Antimicrobial stewardship by Matthew Laundy, Mark Gilchrist, Laura Whitney

April 3, 2017 | Microbiology | By admin | 0 Comments

By Matthew Laundy, Mark Gilchrist, Laura Whitney

Antibiotic resistance threatens the potent prevention and therapy of infections. Antimicrobial Stewardship offers a realistic advisor in this becoming sector, supported through the evaluation of the to be had proof, together with instance case studies.

summary: Antibiotic resistance threatens the powerful prevention and therapy of infections. Antimicrobial Stewardship presents a pragmatic consultant in this turning out to be quarter, supported via the evaluation of the to be had proof, together with instance case reviews

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7 Hysong SJ, Best RG, Pugh JA. Audit and feedback and clinical practice guideline adherence: making feedback actionable. Implement Sci 2006;1:9. 8 Patel SJ, Saiman L, Duchon JM, Evans D, Ferng Y-╉H, Larson E. Development of an antimicrobial stewardship intervention using a model of actionable feedback. Interdiscip Perspect Infect Dis 2012;2012:150367. 9 Dixon-╉Woods M, Leslie M, Tarrant C, Bion J. Explaining matching Michigan: an ethnographic study of a patient safety program. Implement Sci 2013;8:70.

Prescribing indicators are valuable in giving recognition and priority to ASPs and drive improvements in practice supporting reduction in HCAI and AMR. In Scotland, hospital-╉based indicators include empirical antibiotic prescribing targets (compliance with policy and rationale for treatment recorded in ≥ 95% of cases) and surgical prophylaxis (a single dose of a policy-╉compliant antibiotic given in elective surgery in ≥ 95% of cases) [18]. Local feedback by AMTs to clinicians drives improvement locally, while national comparisons can also be made.

2013. pdf 7 The Global Health Security Agenda. html 8 Kuenzli E, Jaeger VK, Frei R, Neumayr A, DeCrom S, Haller S, et al. High colonization rates of extended-​spectrum β-​lactamase (ESBL)-​producing Escherichia coli in Swiss travellers to South Asia—​a prospective observational multicentre cohort study looking at epidemiology, microbiology and risk factors. BMC Infect Dis 2014;14:528. 9 ESBLs: a threat to human and animal health? Report by the Joint Working Group of DARC and ARHAI. 2012. uk/​government/​publications/​ esbls-​a-​threat-​to-​human-​and-​animal-​health 10 English National Point Prevalence Survey on healthcare-​associated infection and antimicrobial use: 2011.

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