Overview and Evidence to Support Appropriate Antibiotic Use

CDC works to improve antibiotic use in inpatient healthcare settings, such as acute-care facilities, through the implementation of antibiotic stewardship programs designed to ensure that hospitalized patients receive the right antibiotic, at the right dose, at the right time, and for the right duration.

Antimicrobial stewardship interventions have been proven to improve individual patient outcomes, reduce the overall burden of antibiotic resistance, and save healthcare dollars. If everyone — healthcare providers, hospital administrators, policy makers, and patients — works together to employ effective antibiotic stewardship programs, we can improve patient care, more effectively combat antibiotic resistance and ultimately save lives.

  • Antibiotics are a shared resource – and becoming a scarce resource.
  • Thirty to fifty percent of antibiotic use in hospitals is unnecessary or inappropriate.
  • Antibiotic overuse contributes to the growing problems of Clostridium difficile infection and antibiotic resistance in healthcare facilities.
  • Reducing unnecessary antibiotic use can decrease antibiotic resistance, Clostridium difficile infections, and healthcare costs, and improve patient outcomes.
  • Interventions to improve antibiotic use can be implemented in any healthcare setting—from the smallest to the largest.
  • Improving antibiotic use is a medication-safety and patient safety issue.

There is a plethora of evidence to support the case for antibiotic stewardship interventions. Here are a few that highlight impact on costs, reduction of Clostridium difficile infections, use, and more.

Vital Signs: Improving Antibiotic Use Among Hospitalized Patients
PDF version pdf icon[PDF – 357 KB]

Vital Signs Technical Appendix:
Estimating the Potential Reductions in Clostridium difficile Infection (CDI) among Patients when Antibiotic Use is Improved.

All of the following graphics are provided as a digital image (.jpg or .png formats) at a resolution that is acceptable for electronic and office print use.

The map shows the percentage of antibiotic stewardship programs in US hospitals by state. Antibiotic stewardship programs ensure patients get the right antibiotics at the right time for the right duration.

 

View outpatient antibiotic prescription data from IQVIA data and U.S. Census files in an interactive database, CDC’s Antibiotic Resistance & Patient Safety Portal.

 Antibiotic Resistance Patient Safety Atlas Clickable Logo


2019
Core Elements of Hospital Antibiotic Stewardship Programs by State, 2019

 

 

 

Percent of Hospitals with Antibiotic Stewardship Programs by State, 2019image icon (300 dpi resolution)

 

2018
Core Elements of Hospital Antibiotic Stewardship Programs by State, 2018

 

 

 

Percent of Hospitals with Antibiotic Stewardship Programs by State, 2018image icon (300 dpi resolution)

2017
Core Elements of Hospital Antibiotic Stewardship Programs by State, 2017 Map

 

 

 

Percent of Hospitals with Antibiotic Stewardship Programs by State, 2017image icon (300 dpi resolution)

 

2016
Percent of Hospitals with Antibiotic Stewardship Programs by State, 2014 - thumbnail

 

 

 

Percent of Hospitals with Antibiotic Stewardship Programs by State, 2016image icon (300 dpi resolution)

 

2015

Audience: General public and healthcare professionals

Percent of Hospitals with Antibiotic Stewardship Programs by State, 2015 - thumbnail

 

 

 

Percent of Hospitals with Antibiotic Stewardship Programs by State, 2015image icon(300 dpi resolution)

Percent of Hospitals with Antibiotic Stewardship Programs by State, 2015* - thumbnail

 

 

 

Percent of Hospitals with Antibiotic Stewardship Programs by State, 2015 with state dataimage icon(300 dpi resolution)


2014
Percent of Hospitals with Antibiotic Stewardship Programs by State, 2014 - thumbnail

 

 

 

Percent of Hospitals with Antibiotic Stewardship Programs by State, 2014image icon (300 dpi resolution)