Dr. Theoklis Zaoutis - Antimicrobial Use and Stewardship in the Pediatric Out...John Blue
Antimicrobial Use and Stewardship in the Pediatric Outpatient Setting - Dr. Theoklis Zaoutis, Chief, Division of Infectious Diseases, Professor of Pediatrics and Epidemiology of the University of Pennsylvania, from the 2014 NIAA Symposium on Antibiotics Use and Resistance: Moving Forward Through Shared Stewardship, November 12-14, 2014, Atlanta, Georgia, USA.
More presentations at http://www.swinecast.com/2014-niaa-antibiotics-moving-forward-through-shared-stewardship
. Antibiotics are medicines that help stop infections caused by bacteria. They do this by killing the bacteria or by keeping them from copying themselves or reproducing. The word antibiotic means “against life.” Any drug that kills germs in your body is technically an antibiotic. But most people use the term ...
For more information, you can book an appointment at
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Dr. Theoklis Zaoutis - Antimicrobial Use and Stewardship in the Pediatric Out...John Blue
Antimicrobial Use and Stewardship in the Pediatric Outpatient Setting - Dr. Theoklis Zaoutis, Chief, Division of Infectious Diseases, Professor of Pediatrics and Epidemiology of the University of Pennsylvania, from the 2014 NIAA Symposium on Antibiotics Use and Resistance: Moving Forward Through Shared Stewardship, November 12-14, 2014, Atlanta, Georgia, USA.
More presentations at http://www.swinecast.com/2014-niaa-antibiotics-moving-forward-through-shared-stewardship
. Antibiotics are medicines that help stop infections caused by bacteria. They do this by killing the bacteria or by keeping them from copying themselves or reproducing. The word antibiotic means “against life.” Any drug that kills germs in your body is technically an antibiotic. But most people use the term ...
For more information, you can book an appointment at
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
• Youtube link: https://goo.gl/mk7jfm
• Linkedin link: https://goo.gl/PrPgpB
• Slideshare link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
• Instagram page : https://goo.gl/OOGVig
‘Antibiotic Ireland’ Antimicrobial Resistance A Major Cause for ConcernImproper Prescribing or Patient’s Misconceptions, Expectation and Pressure on Dr’s to prescribe ?
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.
Rational Use of Antibiotics. Infection was a major cause of morbidity and mortality, before the development of antibiotics.
The treatment of infections faced a great challenge during those periods.
Later in 1928, the discovery of Penicillin, a beta-lactam antibiotic, by Alexander Fleming opened up the golden era of antibiotics.
It marked a revolution in the treatment of infectious diseases and stimulated new efforts to synthesize newer antibiotics.
The period between the 1950s and 1970s is considered the golden era of discovery of novel antibiotic classes, with very few classes discovered since then.
First World Antibiotic Awareness Week and awareness campaigns on prudent antibiotic use extended throughout the WHO European Region - presentation delivered by Dr Zsuzsanna Jakab, Regional Director, WHO Regional Office for Europe, on 16 November 2015
Fighting the growing threat of antimicrobial resistance webinar4 All of Us
Lord Jim O’Neill, the UK Commercial Secretary to the Treasury and Chair of the Review on Antimicrobial Resistance, recently released a report laying out recommendations to fight the global threat of antimicrobial resistance (AMR).
Overuse of antibiotics, especially of broad spectrum antibiotics rather than targeted narrow spectrum therapies, has led to an increase in drug-resistant bacterial infections. This emerging health issue is poised to have devastating global consequences, making it impossible to treat previously curable diseases. AMR already contributes to 700,000 deaths a year, and the report warns that it could cause 10 million deaths a year and $100 trillion in lost global productivity by 2050 if nothing is done to stop its spread.
In recent years, advances in diagnostic technology have made rapid point-of-care testing possible for many diseases – enabling providers to immediately prescribe the most appropriate therapy during the course of a patient’s visit.
This webinar will focused on the importance of understanding the need for diagnostics, what is being done in development and the solutions that are available now.
‘Antibiotic Ireland'. Antimicrobial Resistance: A Major Cause for Concern. I...Theresa Lowry-Lehnen
‘Antibiotic Ireland’: Antimicrobial Resistance A Major Cause for Concern. Improper Prescribing or Patient’s Misconceptions, Expectation and Pressure on Dr’s to prescribe ?
CONTACT: sayantand691@gmail.com
Superbugs are strains of bacteria, viruses, parasites and fungi that are resistant to most of the antibiotics and other medications commonly used to treat the infections they cause. A few examples of superbugs include resistant bacteria that can cause pneumonia, urinary tract infections and skin infections.
Drug resistance (antimicrobial resistance) is a naturally occurring phenomenon that can be slowed, but not stopped. Over time, germs such as bacteria, viruses, parasites and fungi adapt to the drugs that are designed to kill them and change to ensure their survival. This makes previously standard treatments for some infections less effective, and sometimes ineffective. Researchers continue to evaluate how these germs develop resistance. They also study how to diagnose, treat and prevent antimicrobial resistance.
Certain actions may step up the appearance and spread of antimicrobial-resistant germs, such as:
Using or misusing antibiotics
Having poor infection prevention and control practices
Living or working in unclean conditions
Mishandling food
To protect yourself from harmful germs and lower the risk of illnesses:
Wash your hands often with soap and water, or use an alcohol-based hand sanitizer
Handle food properly, such as separating raw and cooked food, cooking food thoroughly, and using clean water
Avoid close contact with people who are ill
Make sure your vaccinations are up to date
You can also help tackle antibiotic resistance by:
Using antibiotics as directed and only when needed
Completing the full treatment course, even if you feel better
Not sharing antibiotics with others
Not using leftover prescriptions.
Study about antibiotic abuse in NICU of pediatric department in misurata medical center (MMC) in interval between 1/1/2018 to 28/2/2018 under supervision of community medicine department in faulty of medicine in misurate university
Track 12 - Learning the sustainability and social compromise skills
Authors: Alexandra Brygider, Bartlomiej Marciniak, Benedicte Verbraeken, Paul Ahlskog, Sven Petersen, Benedita Malheiro, Cristina Ribeiro, Manuel F. Silva, Nídia Caetano, Paulo Ferreira and Pedro Guedes
https://www.youtube.com/watch?v=aBJGf71hNuM&list=PLboNOuyyzZ86u2azNBqNh4cuOs5v_9M2s&index=1
‘Antibiotic Ireland’ Antimicrobial Resistance A Major Cause for ConcernImproper Prescribing or Patient’s Misconceptions, Expectation and Pressure on Dr’s to prescribe ?
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.
Rational Use of Antibiotics. Infection was a major cause of morbidity and mortality, before the development of antibiotics.
The treatment of infections faced a great challenge during those periods.
Later in 1928, the discovery of Penicillin, a beta-lactam antibiotic, by Alexander Fleming opened up the golden era of antibiotics.
It marked a revolution in the treatment of infectious diseases and stimulated new efforts to synthesize newer antibiotics.
The period between the 1950s and 1970s is considered the golden era of discovery of novel antibiotic classes, with very few classes discovered since then.
First World Antibiotic Awareness Week and awareness campaigns on prudent antibiotic use extended throughout the WHO European Region - presentation delivered by Dr Zsuzsanna Jakab, Regional Director, WHO Regional Office for Europe, on 16 November 2015
Fighting the growing threat of antimicrobial resistance webinar4 All of Us
Lord Jim O’Neill, the UK Commercial Secretary to the Treasury and Chair of the Review on Antimicrobial Resistance, recently released a report laying out recommendations to fight the global threat of antimicrobial resistance (AMR).
Overuse of antibiotics, especially of broad spectrum antibiotics rather than targeted narrow spectrum therapies, has led to an increase in drug-resistant bacterial infections. This emerging health issue is poised to have devastating global consequences, making it impossible to treat previously curable diseases. AMR already contributes to 700,000 deaths a year, and the report warns that it could cause 10 million deaths a year and $100 trillion in lost global productivity by 2050 if nothing is done to stop its spread.
In recent years, advances in diagnostic technology have made rapid point-of-care testing possible for many diseases – enabling providers to immediately prescribe the most appropriate therapy during the course of a patient’s visit.
This webinar will focused on the importance of understanding the need for diagnostics, what is being done in development and the solutions that are available now.
‘Antibiotic Ireland'. Antimicrobial Resistance: A Major Cause for Concern. I...Theresa Lowry-Lehnen
‘Antibiotic Ireland’: Antimicrobial Resistance A Major Cause for Concern. Improper Prescribing or Patient’s Misconceptions, Expectation and Pressure on Dr’s to prescribe ?
CONTACT: sayantand691@gmail.com
Superbugs are strains of bacteria, viruses, parasites and fungi that are resistant to most of the antibiotics and other medications commonly used to treat the infections they cause. A few examples of superbugs include resistant bacteria that can cause pneumonia, urinary tract infections and skin infections.
Drug resistance (antimicrobial resistance) is a naturally occurring phenomenon that can be slowed, but not stopped. Over time, germs such as bacteria, viruses, parasites and fungi adapt to the drugs that are designed to kill them and change to ensure their survival. This makes previously standard treatments for some infections less effective, and sometimes ineffective. Researchers continue to evaluate how these germs develop resistance. They also study how to diagnose, treat and prevent antimicrobial resistance.
Certain actions may step up the appearance and spread of antimicrobial-resistant germs, such as:
Using or misusing antibiotics
Having poor infection prevention and control practices
Living or working in unclean conditions
Mishandling food
To protect yourself from harmful germs and lower the risk of illnesses:
Wash your hands often with soap and water, or use an alcohol-based hand sanitizer
Handle food properly, such as separating raw and cooked food, cooking food thoroughly, and using clean water
Avoid close contact with people who are ill
Make sure your vaccinations are up to date
You can also help tackle antibiotic resistance by:
Using antibiotics as directed and only when needed
Completing the full treatment course, even if you feel better
Not sharing antibiotics with others
Not using leftover prescriptions.
Study about antibiotic abuse in NICU of pediatric department in misurata medical center (MMC) in interval between 1/1/2018 to 28/2/2018 under supervision of community medicine department in faulty of medicine in misurate university
Track 12 - Learning the sustainability and social compromise skills
Authors: Alexandra Brygider, Bartlomiej Marciniak, Benedicte Verbraeken, Paul Ahlskog, Sven Petersen, Benedita Malheiro, Cristina Ribeiro, Manuel F. Silva, Nídia Caetano, Paulo Ferreira and Pedro Guedes
https://www.youtube.com/watch?v=aBJGf71hNuM&list=PLboNOuyyzZ86u2azNBqNh4cuOs5v_9M2s&index=1
World Veterinary Day 2017 Presentation made at the College of Veterinary and Animal Science, Navania, Vallabhnagar, Udaipur by DR. BALWANT MESHRAM on the topic 'WVD: Past and the Present'
In India, bacteria that cause common infections, such as urinary tract and bloodstream infections, are becoming resistant to nearly all antibiotics. This resistance is due to a combination of factors: uncontrolled access to antibiotics, gaps in infection prevention and control (IPC) practices, and high rates of communicable diseases. Antibiotic resistance, or AR, is a serious problem throughout the country, and threatens to reduce the usefulness of antibiotics both in India and around the world.
Because of this emerging threat, India is committed to slowing the spread of AR. Two institutions within India’s Ministry of Health – the Indian Council of Medical Research and National Centre for Disease Control – each developed national networks of public and private hospitals to measure AR trends, prevent healthcare-associated infections (HAIs), and enhance appropriate use of antibiotics. The All India Institute of Medical Sciences is coordinating HAI measurement and prevention efforts in both networks. In addition, efforts in the state of Tamil Nadu focus on building district-level IPC capacity to prevent HAIs, focusing on maternal and neonatal patients.
The Indian Governamnet is is working closely with partners at the national and state level to:
Detect AR pathogens, including novel strains, by developing lab networks and lab expertise.
Use standardized surveillance to monitor and track AR infections in healthcare to learn how often these infections occur and to help develop strategies to prevent them.
Implement focused IPC activities and training.
Optimize use and reduce misuse of critical antibiotics through antibiotic stewardship programs.
a research presentation done by Augustine Mwaawaaru Level 400) and Matthew Frimpong Antwi (Level 300) students of( Presbyterian University College-Ghana on Antimicrobial resistance and the way foeward in Ghana. contact 0261825262
Antibiotic resistance: causes, consequences and means to limit itGreenFacts
Over the last century, antibiotics have radically changed the
way we treat infections. They are an important tool for modern medicine, but unfortunately their misuse have led to the emergence of bacteria that are resistant to antibiotics.
What has caused it and how can the spread of resistance be limited?
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Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
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WHY THE ANTIBIOTICS ARE DANGEROUS TO OUR LIFE?
1. WHYTHE ANTIBIOTICS ARE DANGEROUS TO OUR LIFE?
DR.T.V.RAO MD
Antibiotics
are among the most frequently used chemicals in both the inpatient and outpatient setting.
Antibiotic resistance has been called one of the world's most pressing public health problems. It can
cause significant danger and sufferings for people who have common infections that once were
easily treatable with antibiotics. When antibiotics fail to work, the consequences are longer-lasting
illnesses; more doctor visits or extended hospital stays; and the need for more expensive and toxic
medications. Some resistant infections can cause death. While these antimicrobial agents are
generally well tolerated, these drugs are not without their associated side effects, both dosedependent and idiosyncratic and hypersensitivity reactions in nature.The use of antimicrobial agents
inevitably leads to the emergence of resistant micro-organisms. It also destroys the normal flora of
the body and renders patients far more susceptible to colonisation with micro-organisms introduced
from elsewhere in the hospital through the process of cross infection. Many patients who
eventually colonised and infected with MRSA and ESBL strains. While diarrhoea is a commonly
associated with adverse effect of many antibiotics, toxic effects on the central nervous system are
perhaps much less recognized, there is an emerging awareness on irrational use of Antibiotics both
in humans and vetnary practices. India’s like many developing countries it is lucrative business to sell
the antibiotics; many Doctors follow the advertisements of the pharmaceutical industry and
prescribe the antibiotics without even knowing the dynamics of the drugs they prescribe. In the
recent past India branded with NDM generator brining ripples in the political circles and the
profession.Antibiotic resistance occurs when antibiotics no longer work against disease-causing
bacteria. These infections are difficult to treat and can mean longer lasting illnesses, more doctor
visits or extended hospital stays, and the need for more expensive and toxic medications. Some
resistant infections can even cause death. The phenomenon is seen in many ICU patients who
succumb to the Drug resistant bacterial and fungal infections.If antibiotics are used too often for
things they can't treat — like colds, flu or other viral infections — not only are they of no benefit,
they become less effective against the bacteria they're intended to treat. It is not Doctors alone to
blame patients too are contributing bynot taking antibiotics exactly as prescribed also leads to
problems. For example, if you take an antibiotic for only a few days — instead of the full course —
the antibiotic may kill out some, but not all, of the bacteria. The surviving bacteria become more
resistant and can be spread to other people. When bacteria become resistant to first line
treatments, the risk of complications and death is increased. Better practices by clinicians and
Microbiologists can save much needed quality of life
*ANTIMICROBIAL PRESCRIBING: GOOD PRACTICES
1. Send for the appropriate investigations in all these infections as recommended. These are the
minimum required for diagnosis, prognosis and follow up of these infections.
2. All antibiotic initiations would be done after sending appropriate cultures
3. Change in antibiotic would be done after sending fresh cultures
4. Follow the Hospital policy when choosing antimicrobial therapy whenever possible. If alternatives
as chosen, document the reason in the case records.
2. 5. Check for factors which will affect drug choice & dose, eg, renal function, interactions, and allergy.
6. Check that the appropriate dose is prescribed. If uncertain, contact Infectious disease physician,
Pharmacy, or check in the formulary.
7. The need for antimicrobial therapy should be reviewed on a daily basis. For most infections 5 – 7
days of antimicrobial therapy is sufficient (simple UTIs can be adequately treated with 3 days of
antibiotic).
8. All IV antibiotics may only be given for 48 – 72 hours without review and consideration of oral
alternatives. New microbiological or other information (eg fever defervescence for at least 24h,
marked clinical improvement; low CRP) should at this stage often permit a
Switch to oral antibiotic(s), or switch to an IV narrow spectrum alternative or cessation of Antibiotics
(no infection present).
9. Once culture reports are available, the physician shall step down to the narrowest spectrum, most
efficacious and most cost effective option. If there is no step down availed, the reason shall be
documented and is subjected to clinical audit.
10. Empiric Therapy - Where delay in initiating therapy to await microbiological results would be life
threatening or risk serious morbidity, antimicrobial therapy based on a clinically defined infection is
justified. Where empiric therapy is used the accuracy of diagnosis should be reviewed regularly and
treatment altered/stopped when microbiological results become available
11. Microbiological samples must always be sent prior to initiating antimicrobial therapy. Rapid
tests, such as Gram smears, can help determine therapeutic choices when empiric therapy is
required.
12. Prescribing antibiotics just in case an infection is present is rarely justified. Where patients are in
hospital close observation is usually a better option*(GUIDELINES FORANTIMICROBIAL THERAPY
CMC Ludhiana)
Antibiotic resistance is not just in India it is a global health problem. Nearly all significant bacterial
infections in the world are becoming resistant to commonly used antibiotics. When you misuse
antibiotics, you help create resistant microorganisms that can cause new and hard-to-treat
infections. That's why the decisions you make about using antibiotics — unlike almost any other
medicine you take — have far-reaching consequences. Be responsible in how you use antibiotics to
protect your health and that of your family, neighbours and community.
Need for Antibiotic policy All the Doctors and Microbiologists should accept the importance of
creating Antibiotic policy as it is not few patient’s but we are putting society as risk Sick individuals
aren't the only people who can suffer the consequences. Families and entire communities feel the
impact when disease-causing microbes become resistant to antibiotics. These antibiotic-resistant
bacteria can quickly spread to family members, school mates and co-workers - threatening the
community with a new strain of infectious disease that is more difficult to cure and more expensive
to treat.( Source: Centres for Disease Control (www.cdc.gov)
3. The best course of action is education. People need to learn not only about what antibiotics can and
can’t do, but about alternative treatments as well. If we keep abusing antibiotics, eventually we’ll be
out of solutions for all bacterial infections, The best way to live and let live, think before you take
antibiotic and physicians should think before prescribingan antibiotic just read a well written
documents on antibiotics as education continues boon for all Ills, do not be guided by
pharmaceutical industry and sales people.
Dr.T.V.Rao MD Professor of Microbiology Freelance writer