Antimicrobial Stewardship

Antimicrobial stewardship is the practice of using antimicrobials (antibiotics, antifungals, antivirals) only when they are needed. If they are used when they are unnecessary, they have no benefits and can even cause harm. These include antibiotic resistance and side effects (see below for examples). Some side effects, such as C. difficile diarrhea, can be serious and lead to hospitalization.

Image titled “Do Antibiotics Have Side Effects?” The caption reads: “Any time antibiotics are used, they can cause side effects. However, antibiotics can save lives. When you need them, the benefits outweigh the risks. If you don’t need antibiotics, you shouldn’t take them because they can cause harm. 5 images show the common side effects of antibiotics, including rash, dizziness, nausea, yeast infection, and diarrhea.” The caption continues: “Get immediate medical help if you experience severe diarrhea, as it could be a symptom of C. difficile infection, which can lead to severe colon damage and death. People can also have life-threatening allergic reactions.” Another image shows that 1 out of 5 medication related visited to the emergency room are from reactions to antibiotics. A link to learn more about antibiotic prescribing and use is provided: www.cdc.gov/antibiotic-use or a phone #: 1-800-CDC-INFO.

Washington State Department of Health is committed to supporting antimicrobial stewardship in multiple settings, including:

Annual Reports

Annual reports summarize the AMS team’s initiatives and outcomes for the year. Reports also provide data on stewardship programs and antimicrobial use in the following settings: acute care, long-term care, and outpatient care.

Guidance Documents

Additional Resources

Antimicrobial Stewardship:

Antimicrobial Resistance:

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Questions and Feedback

Email the Antimicrobial Stewardship Team