Download or read book Antimicrobial Stewardship in Non Traditional Settings written by Shira Doron and published by Springer Nature. This book was released on 2023-03-01 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: The evolution of Antimicrobial Resistance is outpacing the ability to create novel antibiotics, which is proving to be a global problem in the fact of climate change, population growth, demographic shifts toward aging populations, emerging infections, and other crises. Therefore, clinicians are forced to use the existing antimicrobials more responsibly to preserve their longevity for generations to come. In a parallel vein, there has been a recent regulatory acknowledgement of the importance of prudent antimicrobial prescribing, mandating the implementation of Antimicrobial Stewardship across all healthcare settings. This is harder to manage in a non-traditional setting, which include long-term care facilities, outpatient care clinics, urgent care centers, and others. Given the trends in patient care in these settings—particularly where the aging community is concerned—this is proving to be a growing problem. This is troublesome even for spaces that have university and large hospital affiliations. There is a plethora of data describing the implementation and outcomes of Antimicrobial Stewardship Programs in acute-care hospitals with open-access, evidence-based guidelines endorsed by the Infectious Diseases Society of America. However, non-traditional settings often find themselves struggling to implement the same practices and procedures due to their unique needs and limited resources. There may be variability in access to resources, applicability, and patient-type. This book seeks to inform those in non-traditional healthcare settings on the principles, practice, and outcomes of Antimicrobial Stewardship Programs to improve patient care across all settings. The text begins by unpacking Antimicrobial Stewardship in nontraditional settings then covers specific environments, including long-term care facilities, outpatient clinics, and emergency departments. The text also covers special topics, including veterinary medicine, HIV, oncology, and immunocompromised patients, pediatrics, neonates, transplant, and critical care patients.
Download or read book Collaborative Antimicrobial Stewardship An Issue of Infectious Disease Clinics of North America written by Shaefer Spires and published by Elsevier Health Sciences. This book was released on 2020-02-04 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Together with Consulting Editor Dr. Helen Boucher, Drs. Elizabeth Dodds-Ashley and S. Schaefer Spires have put together a unique issue that discusses collaborative antimicrobial stewardship. Expert authors have contributed clinical review articles on the following topics: Collaborative Antimicrobial Stewardship for Hospitalists; Collaborative Antimicrobial Stewardship in Microbiology; Collaborative Antimicrobial Stewardship in Nursing; Infection Prevention in Collaborative Antimicrobial Stewardship; Collaborative Antimicrobial Stewardship in the Health Department; Collaborative Antimicrobial Stewardship in Primary Care; Collaborative Antimicrobial Stewardship in Health System Administration; Collaborative Antimicrobial Stewardship for Surgeons; Collaborative Antimicrobial Stewardship in the Emergency Department; and Collaborative Antimicrobial Stewardship in Long-Term Care Facilities. Readers will come away with the information they need to collaborate across disciplines to improve the incidence of antibiotic resistance in their healthcare settings.
Download or read book Combating Antimicrobial Resistance and Protecting the Miracle of Modern Medicine written by National Academies Of Sciences Engineeri and published by National Academies Press. This book was released on 2022-07-20 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The National Strategy for Combating Antibiotic Resistant Bacteria, published in 2014, sets out a plan for government work to mitigate the emergence and spread of resistant bacteria. Direction on the implementation of this strategy is provided in five-year national action plans, the first covering 2015 to 2020, and the second covering 2020 to 2025. Combating Antimicrobial Resistance and Protecting the Miracle of Modern Medicine evaluates progress made against the national strategy. This report discusses ways to improve detection of resistant infections and estimate the risk to human health from environmental sources of resistance. In addition, the report considers the effect of agricultural practices on human and animal health and animal welfare and ways these practices could be improved, and advises on key drugs and diseases for which animal-specific test breakpoints are needed.
Download or read book Practical Implementation of an Antibiotic Stewardship Program written by Tamar F. Barlam and published by Cambridge University Press. This book was released on 2018-04-26 with total page 343 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical reference guide from experts in the field details why and how to establish successful antibiotic stewardship programs.
Download or read book Antimicrobial Stewardship written by Céline Pulcini and published by Academic Press. This book was released on 2017-04-05 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: Antimicrobial Stewardship (AMS), Volume Two includes the experience of ESGAP workshops and courses on antibiotic stewardship since 2012. It combines clinical and laboratory information about AMS, with a focus on human medicine. The ESCMID study group on antibiotic policies (ESGAP) is one of the most productive groups in the field, organizing courses and workshops. This book is an ideal tool for the participants of these workshops. With short chapters (around 1500 words) written on different topics, the authors insisted on the following points: A ‘hands on’, practical approach, tips to increase success, a description of the most common mistakes, a global picture (out- and inpatient settings, all countries) and a short list of 10-20 landmark references. Focuses on the most recent antimicrobial stewardship strategies Provides a detailed description of laboratory support Offers a balanced synthesis of basic and clinical sciences for each individual case, presenting clinical courses of the cases in parallel with the pathogenesis and detailed microbiological information for each infection Describes the prevalence and incidence of the global issues and current therapeutic approaches Presents the measures for infection control
Download or read book Non traditional Approaches to Combat Antimicrobial Drug Resistance written by Mohmmad Younus Wani and published by Springer Nature. This book was released on 2023-02-13 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a detailed overview of the progress and challenges of non-traditional approaches for tackling antimicrobial resistance. The first chapter covers the factors that make microbes more likely to develop multidrug resistance. The book goes on to discuss the antimicrobial properties of propolis, essential oils and other microbial constituents that are used or under investigation to treat multidrug-resistant infections. Additionally, it covers alternative compounds that work as antimicrobial agents, their mechanisms of action, and how they might be utilized in conjunction with conventional drugs to circumvent drug resistance. The book explores the application of phage therapy and recent advancements in phage-based infection control with an emphasis on multidrug-resistant infections and discusses drug repurposing as a strategy to develop new antimicrobial agents efficiently and expeditiously. Additionally, it discusses the uses of nanoparticles in the treatment of infections brought on by multidrug-resistant pathogens and examines the use of different nanotechnology-based approaches to fudge microbial resistance mechanisms. It concludes by reviewing recent studies on microbial quorum-sensing systems and focuses on the significance of quorum-sensing systems in controlling microbial resistance mechanisms and at the same time highlights the importance and role of antimicrobial stewardship program to fight microbial infections. The book is an invaluable source of knowledge and information for academics, basic and clinical researchers, clinicians, and paramedic staff involved in one way or the other in the development and use of antimicrobial agents and strategies to combat multidrug resistance.
Download or read book Antimicrobial Stewardship An Issue of Medical Clinics of North America written by Cheston B. Cunha and published by Elsevier Health Sciences. This book was released on 2018-08-29 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Medical Clinics, guest edited by Dr. Cheston B. Cunha, is devoted to Antimicrobial Stewardship. Articles in this issue include: Principles of Antimicrobial Stewardship; Antibiotic Resistance in Stewardship; Therapy of Resistant Organisms: A Stewardship Approach; Optimal Antibiotic Dosing Strategies; The Importance of Interdisciplinary Collaboration in Antimicrobial Stewardship; Role of Education in Antimicrobial Stewardship; Role of the Hospital Epidemiologist in Antimicrobial Stewardship; Role of the Clinical Microbiology Laboratory in Antimicrobial Stewardship; Role of New and Rapid Diagnostics In Antimicrobial Stewardship; Antimicrobial Stewardship in the Community Hospital; Antimicrobial Stewardship in Long-Term Care Facilities; Role of the Pharmacist in Antimicrobial Stewardship; Pharmacoeconomic Considerations of Antimicrobial Stewardship Programs; Principles of IV-to-PO Switch and PO therapy; Role of Technology in Antimicrobial Stewardship; and Metrics of Antimicrobial Stewardship Programs.
Download or read book Antimicrobial Stewardship An Issue of Infectious Disease Clinics written by Pranita Tamma and published by Elsevier Health Sciences. This book was released on 2014-06-28 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Infectious Disease Clinics, edited by Sara Cosgrove, MD, Pranita Tamma, MD, and Arjun Srinvasan, MD, is devoted to Infection Prevention and Stewardship. Articles in this issue include Behavior Issues in Antimicrobial Stewardship; Research Methods and Measurement Approaches for Analyzing the Impact of Antimicrobial Stewardship Programs; The Role of the Microbiology Laboratory in Antimicrobial Stewardship; Antimicrobial Stewardship in Long Term Care Facilities; Antimicrobial Stewardship in the NICU; Antimicrobial Stewardship in Immuno-compromised Populations; Antimicrobial Stewardship in Community Hospitals/Lower Resources Settings; Antimicrobial Stewardship in the Outpatient Setting; Informatics and Antimicrobial Stewardship; Antimicrobial Stewardship Interventions; and Teaching and Education in Antimicrobial Stewardship.
Download or read book Collaborative Antimicrobial Stewardship an Issue of Infectious Disease Clinics of North America written by Shaefer Spires and published by Elsevier. This book was released on 2020-03-28 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Together with Consulting Editor Dr. Helen Boucher, Drs. Elizabeth Dodds-Ashley and S. Schaefer Spires have put together a unique issue that discusses collaborative antimicrobial stewardship.? Expert authors have contributed clinical review articles on the following topics: Collaborative Antimicrobial Stewardship for Hospitalists; Collaborative Antimicrobial Stewardship in Microbiology; Collaborative Antimicrobial Stewardship in Nursing; Infection Prevention in Collaborative Antimicrobial Stewardship; Collaborative Antimicrobial Stewardship in the Health Department; Collaborative Antimicrobial Stewardship in Primary Care; Collaborative Antimicrobial Stewardship in Health System Administration; Collaborative Antimicrobial Stewardship for Surgeons; Collaborative Antimicrobial Stewardship in the Emergency Department;? and Collaborative Antimicrobial Stewardship in Long-Term Care Facilities. Readers will come away with the information they need to collaborate across disciplines to improve the incidence of antibiotic resistance in their healthcare settings.
Download or read book Antimicrobial Stewardship written by Matthew Laundy and published by Oxford University Press. This book was released on 2016 with total page 177 pages. Available in PDF, EPUB and Kindle. Book excerpt: Antibiotic resistance threatens the effective prevention and treatment of infections. Antimicrobial Stewardship provides a practical guide on this growing area, supported by the review of the available evidence, including example case studies.
Download or read book Antimicrobial Use and Multidrug resistant Organisms in Community based Healthcare Settings Optimising Infection Control and Antimicrobial Stewardship written by Ching Jou Lim and published by . This book was released on 2014 with total page 662 pages. Available in PDF, EPUB and Kindle. Book excerpt: The emergence of multidrug-resistant (MDR) organisms in the community poses significant threat and burden to community-based healthcare. As the development pipeline of new antibiotics continues to diminish, measures to contain the rising trend of MDR organisms have increasingly relied on effective infection control and antimicrobial stewardship (AMS) strategies. However, these strategies are generally less developed in the community in comparison to the hospital setting. Fundamentally, surveillance activities to monitor the magnitude of infections, antibiotic use and MDR organisms will be crucial to guide timely infection control interventions in high-risk community-based healthcare settings. Two major community-based healthcare settings [residential aged care facilities (RACFs) and emergency departments (EDs)] have been targeted for further research, given their potential as a "reservoir and gateway" for MDR organism transmission into hospitals or other healthcare institutions. To date, a systematic surveillance system for tracking infection rates in Australian RACFs remains to be established. Furthermore, data describing the burden of healthcare-associated infections (HCAIs) and antibiotic use in the Australian RACF setting is limited. A retrospective observational study was initiated to explore the longitudinal trend of infection burden in four co-located Australian RACFs. The average yearly incidence of HCAIs in these facilities (4.16 episodes/1000 occupied bed-days) was found to be comparable to the rates reported in RACFs abroad. However, routine infection surveillance in the absence of more proactive intervention did not result in noticeable reduction of infection burden over time. Importantly, several areas where antibiotic use was likely to be inappropriate have been identified, and up to 37% of antibiotic use was for presumed episodes of infections not meeting the McGeer criteria for symptomatic infections.Evidence from overseas has suggested that residents in RACFs are an important reservoir for transmission of MDR organisms in the community; however, such data are lacking in Australia. The frequent patient transfer between RACFs and acute-care hospitals, and the complexity of their healthcare needs render this population at high-risk for MDR organism transmission. Accordingly, an active surveillance was conducted to explore the carriage of three major groups of MDR organisms in the aforementioned RACFs. The study has revealed significant carriage of various MDR organisms, with 36% of residents carrying at least one type of MDR organisms. Higher prevalence of MDR Gram-negative bacilli (GNB, 21%) colonisation relative to methicillin-resistant Staphylococcus aureus (MRSA, 16%) and vancomycin-resistant enterococci (VRE, 6%) have been shown, proposing that existing infection control strategies that have focused primarily on the containment of MRSA and VRE may need to be modified. Furthermore, these MDR GNB strains were found to have strong clonal relatedness, suggesting the possibility of person-to-person transmission of these organisms within and between RACFs. Specific risk factors for MRSA and MDR GNB colonisation, which may facilitate targeted management of high-risk residents, in particular community-based drivers such as advanced dementia [adjusted odd ratio (AOR) 3.5 [1.2 - 10.2], P=0.02] and prior fluoroquinolone use [AOR 4.3 (1.2 - 15.3), P=0.025], were also identified.The high burden of antibiotic use and MDR organism colonisation among this vulnerable population (as shown in the aforementioned studies) highlights the important role of AMS in the RACF setting. Unfortunately, AMS activities in the RACF setting are substantially behind those in acute-care hospitals. Adopting a comprehensive model of the hospital-based AMS programs into the RACF setting with minimal medical resources is unrealistic. Consequently, the views of general practitioners, executive nurses, nurse unit managers, registered nurses and pharmacists servicing RACFs affiliated with four major public healthcare services within Victoria were explored to understand their perceptions towards AMS interventions in the RACF setting. Using qualitative and observational methods, significant gaps in the RACF organisational workflow and culture in relation to antibiotic prescribing practices were observed, highlighting the unique challenges for the implementation of an AMS program in this setting. Knowledge gaps, especially among nursing staff, in relation to issues of antibiotic over-prescribing and antibiotic resistance were noted. Importantly, the notion of AMS interventions was deemed useful and supported by all key stakeholder groups. This study has identified modifiable factors that will assist resource allocation for potential areas of AMS intervention. The information gathered about the feasibility, barriers and facilitators of various AMS interventions will be useful to guide the development of a feasible model of AMS intervention specifically for the Australian RACFs.ED is another community-based healthcare setting, where surveillance of MDR organisms and identification of high-risk patients (e.g. RACF population) are critical, particularly in severe infections such as bloodstream infections (BSIs). Therefore, a ten-year longitudinal trend, risk factors and clinical outcomes for community-onset (CO) BSI associated with MDR organisms in an Australian ED were studied. Whilst MRSA bacteraemia remained at high levels (20% - 30%) over ten years, the proportion of MDR Escherichia coli causing COBSI was found to be increasing from 9% - 26% (P
Download or read book Antimicrobial Stewardship Programs in Inpatient Settings written by Gregory Filice and published by . This book was released on 2013 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is estimated that in 2009, more than 3 million kilograms of antimicrobials were administered to human patients in the United States. While the life-saving benefits of antimicrobials are indisputable, the consequences of use and misuse must also be considered. Major concerns related to the use of antimicrobials are increasing resistance, higher incidence of Clostridium difficile (C. difficile) infection (CDI) and increased healthcare costs (including costs related to adverse events associated with antimicrobial use). While much of the discussion focuses on overuse, there is also evidence of adverse outcomes associated with inadequate antimicrobial therapy. Antimicrobial stewardship programs (ASPs) are a focused effort by a health care system, a hospital, or a portion of a hospital (e.g., an intensive care unit) to optimize the use of antimicrobial agents. The goals of an ASP are to improve patient outcomes, reduce adverse consequences, reduce or prevent an increase in antimicrobial resistance, and deliver cost-effective therapy. The emphasis is on appropriate selection, dosing, route, and duration of antimicrobial therapy. The purpose of this review is to synthesize the evidence about the effectiveness of antimicrobial stewardship programs implemented in hospital settings. We focus on ASPs including one or more of the following components: prospective audit and feedback, formulary restriction, pre-authorization of prescriptions, guidelines for prescribing and/or modifying therapy, computerized decision support, or laboratory testing. The topic was nominated by Matthew Goetz, MD, Chief, Infectious Diseases, VA Greater Los Angeles Healthcare System, on behalf of the VA Antimicrobial Stewardship Task Force, and is intended to provide a summary of the evidence on inpatient antimicrobial stewardship programs to guide clinical practice and policy within the Veterans Healthcare System.
Download or read book Practical Implementation of an Antibiotic Stewardship Program written by Tamar F. Barlam and published by Cambridge University Press. This book was released on 2018-04-26 with total page 343 pages. Available in PDF, EPUB and Kindle. Book excerpt: Practical Implementation of an Antibiotic Stewardship Program provides an essential resource for healthcare providers in acute care, long-term care, and ambulatory care settings looking either to begin or to strengthen existing antibiotic stewardship programs. Each chapter is written by both physician and pharmacist leaders in the stewardship field and incorporates both practical knowledge as well as evidence-based guidance. This book will also serve as a useful resource for medical students, pharmacy students, residents, and infectious diseases fellows looking to learn more about the field of antibiotic stewardship.
Download or read book Antimicrobial Stewardship written by Kerry LaPlante and published by CABI. This book was released on 2016-12-23 with total page 451 pages. Available in PDF, EPUB and Kindle. Book excerpt: In an age where antimicrobial resistance amongst pathogens grows more prevalent, particularly in the hospital setting, antimicrobial stewardship is an evidence-based, proven measure in the battle against resistance and infection. This single comprehensive, definitive reference work is written by an international team of acknowledged experts in the field. The authors explore the effective use of coordinated antimicrobial interventions to change prescribing practice and help slow the emergence of antimicrobial resistance, ensuring that antimicrobials remain an effective treatment for infection. Amongst the first of its kind, this book provides infectious disease physicians, administrators, laboratory, pharmacy, nursing and medical staff with practical guidance in setting up antimicrobial stewardship programs in their institutions with the aim of selecting the optimal antimicrobial drug regimen, dose, duration of therapy, and route of administration.
Download or read book Applied Thematic Analysis written by Greg Guest and published by SAGE. This book was released on 2012 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides step-by-step instructions on how to analyze text generated from in-depth interviews and focus groups, relating predominantly to applied qualitative studies. The book covers all aspects of the qualitative data analysis process, employing a phenomenological approach which has a primary aim of describing the experiences and perceptions of research participants. Similar to Grounded Theory, the authors' approach is inductive, content-driven, and searches for themes within textual data.
Download or read book 21st Century Challenges in Antimicrobial Therapy and Stewardship written by Islam M. Ghazi and published by Bentham Science Publishers. This book was released on 2020-11-19 with total page 493 pages. Available in PDF, EPUB and Kindle. Book excerpt: 21st Century Challenges in Antimicrobial Therapy and Stewardship addresses selected topics that are of importance in the practice of infectious disease management. The text starts by illustrating the global landscape of antimicrobial drug resistance, which influences antimicrobial use and therapeutic decisions in the clinic. The contributors explain the reasons for the spread of antibiotic resistance, the pharmacology of antibiotics of different classes, innovative drug delivery methods which can improve the efficacy and safety of new drug candidates and achieve targeted drug delivery as well as drug resistance monitoring techniques and issues in the practice of antimicrobial stewardship and infection control. Key Features: - 14 organized chapters on several aspects of antimicrobial therapy and stewardship - Introductory knowledge on global antimicrobial trends - Coverage of molecular basis of antimicrobial resistance in gram positive, gram negative and fungal microbes - Focused coverage on new developments in antimicrobial drug development, drug delivery, formulation and diagnostic tools - Information on unmet needs of patients and clinicians, including the treatment of difficult infections - Comprehensive coverage of issues in antimicrobial stewardship 21st Century Challenges in Antimicrobial Therapy and Stewardship brings to readers – healthcare administrators, educators, pharmacists, clinicians and students, alike – the knowledge of the molecular basis of antimicrobial drug therapy, drug resistance in pathogens and current practices in antimicrobial stewardship programs. This knowledge, in turn, fosters an awareness among healthcare industry participants to collaborate in an interprofessional environment to combat multidrug resistance.
Download or read book Improving Food Safety Through a One Health Approach written by Institute of Medicine and published by National Academies Press. This book was released on 2012-09-10 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt: Globalization of the food supply has created conditions favorable for the emergence, reemergence, and spread of food-borne pathogens-compounding the challenge of anticipating, detecting, and effectively responding to food-borne threats to health. In the United States, food-borne agents affect 1 out of 6 individuals and cause approximately 48 million illnesses, 128,000 hospitalizations, and 3,000 deaths each year. This figure likely represents just the tip of the iceberg, because it fails to account for the broad array of food-borne illnesses or for their wide-ranging repercussions for consumers, government, and the food industry-both domestically and internationally. A One Health approach to food safety may hold the promise of harnessing and integrating the expertise and resources from across the spectrum of multiple health domains including the human and veterinary medical and plant pathology communities with those of the wildlife and aquatic health and ecology communities. The IOM's Forum on Microbial Threats hosted a public workshop on December 13 and 14, 2011 that examined issues critical to the protection of the nation's food supply. The workshop explored existing knowledge and unanswered questions on the nature and extent of food-borne threats to health. Participants discussed the globalization of the U.S. food supply and the burden of illness associated with foodborne threats to health; considered the spectrum of food-borne threats as well as illustrative case studies; reviewed existing research, policies, and practices to prevent and mitigate foodborne threats; and, identified opportunities to reduce future threats to the nation's food supply through the use of a "One Health" approach to food safety. Improving Food Safety Through a One Health Approach: Workshop Summary covers the events of the workshop and explains the recommendations for future related workshops.
