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Practical Implementation of an Antibiotic Stewardship Program

Practical Implementation of an Antibiotic Stewardship Program
Author: Tamar F. Barlam
Publisher: Cambridge University Press
Total Pages: 343
Release: 2018-04-26
Genre: Medical
ISBN: 1107166179

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This practical reference guide from experts in the field details why and how to establish successful antibiotic stewardship programs.


Antimicrobial Stewardship

Antimicrobial Stewardship
Author: Kerry LaPlante
Publisher: CABI
Total Pages: 451
Release: 2016-12-23
Genre: Medical
ISBN: 1780644396

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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.


Antimicrobial Stewardship in Non-Traditional Settings

Antimicrobial Stewardship in Non-Traditional Settings
Author: Shira Doron
Publisher: Springer Nature
Total Pages: 221
Release: 2023-03-01
Genre: Medical
ISBN: 3031217101

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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.


Antimicrobial Stewardship: Where We’ve Come and Where We’re Going, An Issue of Infectious Disease Clinics of North America, E-Book

Antimicrobial Stewardship: Where We’ve Come and Where We’re Going, An Issue of Infectious Disease Clinics of North America, E-Book
Author: Emily Sydnor Spivak
Publisher: Elsevier Health Sciences
Total Pages: 314
Release: 2023-10-27
Genre: Medical
ISBN: 0443130841

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In this issue of Infectious Disease Clinics of North America, guest editors Drs. Emily Sydnor Spivak and Sage Greenlee bring their considerable expertise to the topic of Antimicrobial Stewardship: Where We Have Come and Where We Are Going. Throughout the last decade, the field of antimicrobial stewardship has undergone exponential growth due to heightened awareness of antimicrobial use and emerging multidrug-resistant organisms. Additionally, the COVID-19 pandemic highlighted systemic and persistent health disparities in the United States. In this issue, top experts provide a recap of the progress made over the last decade in antimicrobial stewardship and provide direction for next steps in this ever-growing field. Contains 12 practice-oriented topics including antimicrobial stewardship and pandemic preparedness: lessons learned from COVID-19; health equity considerations; antimicrobial stewardship at transitions of care; antimicrobial stewardship in immunocompromised populations; health system and tele-antimicrobial stewardship: the role of building networks; and more. Provides in-depth clinical reviews on antimicrobial stewardship, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.


Antimicrobial Stewardship

Antimicrobial Stewardship
Author: Matthew Laundy
Publisher: Oxford University Press
Total Pages: 211
Release: 2016-08-25
Genre: Medical
ISBN: 0191076589

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Antimicrobial resistance (AMR) challenges the treatment of clinical infections. Despite the decline in infectious diseases mortality rates, infections are more difficult to eliminate or contain in the host, resulting in poorer outcomes to treatment, longer hospital inpatient stays, and increased mortality. Written by international experts in the field and supported by the review of the available evidence, including example case studies, Antimicrobial Stewardship provides a practical how-to guide on this growing area. Divided into three sections, the first sets the scene, looking at the key problems of antimicrobial resistance. Section two examines and identifies the key components of an antimicrobial stewardship program. Finally, the book explores specialist areas of antimicrobial stewardship ranging from antimicrobial pharmacokinetics and dynamics, to near patient testing, and infection biomarkers. Antimicrobial Stewardship will be a valuable and practical resource for infection trainees, as well as specialists from the medical, pharmacy, and nursing professions.


Practical Antibiotic Stewardship

Practical Antibiotic Stewardship
Author: Geerlings
Publisher: Wiley-Blackwell
Total Pages: 250
Release: 2015-02-10
Genre:
ISBN: 9781118504116

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Combating Antimicrobial Resistance and Protecting the Miracle of Modern Medicine

Combating Antimicrobial Resistance and Protecting the Miracle of Modern Medicine
Author: National Academies Of Sciences Engineeri
Publisher: National Academies Press
Total Pages:
Release: 2022-07-20
Genre: Medical
ISBN: 9780309269452

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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.


Practical Implementation of an Antibiotic Stewardship Program

Practical Implementation of an Antibiotic Stewardship Program
Author: Tamar F. Barlam
Publisher: Cambridge University Press
Total Pages: 343
Release: 2018-04-26
Genre: Medical
ISBN: 1316733025

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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.


Implementing the CDC’s Core Elements of Outpatient Antibiotic Stewardship Into the Urgent Care

Implementing the CDC’s Core Elements of Outpatient Antibiotic Stewardship Into the Urgent Care
Author: Deanna Powelson
Publisher:
Total Pages: 39
Release: 2018
Genre: Anti-infective agents
ISBN:

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Purpose: The inappropriate use of antibiotics has led to the development of antimicrobial resistance which is a severe threat to the public and an increasing global problem. The Centers for Disease Control and Prevention (CDC) estimates at least two million illnesses and 23,000 deaths are caused by antibiotic-resistant bacteria in the United States (CDC, 2014). The purpose of this quality improvement (QI) project was to evaluate the effectiveness of an antibiotic stewardship program (ASP) on urgent care providers' prescribing on viral respiratory tract infections (RTIs) including the common cold, pharyngitis, and bronchitis. Methods: This QI project implemented the CDCs Core Elements of Outpatient Antibiotic Stewardship Program (CEOASP) into an urgent care setting to determine the impact it had on inappropriate antibiotic prescribing for viral RTIs. The process will included displaying commitment letters and antibiotic stewardship (ABS) educational posters in each exam room, presented education on ABS, pathophysiology, diagnosis and treatment guidelines on viral RTIs, as well as education on patient communication techniques used with patients. Retrospective electronic medical record review was conducted from 600 randomly selected patients who presented for treatment of RTIs during the evaluation period. The statistical analysis used was Exact McNemar test. Results: A total of 600 charts, 300 preintervention, and 300 postintervention were evaluated in this study. The overall rate of inappropriate antibiotic prescribing decreased from 21.7% (n = 65) to 8.7% (n = 26), which is a 60% decrease in inappropriate antibiotic prescribing which results in a p