Public Health Approaches to Measuring Antibiotic Use and Implementing Antibiotic Stewardship in Nursing Homes

Recorded: Wednesday, July 18, 2018

Speakers: Christopher A. Czaja, MD MPH; Nato Tarkhashvili, MD

The topics of antibiotic stewardship and antibiotic use are ongoing in the long-term care facility community.  This webinar will explore different approaches to these topics that are taking place in facilities in two different states.   


Antibiotic stewardship is an issue of public health importance and a requirement of the Centers for Medicare and Medicaid Services. This program will address approaches to antibiotic stewardship in nursing homes using the Core Elements of Antibiotic Stewardship. The speakers will also raise awareness and describe the judicious use of antibiotics in LTC facilities.

Dr. Czaja will cover the importance of, opportunities for, and approach to antibiotic stewardship in nursing homes using examples from his work in Colorado.

Dr. Tarkhashvili will define the magnitude of antibiotic use in South Dakota LTC facilities by providing insight on its use for urinary tract and upper respiratory tract infections. He will also describe the most commonly used antibiotics in the LTC setting and review their usage rates and trends.

Learning Objectives:

  • Identify reasons why antibiotic stewardship is important in nursing homes and list the seven Core Elements of Antibiotic Stewardship in nursing homes.
  • Identify systematic approaches to improving antimicrobial use in nursing homes.
  • Explain the need to measure antibiotic consumption in this population.
  • Describe the South Dakota Department of Health’s approach to measuring and reducing antibiotic consumption in LTC facilities.

Credit Information:

1.5 AMA PRA Category 1 CreditsTM, 1.5 CMD management

Speaker Biography:

Christopher A. Czaja, MD, MPH, is the antimicrobial stewardship medical epidemiologist in the Healthcare Associated Infections (HAI) Program at the Colorado Department of Public Health and Environment (CDPHE). He completed medical school and internal medicine residency at the University of Pennsylvania, infectious diseases fellowship and a MPH at the University of Washington, and a preventive medicine residency at the University of Colorado. Currently, he guides the state public health approach to antimicrobial stewardship across the spectrum of health care.

Nato Tarkhashvili, MD, is a antimicrobial resistance expert working with healthcare-associated infections program at SD Department of Health. Prior to that she served as a CDC Career Epidemiology Field Officer assigned to the South Dakota Department of Health. She is a graduate of Tbilisi State Medical University (Republic of Georgia, Tbilisi). In 2004, Nato joined the Epidemic Intelligence Service program at CDC for a 2 year fellowship where she received a wide range of experience while working on infectious as well as chronic diseases.  Her current interests include antimicrobial stewardship, pharmacoepidemiology of antibiotics, and epidemiology of infectious diseases.

Speaker Disclosures: All members of the education and online education committees have no financial relationships to disclose. The speakers have no financial relationships to disclose.