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Abstract
The scope of antimicrobial stewardship programs has expanded beyond the acute hospital setting. The need to optimize antimicrobial use in emergency departments, urgent, primary, and specialty care clinics, nursing homes, and long-term care facilities prompted the development of core elements of stewardship programs in these settings. Identifying the most innovative and well-designed stewardship literature in these novel stewardship areas can be challenging. The Southeastern Research Group Endeavor (SERGE-45) network evaluated antimicrobial stewardship–related, peer-reviewed literature published in 2021 that detailed actionable interventions specific to the nonhospital setting. The top 13 publications were summarized following identification using a modified Delphi technique. This article highlights the selected interventions and may serve as a key resource for expansion of antimicrobial stewardship programs beyond the acute hospital setting.
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1 Department of Pharmacy, Emory University Hospital , Atlanta, Georgia , USA
2 Department of Pharmacy, UNC Medical Center , Chapel Hill, North Carolina , USA
3 Department of Pharmacy Practice, Palm Beach Atlantic University Gregory School of Pharmacy , West Palm Beach, Florida , USA
4 Department of Pharmacy, Duke University Hospital , Durham, North Carolina , USA
5 Department of Pharmacy Practice, University of Mississippi School of Pharmacy , Jackson, Mississippi , USA
6 Department of Pharmacy, UAB Hospital , Birmingham, Alabama , USA
7 Department of Pharmacy, East Alabama Health , Opelika, Alabama , USA
8 Department of Pharmacy Practice, Auburn University Harrison College of Pharmacy , Auburn, Alabama , USA
9 Infectious Diseases and Vaccines – US Medical Affairs, Janssen Pharmaceuticals of Johnson & Johnson , Titusville, New Jersey , USA
10 Department of Pharmacy, Novant Health Corporate Pharmacy , Charlotte, North Carolina , USA
11 Department of Pharmacy, Kaiser Permanente , Atlanta, Georgia , USA
12 Department of Pharmacy, Cone Health , Greensboro, North Carolina , USA
13 Department of Pharmacy, Prisma Health Richland , Columbia, South Carolina , USA
14 Department of Pharmacy, University of South Carolina College of Pharmacy , Columbia, South Carolina , USA
15 Clinical and Administrative Pharmacy, University of Georgia College of Pharmacy , Savannah, Georgia , USA