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Each year, CASP implements strategies to optimize antimicrobial therapies for patients who need them. Core strategies (1-4 below) are carried out every year as foundational to UNCMC’s antimicrobial stewardship program; special focus strategies (5-12 below) are projects led by CASP pharmacists, physicians, and partners to respond to opportunities for quality improvement based on hospital data and trends. The Carolina Antimicrobial Stewardship Program released its stewardship priorities for fiscal year 2023:



1. Conduct prospective audit and feedback on antibiotic use
2. Participate in the CDC National Healthcare Surveillance Network’s Antibiotic Use module
3. Collaborate with the Stop Healthcare-associated Infections in Every Patient (SHINE) Initiative
4. Carry out antimicrobial stewardship education and training




laptop keyboard with a button called "strategies"


5.  Implement, expand, and monitor penicillin allergy assessments to improve the accuracy of allergy documentation
6.  Expand outpatient stewardship and optimize outpatient antimicrobial data dashboard to enhance monitoring
7.  Partner with Emergency Medicine to identify opportunities to optimize antimicrobial use
8.  Optimize processes of ordering, dispensing, and delivery of perioperative antibiotics in the Children’s Hospital Operating Room to prevent surgical site infections
9.  Enhance pediatric healthcare-associated pneumonia and ventilator-associated pneumonia diagnostic stewardship
10. Develop, implement, and monitor guideline for pediatric febrile neutropenia
11. Develop and promote guidance for pediatric empiric antibiotic selection
12. Enhance diagnostic stewardship for adult urinary tract infections

Photo credit: Nick Youngson CC BY-SA 3.0