Antibiotic Stewardship

Concurrent Education Session - 60 minutes

1300 - Implementation of Antibiotic Stewardship in Pediatric Long-Term Care

Wednesday, June 14
3:00 PM - 4:00 PM
Location: Oregon Convention Center, A 107-109

Antibiotic stewardship programs can improve patient safety, reduce antimicrobial resistance, and control healthcare costs. Stewardship programs have been used effectively in inpatient, outpatient, and adult long-term care (LTC) facilities, yet few policies have addressed antimicrobial stewardship in other settings. Pediatric LTC facilities serve a unique, medically fragile population with high risk for infection and high rates of antimicrobial use. Having many care providers and frequent admissions to acute care facilities puts children in pediatric LTC at particularly high risk for inappropriate exposure to antimicrobial therapy.

As part of a larger quasiexperimental project to prevent infections, our team studied antimicrobial prescribing practices at three pediatric LTC facilities from 2012–2016. During the study period, two of the facilities implemented antimicrobial stewardship programs. This session will highlight the following findings and recommendations:

1) A description of antimicrobial use and the appropriateness of its application in pediatric LTC: Data presented will include rates of use, common antimicrobial errors, and current therapeutic recommendations in unique populations.

2) The development of antimicrobial stewardship teams in two pediatric LTC facilities: Specifically, we will discuss how the unique setting of each site determines the focus of the team as well as its composition, how to select “low-hanging fruit” as targets for intervention, how to engage prescribers, and specific ways to incorporate the nursing role in antimicrobial stewardship.

3) The impact of antimicrobial stewardship teams on the use of antimicrobials and other facets of resident care in pediatric LTC, including respiratory care and management, diagnostic criteria for infections, and re-education for nursing personnel regarding management of central venous and urinary catheters.

4) Proposed methods for partnering with acute care facilities for appropriate use of antimicrobials in unique patient populations, including empowering providers to limit overuse of antimicrobials when residents return to LTC after acute care admissions.

Learning Objectives:


Bevin Cohen

Program Director, Center for Interdisciplinary Research to Prevent Infections (CIRI)
Columbia University School of Nursing
New York, New York

Bevin Cohen is the program director for the Center for Interdisciplinary Research to Prevent Infections at Columbia University Medical Center, where she has worked since 2007. She received her MPH in epidemiology from Columbia University's Mailman School of Public Health and her bachelor’s degree in public health from the University of Vermont. She is now a student in Columbia University School of Nursing's postbaccalaureate RN program, and a PhD candidate in the Department of Epidemiology. Her dissertation research focuses on transmission of infection between hospital roommates and from previous room occupants.

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Olivia Jackson

Infection Control Coordinator
Elizabeth Seton Pediatric Center
Yonkers, New York

Olivia Jackson has been part of the infection prevention and control team at Elizabeth Seton Pediatric Center since 2013. She became the infection control coordinator in 2014. Ms. Jackson received her BSN from Seton Hall University and is currently earning her master’s degree at Villanova University.

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Meghan Murray

Surveillance Officer
Columbia University School of Nursing
New York, New York

Meghan Murray is the surveillance officer for the Keep it Clean for Kids (KICK) Project, a four-year study funded by the Agency for Healthcare Research and Quality to improve hand hygiene and infection prevention practices in three pediatric long-term care facilities in the New York metropolitan area. She is currently pursuing her PhD in Nursing at Columbia University.

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Natalie Neu

Associate Professor of Pediatrics
Columbia University Medical Center
New York, New York

Natalie Neu, MD, trained at Columbia University, College of Physicians and Surgeons, did her residency at the University of Michigan Hospital in Pediatrics, and completed her fellowship and MPH training at Columbia University. Dr. Neu has been an attending in the pediatric infectious diseases division at Columbia University Medical Center since 2004 and the pediatric infectious diseases fellowship director since 2006.

Since 2009, Dr Neu has worked as an infection control and prevention consultant and performed research in the pediatric long term care population in the areas of infection prevention and control and antimicrobial stewardship. She is currently working with Drs. Saiman and Larson on a prospective study of acute respiratory illness in pediatric long term care residents and their care givers.

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Lisa K. Caffery

Infection Prevention Coordinator
Genesis Health System
Davenport, Iowa

Lisa Caffery, MS, BSN, RN-BC, CIC, FAPIC is the infection prevention coordinator at Genesis Health System in Davenport, Iowa. She has over 35 years of nursing experience and has been an infection preventionist for 18 years. She maintains board certification in Medical/Surgical nursing through the American Nurses Credentialing Center as well as board certification in infection control through CBIC. In 2016 she was recognized as an APIC Fellow. She was a contributing author to the 5th and 6th Editions of the APIC Certification Study Guide. She has served her APIC Chapter as a board member and president. She presented several continuing edcuation programs on infection prevention and control. She currently serves as chair of APIC's Professional Development Committee. She is a member of the American Nurses' Association, Iowa Nurses's Association, were she serves as president-elect, and Sigma Theta Tau.

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