Infectious Disease

Antimicrobial Resistance

Antimicrobial resistance is one of the world's most pressing public health problems. State health agency roles in addressing antimicrobial resistance include preventing infections and protecting patients across the healthcare system, tracking resistance (surveillance), and improving antimicrobial prescribing and use (stewardship).

ASTHO Antimicrobial Resistance and Stewardship Position Statement

ASTHO Efforts in this Area

State Strategies to Address Antimicrobial Resistance
In June 2015, ASTHO hosted a meeting, “State Health Agency Action Steps to Address Antimicrobial Resistance,” to discuss current and potential state health agency activities to address antimicrobial resistance. This document describes the outcomes of the meeting and includes technical briefs that outline strategies, challenges, recommendations, and resources for addressing 4 key areas relating to antimicrobial resistance that were discussed at the meeting and in follow up conference calls.

Multisector Collaboration: One Health Approach to Addressing Antibiotic Resistance - Meeting Summary
The One Health concept recognizes that the health of humans is connected to the health of animals and the environment. ASTHO, with support from CDC, convened an invitational session, “Multisector Collaboration - One Health Approach to Addressing Antibiotic Resistance,” to explore collaborative actions public health and agriculture partners can take to address the issue of antibiotic resistance. The meeting also continued the discussion from the National Institute of Animal Agriculture’s (NIAA) annual Antibiotics Symposium to examine next steps for states to collect and analyze data and develop metrics. 

Information Scan: Regional Prevention Efforts for Carbapenem-Resistant Enterobacteriaceae
This information scan presents strategies, illustrated by findings, examples, and tips from discussions with five states and a nationwide survey, to help states position coordinated regional CRE prevention efforts and improve healthcare-associated infections programs.

Issue Brief: State Strategies to Address Antimicrobial Resistance - Survey Results
To better understand states' and territories' work on and different approaches to antibiotic resistance and stewardship, ASTHO conducted a survey of healthcare-associated infections (HAI) coordinators in July 2013. This issue brief presents results in the areas of antimicrobial resistance activities, antimicrobial stewardship activities, antimicrobial stewardship policy, incentives and tools, and state examples.

S-FAR webpage
ASTHO is a member of the U.S. Stakeholder Forum on Antimicrobial Resistance (S-FAR), a national stakeholder group on antimicrobial resistance comprised of over 75 national organizations convened by the Infectious Diseases Society of America.

Joint Statement on Antibiotic Resistance with the U.S. Centers for Disease Control and Prevention (CDC) and 25 National Health Organizations
ASTHO was one of 25 national health organizations, along with CDC, to sign on to a joint statement on antibiotic resistance, presented on the November 13, 2012 telebriefing "Uniting To Preserve Antibiotics Effectiveness and Combat Resistance".

Antimicrobial Stewardship

State health agencies are critical in building important partnerships to address antimicrobial resistance and stewardship and in implementing stewardship activities across the continuum of care. ASTHO's report and associated webpages describes current state activities and presents a range of options for engagement, giving health agencies at all levels of capacity opportunities to develop or enhance stewardship policy and activities. Read more »

CDC Vital Signs

CDC’s Vital Signs report "Making Health Care Safer-Stop Spread of Antibiotic Resistance" recommends that public health departments lead coordination efforts to stop the spread of antibiotic resistance. A coordinated approach to stop the spread of antibiotic resistance, which includes health departments tracking antibiotic resistant germs and alerting healthcare facilities, could prevent up to 70 percent of life-threatening CRE infections over five years.

Combating Antibiotic-Resistant Bacteria

The Administration has released a five-year National Strategy and National Action Plan for Combating Antibiotic-Resistant Bacteria, which provide recommendations and activities to prevent and contain AMR outbreaks, maintain efficacy of new and current antibiotics, and employ the next generation of antibiotics.

Related resources:

Legislative Tracking

AMR Legislative Tracking
Real-time state legislative tracking on select issues is available on our website. AMR legislation is available under the Infectious Disease profile.