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Updated: Feb 25, 2026

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
Good Nursing Is Good Antibiotic Stewardship
Rita D Olans1, Richard N Olans, David J Witt
1Rita D. Olans is an assistant professor at the MGH Institute of Health Professions, Boston. Richard N. Olans is cochair of the Antimicrobial Stewardship Committee, Department of Infectious Diseases, Melrose-Wakefield Hospital, Hallmark Health System, Melrose, MA. David J. Witt is chief of the Division of Infectious Diseases at Kaiser Permanente Medical Center, San Rafael, CA, and an associate clinical professor of nursing and assistant clinical professor of medicine at the University of California, San Francisco. The authors acknowledge with gratitude Arjun Srinivasan, MD, FSHEA, for his review of the manuscript. Contact author: Rita D. Olans, . The authors have disclosed no potential conflicts of interest, financial or otherwise.
Antimicrobial stewardship is crucial for combating antibiotic resistance. Nurses play a vital role in responsible antibiotic use, improving patient care and addressing this national health crisis.
Area of Science:
- Infectious Diseases
- Public Health
- Nursing Practice
Background:
- Antibiotic resistance is a growing crisis in the US with severe consequences.
- Antimicrobial stewardship, the responsible use of antibiotics, is key to addressing this issue.
- Nurses are central to antibiotic use but often excluded from stewardship programs.
Purpose of the Study:
- To highlight the essential role of nurses in antimicrobial stewardship programs.
- To review key stewardship activities and their impact on antibiotic use.
- To emphasize the need for integrating nurses into stewardship initiatives.
Main Methods:
- Review of patient examples illustrating stewardship activities.
- Analysis of nurses' daily involvement in antibiotic-related tasks.
- Discussion of how nurses contribute to appropriate antibiotic utilization.
Main Results:
- Nurses are integral to numerous daily antibiotic-related activities.
- Patient examples demonstrate nurses' critical impact on stewardship outcomes.
- Integrating nurses enhances the effectiveness of antimicrobial stewardship.
Conclusions:
- Nurses are essential for successful antimicrobial stewardship programs.
- Responsible antibiotic use requires the active participation of nursing staff.
- Enhanced nurse involvement in stewardship combats antibiotic resistance effectively.
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