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Antimicrobial Stewardship: The View From California

Goldstein, Ellie J.C. MD*; Trivedi, Kavita K. MD

Infectious Diseases in Clinical Practice: July 2012 - Volume 20 - Issue 4 - p 294–296
doi: 10.1097/IPC.0b013e318256bd8a
ID Clinical Corner

Abstract: The passage of California Senate Bill 739 in 2006 created a mandate for the Healthcare-Associated Infections Program at the California Department of Public Health to conduct healthcare-associated infections surveillance, prevention, and annual reporting in all general acute care hospitals as well as mandatory public reporting of specific process measures. Specific wording requires “that general acute care hospitals develop a process for evaluating the judicious use of antibiotics, the results of which shall be monitored jointly by appropriate representatives and committees involved in quality improvement activities.” This makes California the first and still only state in the United States to enact such antimicrobial stewardship program legislation. This article discusses the available up-to-date specifics of this legislation allowing one to speculate that mandatory hospital-based antimicrobial stewardship programs may be on the horizon across the entire United States.

From the *Infection Control, Kindred Hospital–Los Angeles, Los Angeles, CA; R M Alden Research Laboratory, Santa Monica, CA; The David Geffen School of Medicine at UCLA, Los Angeles, CA and †Healthcare Associated Infections Program, Center for Health Care Quality, California Department of Public Health, Richmond, CA.

Correspondence to: Kavita K. Trivedi, MD, Healthcare Associated Infections Program, Center for Health Care Quality, California Department of Public Health, 850 Marina Bay Parkway, Richmond, CA 94804-6403. E-mail: ktrivedi@cdph.ca.gov.

The authors have no funding or conflicts of interest to disclose.

© 2012 Lippincott Williams & Wilkins, Inc.