New Resource to Help Small Hospitals Improve Antibiotic Use

Guide for tailoring stewardship efforts to meet local needs

New Resource to Help Small Hospitals Improve Antibiotic Use
Hospital corridor


As part of an ongoing collaboration to improve the stewardship of lifesaving antibiotics in the U.S., Pew and the Centers for Disease Control and Prevention, together with the American Hospital Association and Federal Office of Rural Health Policy, have developed a guide to help small and critical access hospitals reduce the risk of antibiotic resistance and improve patient care. Created with input from staff at such facilities—which often serve remote and rural communities across the U.S.—the guide provides practical strategies for implementation of effective antibiotic stewardship programs, even with limited personnel and resources.

Antibiotic stewardship programs have proved to be effective in reducing the rates of antibiotic resistance, improving patient outcomes, and saving money. And they are just as important in small and critical access hospitals as they are in large health care centers, particularly because a significant portion of U.S. health care takes place in small facilities. In 2015, 73 percent of U.S. hospitals (4,057 facilities) had fewer than 200 beds, and 10 percent had fewer than 25.

Recognizing that there is no one-size-fits-all approach to antibiotic stewardship, the guide offers a range of implementation options, plus the flexibility to tailor efforts around local needs. It aims to help small and critical access hospitals be creative in overcoming the unique challenges they face in implementing antibiotic stewardship programs moving forward. 

See the implementation guide here.

David Hyun, M.D., works on The Pew Charitable Trusts’ antibiotic resistance project.

Spotlight on Mental Health

Composite image of modern city network communication concept

Learn the Basics of Broadband from Our Limited Series

Sign up for our four-week email course on Broadband Basics

Quick View

How does broadband internet reach our homes, phones, and tablets? What kind of infrastructure connects us all together? What are the major barriers to broadband access for American communities?

What Is Antibiotic Resistance—and How Can We Fight It?

Sign up for our four-week email series The Race Against Resistance.

Quick View

Antibiotic-resistant bacteria, also known as “superbugs,” are a major threat to modern medicine. But how does resistance work, and what can we do to slow the spread? Read personal stories, expert accounts, and more for the answers to those questions in our four-week email series: Slowing Superbugs.

Explore Pew’s new and improved
Fiscal 50 interactive

Your state's stats are more accessible than ever with our new and improved Fiscal 50 interactive:

  • Maps, trends, and customizable charts
  • 50-state rankings
  • Analysis of what it all means
  • Shareable graphics and downloadable data
  • Proven fiscal policy strategies


Welcome to the new Fiscal 50

Key changes include:

  • State pages that help you keep track of trends in your home state and provide national and regional context.
  • Interactive indicator pages with highly customizable and shareable data visualizations.
  • A Budget Threads feature that offers Pew’s read on the latest state fiscal news.

Learn more about the new and improved Fiscal 50.