In-depth assessment of critical access hospital stewardship program adherence to the CDC Core Elements in Iowa and Nebraska

Infect Control Hosp Epidemiol. 2024 Jan;45(1):123-126. doi: 10.1017/ice.2023.179. Epub 2023 Aug 3.


In 21 antimicrobial stewardship programs in critical-access hospitals in Nebraska and Iowa that self-reported nonadherence to a CDC Core Element or Elements, in-depth program assessment and feedback revealed that accountability and education most needed improvement. Recommendations included providing physician and pharmacist training, tracking interventions, and providing education. Program barriers included lack of time and/or personnel and antimicrobial stewardship and/or infectious diseases expertise.

MeSH terms

  • Centers for Disease Control and Prevention, U.S.
  • Communicable Diseases*
  • Hospitals
  • Humans
  • Iowa
  • Nebraska
  • United States