Hospital Association (GNYHA) This presentation will speak to partnering. Pharmacy and Information Technology.

Breakout Session The one hour break out sessions will focus on developing antibiograms and action plan. This session will be facilitated by Nursing Home partners. Approaches to antibiotic stewardship, surveillance and monitoring and how to measure success.

Panel Discussion: NYC Nursing Homes Panel discussion will be on clinical management and antibiotic stewardship. In the form of case discussions

Thank You

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