Smart Antibiotic Use for a Healthy Community
Antibiotics are some of our best weapons against bacteria. Antibiotics can save lives if used properly against a serious bacterial infection.
There’s a problem, though. Whenever antibiotics are used, bacteria learn to be resistant to them. When the bacteria become resistant, antibiotics will no longer work. These drug-resistant bacteria grow and multiply and cause new infections that are even harder to treat.
These infections can spread to other people. In the United States, there are more than 2.8 million drug-resistant infections every year. Every year, 35,000 people die from these infections.
Antibiotics also come with side effects including diarrhea, nausea, rash, and yeast infections. More serious side effects can include severe and life-threatening allergic reactions, or Clostridiodes difficile diarrhea infections (“C. diff”).
We want antibiotics to work against bacteria for a long time to come. To make this happen, we need to use antibiotics only when they are really needed.
There are many conditions where antibiotics are just not helpful. They won’t make you feel better any quicker or prevent you from getting worse. The risk of harm from the side effects of antibiotics is not worth it to you in these cases.
Here are some infections where antibiotics will not help:
- Viruses
- COVID-19
- Colds
- Flu
- Bronchitis
- Runny noses – even if mucus is thick, yellow, or green
- Many sinus infections (your doctor will help determine)
- Some ear infections (your doctor will help determine)
Talk to your doctor if you have concerns about any of the above conditions. Saying “no” to antibiotics when they are not needed keeps you safe and keeps drug-resistant bacteria under control.
Mission, Vision, and Goals
The mission of the Antimicrobial Stewardship Program at Lee Health: Creating excellence in infectious diseases care by optimizing antimicrobial therapy at every opportunity. This coincides with our Vision, which is to promote the safe and appropriate use of antimicrobials, improve patient outcomes, reduce microbial resistance and mitigate the spread of infections.
The objectives of the Antimicrobial Stewardship Program align with Lee Health Core Values and Strategic Pillars of Lee Health, including Exceptional Experience, Excellent Health Outcomes, Coordinated Care Model, and Strong Financial Results.
Program Leaders

Mary Beth Saunders, DO, MPH
System Medical Director Epidemiology/Infection Prevention
Antimicrobial Stewardship

Leigh Sweet, MD, MPH, MEd
Pediatric Infectious Diseases Physician, Antimicrobial Stewardship Co-Leader
Golisano Children’s Hospital of Southwest Florida - Lee Health

Liz Chandler, Pharm.D., BCIDP
Pharmacy Clinical Specialist - Infectious Diseases, Gulf Coast Medical Center
PGY-2 Infectious Diseases Residency Director
Co-Chair, System Antimicrobial Stewardship Committee
Lee Health Pharmacy Services

Joy Uzoma, Pharm.D., BCIDP
Pharmacy Clinical Specialist - Infectious Diseases, HealthPark Medical Center
Co-Chair, Community Antimicrobial Stewardship Committee
Lee Health Pharmacy Services

Manuel Escobar, Pharm.D., BCIDP
Pharmacy Clinical Specialist - Infectious Diseases, Lee Memorial Hospital
Lee Health Pharmacy Services

Catherine “Katie” Guglielmo, Pharm.D., BCPS, CPh
Pharmacy Clinical Specialist - Infectious Diseases, Internal Medicine, Cape Coral Hospital
Lee Health Pharmacy Services

Kymberly Buzzeo, Pharm.D., MBA, BCPPS
Pediatric Pharmacy Clinical Specialist -l Infectious Diseases, General Pediatrics, Golisano Children’s Hospital of Southwest Florida
Lee Health Pharmacy Services

Jacqueline Aramburo, Pharm.D.
PGY-2 Infectious Diseases Pharmacy Resident
Lee Health Pharmacy Services
Lee Health Resources
Coronavirus Resources
Vaccination Resources
- CDC Advisory Committee on Immunization Practices (ACIP)
- CDC Vaccines & Immunizations
- Immunization Action Coalition
CDC Antibiotic Awareness
Additional Resources
Vaccination Resources
CDC Advisory Committee on Immunization Practices (ACIP)