About MARR

Antibiotic resistance has been called one of the world’s most pressing public health problems. The number of bacteria resistant to antibiotics has increased in the last decade. The Michigan Antibiotic Resistance Reduction (MARR) Coalition was formed in 1997 through a grant from General Motors Corporation to help reduce unnecessary antibiotic prescribing in Michigan. Since then, we have grown to include a broad coalition of local professional and community organizations, and individuals focused on the issue of unwarranted use of antibiotics in treating self-limiting respiratory ailments, like colds, flu and most coughs. The MARR Coalition is funded by the Centers for Disease Control and Prevention (CDC) Get Smart: Know When Antibiotics Work initiative.

MARR Mission Statement

The Michigan Antibiotic Resistance Reduction (MARR) Coalition seeks to improve antibiotic stewardship through the appropriate use of antimicrobial agents and reduce antimicrobial resistance rates in communities throughout the state of Michigan, nationally and internationally through collaborative efforts of healthcare, academic, community, government, labor, and industry partners.

The MARR Coalition strives to

Provide the infrastructure and resources for positive interventions that support the appropriate use of antibiotics and reduce antibiotic resistance in Michigan, including:

  • Educational interventions designed to change provider-prescribing habits and improve patient communication skills.
  • Consumer educational programs about appropriate antibiotic use.
Reduce antimicrobial resistance in the state of Michigan and share our information nationally. Provide a forum for bringing together stakeholders who share the goal of antimicrobial resistance reduction. Secure accurate data on the antibiotic prescribing habits of health care providers in the outpatient setting. Secure accurate data on consumer use of antibiotics.

Current Special Projects of the MARR Coalition

1. Henry Ford Health System (HFHS) / Regional Outpatient Antibiogram(s) Project

In collaboration with the Henry Ford Medical Management Group (HFMG) treating patients who are in the HFHS managed care plan called “Health Alliance Plan”, MARR is developing and promoting the use of a selective ”Outpatient Antibiograms” booklet for outpatient prescribers. This booklet includes treatment guidelines and recommended use of targeted antimicrobials, whenever possible, based on bacterial infections and susceptibilities from the preceding year in the four disease categories commonly treated in the outpatient setting:

  • Upper respiratory
  • Skin and soft tissue
  • Urinary tract
  • Sexually transmitted diseases
After the “Outpatient Antibiograms” booklet has been used by the HFMG for at least twelve months, MARR plans to issue a template for other hospital laboratories to use for their outpatient regional areas.

2. "High School Biology / Health" Curriculum About Viruses, Bacteria, and Antibiotic Resistance

This project was completed in collaboration between MARR, The State of Oregon “Aware” program, the Michigan Department of Education, the Michigan Department of Community Health, the Kalamazoo Math and Science Center, and many MARR and Aware members and consultants.

Included in the package are two 45 – 60 minute modules along with a complete curriculum package about microbes and antibiotic resistance for high school biology/health classes to be used by science and health high school teachers in Michigan, nationally and globally. The curriculum package also includes: presenter instructional video, student worksheet, teacher resource sheet, pre and posttest, and teacher evaluation. This complete curriculum package is available at no cost on the MARR website.

MARR continues to promote this free curriculum to Michigan teachers. The curriculum has been viewed by at least 30 different states and internationally by several countries including Malaysia, England, India, Canada, Australia and South Africa.

3. "Altitude Media" In-Flight Media Project

Altitude Media, Inc. in Los Angeles, California has worked with the MARR Coalition (with input from the Centers of Disease Control and Prevention (CDC)) to develop two in-flight video spots using copy provided by MARR and stock photos from the CDC and Altitude Media, Inc. to develop a 30-second spot to be shown on all Jet Blue flights during the month of August 2015. Altitude Media, Inc. predicts an August reach of 284,000 flights and 3 million passengers.

Work on a 90-second spot is currently underway to be used on American Airlines and U.S. Airways flights during the months of November and December 2015 with a predicted reach of approximately 165,000 passengers. MARR shares rights to both videos once they are completed. The 30-second video is currently showcased on the home page of the MARR website. The 90-second video will be completed before the end of August.

4. Long Term Care (LTC) Toolkit Update and Guidelines for Establishing Antibiotic Stewardship Programs in LTC and Long Term Actue Care (LTAC) Facilities

MARR developed and disseminated to all Michigan LTC Facilities a LTC Toolkit in 2009 based on the “CDC 12 Steps for Preventing Antimicrobial Resistance Among Long Term Care Residents” released in 2004. The LTC Toolkit has been updated several times and changes are made available on the MARR website. Currently, revisions are taking place in all 12 steps. MARR is focusing on steps 6, 7, and 8 and expanding the information contained in those steps to include guidelines for establishing antimicrobial stewardship programs for LTC and LTAC facilities.

The “Guidelines for Establishing Antibiotic Stewardship Programs for LTC and LTAC Facilities” will be part of the LTC Toolkit but will also be available as a stand-alone compendium once the project is completed. Completion date is anticipated for February 2016.