Antibiotic policy introduction by Dr.T.V.Rao MD

1. Antibiotic Policy
Introduction
Dr.T.V.Rao MD
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2. Aims of the Antibiotic Policy
• Create awareness on Antibiotics as misuse is
counterproductive.
• Reduce Health care associated infections
spilling to society and increase of Community
associated Infections.
( A growing concern in Developing world )
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4. World faces the Great Challenges with
Misuse of Antibiotics
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5. Antibiotic Resistance is grave challenge
than Cancer
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7. Should have our own data
•To develop a system to
recognize and report
trends in antimicrobial
resistance within our
institution.
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8. To report results Rapidly
• To develop a system to rapidly detect
and report resistant microorganisms in
individual patients and ensure prompt
treatment.
• We are practicing a age old
Microbiology
• We need automation, committed
Microbiologists ???
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10. Adherence to Infection control
Policies
•To assure increased
adherence to basic
infection control policies
and procedures.
•We have initiated many
measures
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11. Institutional goals
• To incorporate the detection,
prevention and control of
antimicrobial resistance into
institutional strategic goals and
provide the required resources and
training.
• Eg Dealing with Multiresistant and
Pan resistant infected patients.
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13. Whose policy we follow ?
•To establish policy and
practices for rational
use of antimicrobials.
•Conflict of Interest ?
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14. Strategic approaches
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15. What is Optimum
•Optimizing the duration
of choice and dose of
empiric therapy:
antimicrobial
stewardship.
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16. Surgeons have great role
•Optimizing
antimicrobial
prophylaxis for
operative procedures
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17. Implementation of guidelines
•Developing and
implementing an
antibiotic policy and
standard treatment
guidelines (STG).
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18. Monitoring of Drug Resistance
• Monitoring and providing
feedback regarding antibiotic
resistance.
• Improving antimicrobial
prescribing by educational and
administrative means.
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19. ESKAPE: Pathogens
• Enterococcus faecium (vancomycin-
resistant enterococci- VRE).
• Staph aureus (methicillin-resistant
Staphylococcus aureus- MRSA).
• Klebsiella and Escherichia coli that are
producing extended spectrum beta-
lactamases (ESBL) enzymes and
carbapenemases
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20. ESKAPE: Pathogens
•Acinetobacter baumanii.
•Pseudomonas
aeruginosa.
•Enterobacter sp.
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21. Staff Education on Antibiotic
Policy
• Staff education is most Important
principle in success
• Draw your own plans according to nature
of patients, your past experiences
• Induction training for new staff
• Continuing Medical Education to both
Junior and Senior Doctors
• Include nursing staff, pharmacists for the
success of the Programme
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22. As Advised by WHO
• An efficient antibiotic policy in a
health-care setting shall demand
from the top management their
full commitment as well as their
total support to the development
and implementation of this
policy.
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23. Why we need Checklist
• A checklist should be used to assure that the
right thing is done at the right time in the right
place. This check list is warranted because
medical care has become complicated enough
that one physician cannot remember
everything that has to be done for a particular
problem.
• A checklist for important interventions
including use of antibiotics, therefore, should
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24. Make your conclusions and contribute to
Antibiotic Policy
• It is true to say that there is no absolute
proof of causative association between
antibiotic use and resistance, But many
authorities believe the association to be
virtually certain.
• It is pragmatic and essential approach to
control of antibiotic resistance with control
of antibiotic use.
• Make every one a partner in prevention of Antibiotic
resistance, and success will follow.
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25. Development of Policy by CMC
Vellore
• The WHO Regional Office for
South-East Asia commissioned
the Christian Medical College
and Hospital, Vellore, India, to
develop the first draft of the
guidelines.
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27. No Short cuts to Hand washing
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31. I Save Antibiotics
Are You?
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32. • Program Created by Dr T.V.Rao MD
with resource from CDC/WHO/ NIH
• Email
• doctortvrao@gmail.com
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