The document discusses the importance and components of antibiotic stewardship programs. It notes that antimicrobial resistance is increasing as development of new antibiotics is slowing. An antibiotic stewardship program aims to optimize antibiotic use, prevent resistance, and improve outcomes. Key components include monitoring antibiotic use, providing education to prescribers, and implementing guidelines and interventions to ensure appropriate antibiotic selection, dosage, and duration. The goals are to improve patient safety, reduce costs, and slow the development of drug-resistant bacteria.
Antibiotics are most common therapeutic agents used in hospitals across world, however, microbial world is becoming resistant day by day, posing special challenges to clinicians specially working in ICU set ups. There are multiple ways to curb this menace, if approached together in antibiotic stewardship way, can bring about wonders and retain therapeutic potentials of these drugs.
Antibiotics are most common therapeutic agents used in hospitals across world, however, microbial world is becoming resistant day by day, posing special challenges to clinicians specially working in ICU set ups. There are multiple ways to curb this menace, if approached together in antibiotic stewardship way, can bring about wonders and retain therapeutic potentials of these drugs.
Dr.sherin elsherbiny
Senior registrar clinical microbiology
AMR coordinator
Infection control auditor
Riyadh region
Meeqat General Hospital ,Madina,KSA
Antibiotic stewardship explained in one presentation, which can be helpful to the medical field beginners and students as well as thorough information can be obtained regarding the subject matter.
Objectives:
1. To understand the purpose of implementing an antimicrobial stewardship program (ASP)
2.To recall the core elements of hospital and outpatient antibiotic stewardship programs as defined by the CDC
3. To recognize key interventions that an antimicrobial stewardship program can implement in both the hospital and community settings
Hospital acquired infections: The different common sources of infection, their routes of spread and the growing antimicrobial resistance. Also includes a discussion on hospital Infection prevention and control guidelines and the universal and standard precautions.
Description of the major classes of antimicrobial drug, resistant mechanisms developed by bacteria to combat the action of antimicrobials, and the control measures needed to limit this horizontal gene transfer.
In today’s healthcare environment, there is an increasing emphasis on antimicrobial stewardship programs (ASP) and their impact on patient and community health and hospital financials. There are now new regulatory standards from The Joint Commission (TJC) that require hospitals to implement ASPs, and the Centers for Medicare and Medicaid Services (CMS) has proposed making it mandatory that hospitals implement an ASP in order to participate in Medicare and Medicaid. Regardless, a solid ASP is critically important to patient wellbeing, public health, and a hospital’s bottom line. This webinar will focus on how to bring a successful ASP to life in your hospital with a business plan and buy in from key stakeholders across the organization.
Dr.sherin elsherbiny
Senior registrar clinical microbiology
AMR coordinator
Infection control auditor
Riyadh region
Meeqat General Hospital ,Madina,KSA
Antibiotic stewardship explained in one presentation, which can be helpful to the medical field beginners and students as well as thorough information can be obtained regarding the subject matter.
Objectives:
1. To understand the purpose of implementing an antimicrobial stewardship program (ASP)
2.To recall the core elements of hospital and outpatient antibiotic stewardship programs as defined by the CDC
3. To recognize key interventions that an antimicrobial stewardship program can implement in both the hospital and community settings
Hospital acquired infections: The different common sources of infection, their routes of spread and the growing antimicrobial resistance. Also includes a discussion on hospital Infection prevention and control guidelines and the universal and standard precautions.
Description of the major classes of antimicrobial drug, resistant mechanisms developed by bacteria to combat the action of antimicrobials, and the control measures needed to limit this horizontal gene transfer.
In today’s healthcare environment, there is an increasing emphasis on antimicrobial stewardship programs (ASP) and their impact on patient and community health and hospital financials. There are now new regulatory standards from The Joint Commission (TJC) that require hospitals to implement ASPs, and the Centers for Medicare and Medicaid Services (CMS) has proposed making it mandatory that hospitals implement an ASP in order to participate in Medicare and Medicaid. Regardless, a solid ASP is critically important to patient wellbeing, public health, and a hospital’s bottom line. This webinar will focus on how to bring a successful ASP to life in your hospital with a business plan and buy in from key stakeholders across the organization.
More than half of all hospital patients are treated with antibiotics and prescribing practices vary widely, even within hospitals. Efforts to rationalize antibiotic use have been stymied by delays in obtaining specific diagnoses, by the volume of prescriptions written each day and by the difficulty of extracting meaningful data from scattered clinical, laboratory and pharmacy records. But the push is on – from the White House, the CDC, infectious disease specialists, the industry – for more judicious use of antibiotics through antibiotic stewardship programs.
Hear how leading health care institutions have moved from education to active surveillance to intervention, reducing infections and lowering costs.
Antimicrobial stewardship programs (ASP) are an essential practice to prevent increasing
resistance against antibiotics. A successful ASP monitors not only prescribing patterns and
practices but also contributes in minimizing the toxic effects of antibiotics. Moreover, ASP
also facilitates the selection of disease specific antibiotics and enforces rules and regulations to rationalize the use of antibiotics. The aim of the study is to highlight the core
elements of Hospital Antibiotic Stewardship Programs in Karachi. The key elements proposed by center of disease control (CDC) such as; leadership, accountability, drug
expertise, actions to support optimal antibiotic use, tracking (monitoring antibiotic prescribing, use and resistance), reporting information to staff on improving antibiotic use
and resistance and education were evaluated on Yes/No scale. The data was collected
from 44 hospitals of different categories in Karachi and all the major elements were
studied. It was observed that all the hospitals in one setting failed to comply with all the
guidelines. It has been concluded that efforts should be made to design ASP at each
hospital and implemented through suitable policies and procedures.
Dr. Lauri Hicks - One Health Antibiotic Stewardship Human Health ExamplesJohn Blue
One Health Antibiotic Stewardship Human Health Examples - Dr. Dawn Sievert, Associate Director for Antimicrobial Resistance, Division of Foodborne, Waterborne, and Environmental Diseases, CDC; Dr. Edward J. Septimus, V.P. Research & Infectious Diseases, Hospital Corporation of America; Dr. Lauri Hicks, Director, Office of Antibiotic Stewardship, CDC, from the 2017 NIAA Antibiotic Symposium - Antibiotic Stewardship: Collaborative Strategy for Animal Agriculture and Human Health, October 31 - November 2, 2017, Herndon, Virginia, USA.
More presentations at http://www.swinecast.com/2017-niaa-antibiotic-symposium-antibiotic-stewardship
Updates from the CDC - Michael Craig, Senior Advisor for Antibiotic Resistance Coordination and Strategy, National Center for Emerging and Zoonotic Infectious Diseases, CDC, from the 2016 NIAA Antibiotic Symposium - Working Together For Better Solutions, November 1 - 3, 2016, Herndon, Virginia, USA.
More presentations at http://www.swinecast.com/2016-niaa-symposium-antibiotic-use-working-together-for-better-solutions
Advisor Live: Antimicrobial Stewardship - Why Now and How?Premier Inc.
This 90-minute webinar discusses strategies and tools for implementing antimicrobial stewardship programs, including methods for measuring antimicrobial use and resistance.
Join Premier’s free Advisor Live® webinar series for a special Get Smart About Antibiotics Week presentation on Thursday, November 19 from 12-1:30 p.m. EST. The panel for this 90-minute webinar will discuss strategies and tools for implementing antimicrobial stewardship programs, including methods for measuring antimicrobial use and resistance.
EXPERT PRESENTERS:
- Gina Pugliese, RN, MS, vice president, Premier Safety Institute®, moderator
- Arjun Srinivasan, MD, (CAPT, USPHS) medical director of the CDC’s Get Smart for Healthcare program, will highlight the national focus on antibiotic stewardship and reasons for the current urgency
- Michael Postelnick, RPh, BCPS AQ- Infectious Diseases, clinical manager and senior infectious diseases pharmacist for Northwestern Memorial Hospital, will share lessons learned from implementing their antibiotic stewardship program
- Craig Barrett, Pharm.D., BCPS, director safety solutions for Premier, Inc. will share strategies from Premier member hospitals striving for antimicrobial stewardship
This power point briefly describe definition, importance, core elements, principle hospital implementations and gaps of antimicrobial stewardship. In addition some recommendations are also mentioned.
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
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Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
2. WHY WE NEED ANTIBIOTIC STEWARDSHIP
• Antimicrobial resistance is
increasing; however,
antimicrobial drug development
is slowing. Now more than ever
before, antimicrobial
stewardship is of the utmost
importance as a way to optimize
the use of antimicrobials to
prevent the development of
resistance and improve patient
outcomes.
7/5/2017 Dr.T.V.Rao MD @gmail.com 2
3. Antibiotic Resistance is a emerging challenges in human care –
Making the matters understand need a coordinated approach
THE COMPONETNS INCLUDE ATTENTION
•Antimicrobial Stewardship (AS)
•The components of a high functioning AS program
•Why infection prevention is essential to efforts to
improve AS
•Ways in which Infection Perfectionists (IPs) can
collaborate with key stakeholders to improve AS
efforts despite the degree of implementation of the
program
7/5/2017 Dr.T.V.Rao MD @gmail.com 3
4. ➔ Misuse and over-use
of antibiotics
• The last 50 years have witnessed
the golden age of antibiotic
discovery and their widespread
use in hospital and community
settings. Regarded as very
effective, safe and relatively
inexpensive, antibiotics have
saved millions of lives. However,
this has led to their misuse
through huse without a
prescription and overuse for self-
limiting infections
7/5/2017 Dr.T.V.Rao MD @gmail.com 4
5. Combating antimicrobial resistance
• To overcome the threat of antimicrobial resistance, a
three-pillar
• approach has been advocated:
• 1 Optimise the use of existing antimicrobial agents
• 2 Prevent the transmission of drug-resistant
organisms through
• infection control
• 3 Improve environmental decontamination
7/5/2017 Dr.T.V.Rao MD @gmail.com 5
6. “Need for Antimicrobial stewardship:
• is an inter-professional effort, across
• the continuum of care
• ➤ involves timely and optimal selection, dose and
• duration of an antimicrobial
• ➤ for the best clinical outcome for the treatment or
• prevention of infection
• ➤ with minimal toxicity to the patient
• ➤ and minimal impact on resistance and other
• ecological adverse events such as C. difficile”
7/5/2017 Dr.T.V.Rao MD @gmail.com 6
7. The greater Initiation to
stop the misuse of
Antibiotics
• Hospitals today straggle the
demands of increasing
regulation, changing
technology requirements,
more stringent reporting
requirements and a rising
number of quality initiatives
in an already challenging
economic environment.
7/5/2017 Dr.T.V.Rao MD @gmail.com 7
8. Need for Antibiotic
Steward ship
• With competition for
time, attention and
financial resources, why
does your hospital need
an antimicrobial
stewardship program
(ASP)?7/5/2017 Dr.T.V.Rao MD @gmail.com 8
9. Overprescribing of
antibiotics wastes
money:
• Worldwide monitoring
shows an alarming
increase in antibiotics
prescriptions, often for
conditions that do not
warrant them. In U.S.
hospitals, studies indicate
that up to 50% of
antibiotic prescriptions
are inappropriate.
7/5/2017 Dr.T.V.Rao MD @gmail.com 9
10. Inappropriate
Treatments costs
life and economy
• Not only are those
inappropriate
prescriptions
dangerous, they drive
up costs for hospitals,
payers and patients. In
fact, overuse and
inappropriate use of
antibiotics costs the
healthcare system
7/5/2017 Dr.T.V.Rao MD @gmail.com 10
11. Inappropriate use of
antibiotics increases
resistance in infectious
organisms:
• The improper use of
antibiotics directly
contributes to the rising
number of strains of
multidrug resistant
organisms (MDROs) in
communities across the
country, posing a
significant risk to patient
health.
7/5/2017 Dr.T.V.Rao MD @gmail.com 11
12. Poor prescribing
practices endanger
patients
• Receiving a broad-
spectrum antibiotic
triples a patient’s
subsequent risk of
infection with a more
resistant organism,
according to the
Centers for Disease
Control and
Prevention (CDC).
7/5/2017 Dr.T.V.Rao MD @gmail.com 12
15. MDROs increase morbidity and mortality
• Infections lead to more
than eight million
additional hospital days
and are responsible for
23,000 deaths each year.
According to the CDC,
improved antibiotic
prescription reduces rates
of MDROs in hospitals and
improves clinical outcomes
for patients.
7/5/2017 Dr.T.V.Rao MD @gmail.com 15
16. MDROs increase
hospital costs:
• Approximately 70% of healthcare
associated infections (HAIs) involve
organisms resistant to at least one drug. As
Medicare and other payers do not
reimburse for HAIs, every hospital has a
significant interest in reducing the number
of MDROs present in the facility and in the
broader community
7/5/2017 Dr.T.V.Rao MD @gmail.com 16
17. Few new antibiotics
are in development:
• In the last 20 years, the number of
antibiotics in development has
dropped sharply. Since 2008,
pharmaceutical companies have
introduced four new antibiotics,
compared to 16 approved from 1983 to
1987—and no new classes of
antibiotics to treat gram-negative
bacilli have been released in more than
40 years.
7/5/2017 Dr.T.V.Rao MD @gmail.com 17
18. How stewardship program helps
• Consequently, hospitals must do
everything possible to maintain
the efficacy and extend the useful
life of the antibiotics currently
available. An antimicrobial
stewardship program helps ensure
that the narrowest spectrum
antimicrobial known to be
effective is used for each infection,
reducing the development of
resistant strains.
7/5/2017 Dr.T.V.Rao MD @gmail.com 18
19. Point-of-care interventions can include:
• appropriate use of guidance,
• ➤ indication for antibiotic,
• ➤ choice of agent,
• ➤ route [IV vs. oral] of administration of treatment,
• ➤ timeliness of treatment,
• ➤ likelihood of on-going infection or not,
• ➤ use of investigation,
• ➤ interpretation of microbiology with a view tode-escalation or stopping
therapy,
• ➤ duration of therapy.
7/5/2017 Dr.T.V.Rao MD @gmail.com 19
20. Data collection for quality
improvement
• Antimicrobial stewardship is part of many patient safety
programs. To measure the performance of these programs, data is
primarily used for 3 purposes [Solberg et al., 1997]:
• l Accountability (e.g. targets)
• l Improvement
• l Research.
• A range of such measures for antimicrobial stewardship programs
have been proposed. They can be summarized as four types
structural, process, outcomes and balancing (are the changes
causing new problems?)
7/5/2017 Dr.T.V.Rao MD @gmail.com 20
21. . Who should receive education
in hospitals?
• Prescribers and other healthcare staff with modules
adapted to their background including:
• l Undergraduate curriculum
• l Internship
• l Professional training for new staff
• l Continuing professional development for all
prescribers
• l Postgraduate education
7/5/2017 Dr.T.V.Rao MD @gmail.com 21
22. The content of education should be adapted to each
profession
and include
• Basic knowledge of infection management,
• l Basic microbiology
• l Importance of prudent prescribing in tackling
antimicrobial resistance.
• l Best practices for prescribing to support safe and effective
prescribing, administration and monitoring of antimicrobial
therapy.
• The training is usually delivered by the antimicrobial
management team and may include competency
assessment
7/5/2017 Dr.T.V.Rao MD @gmail.com 22
23. THE KEYS TO
SUCCESS
• A number of interventions
are key to the success of a
hospital-based Antimicrobial
Stewardship Program.
• ➤ Establish a clear
aim/vision that is shared by
all the stakeholders and that
conveys a sense of urgency.
• Stewardship should be a
patient safety priority.
7/5/2017 Dr.T.V.Rao MD @gmail.com 23
24. THE KEYS TO
SUCCESS
• Seek management
support, accountability
and secure funding.
• ➤ Assemble a strong
coalition including a
multi-professional
antimicrobial
stewardship team with a
strong influential clinical
leader.
7/5/2017 Dr.T.V.Rao MD @gmail.com 24
25. THE KEYS TO
SUCCESS
• Establish effective
communication structures
within your hospital.
• ➤ Start with core evidence-
based stewardship
interventions depending on
local needs, geography and
resources and plan
measurement to demonstrate
their impact.
7/5/2017 Dr.T.V.Rao MD @gmail.com 25
26. THE KEYS TO SUCCESS
• Ensure all healthcare
staff are aware of the
importance of
stewardship. Empower
them to act and support
with education using a
range of effective
strategies.
• ➤ Ensure early or short
term wins and then
consolidate
success/gains while
progressing with more
change or innovation.
7/5/2017 Dr.T.V.Rao MD @gmail.com 26
28. References
• Why Your Hospital Needs an Antimicrobial Stewardship Program
Pharmacy OneSource Blog
• Practical Guide TO ANTIMICROBIAL STEWARDSHIP IN HOSPITALS
BioMérieux
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29. •Program Created by Dr.T.V.Rao MD for benefit of
Medical and Paramedical Professionals on Universal
education on Antibiotic Stewardship
• Email.com
• doctortvrao@gmail.com
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