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The life cycle of infection prevention and antimicrobial stewardship projects and interventions: the dynamic interplay of implementation and de-implementation science (Part I of II).

Branch-Elliman W, Chambers DA, Albin O, Batshon L, Castejon-Ramirez S, Cheng VC, Emetuche N, Datta R, Kamboj M, Krein SL, Staub M, Dassum SR, Rittmann B, Huang FS, Sreeramoju P, Stroever S, Suleyman G, Ting JY, Witt LS, Ziegler MJ, Kwon JH. The life cycle of infection prevention and antimicrobial stewardship projects and interventions: the dynamic interplay of implementation and de-implementation science (Part I of II). Infection control and hospital epidemiology. 2025 Sep 10; 1-12, DOI: 10.1017/ice.2025.75.

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Abstract:

In Antimicrobial Stewardship and Infection Prevention and Control, programmatic goals often strive to achieve clinical benefit by practice change in the direction of doing less. Practically, this may include reducing the number of tests ordered, encouraging shorter and more narrow courses of antimicrobials, or discontinuing practices that are no longer contextually appropriate. Because promoting practice change in the direction of doing less is a critical aspect of day-to-day operations in Antimicrobial Stewardship and Infection Prevention and Control, the goals of this Research Committee White Paper are to provide a roadmap and framework for leveraging principles of implementation and de-implementation science in day-to-day practice. Part II of this series focuses on some practical case studies, including real-world examples of applied de-implementation science to promote discontinuation of practices that are ineffective, overused, or no longer effective.




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