Antiseptic Stewardship

Antiseptic Stewardship PDF

Author: Günter Kampf

Publisher: Springer

Published: 2018-08-25

Total Pages: 694

ISBN-13: 3319987852

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Various antiseptic agents, such as chlorhexidine, are used for different applications, e.g. in healthcare, veterinary medicine, animal production and household products, including cosmetics. However, not all antiseptic agents provide significant health benefits, especially in some products used in human medicine (alcohol-based hand rubs, antimicrobial soaps). While some products (antimicrobial soaps, surface disinfectants, instrument disinfectants, wound antiseptics) may contain one or more biocidal agents with a comparable antimicrobial efficacy but large differences in their potential for microbial adaptation and tolerance. An increased bacterial resistance has been described for various antimicrobial agents, sometimes including a cross-resistance to antibiotics. The book is the first comprehensive reference resource on antiseptic agents, including their efficacy, natural and acquired resistance, adaptation, and cross-resistance. It also discusses their and appropriate use in terms of a balance between their efficacy and the risk of acquired bacterial resistance / tolerance. Focusing on human and veterinary medicine and household products, it helps readers make informed decisions concerning against antiseptic products based on their composition. The book contributes to reduce any unnecessary selection pressure towards emerging pathogens and to keep the powerful antiseptic agents for all those applications that have a clear benefit (e.g. reduction of healthcare-associated infection).

Antimicrobial Stewardship, An Issue of Medical Clinics of North America

Antimicrobial Stewardship, An Issue of Medical Clinics of North America PDF

Author: Cheston B. Cunha

Publisher: Elsevier Health Sciences

Published: 2018-08-29

Total Pages:

ISBN-13: 0323613799

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This issue of Medical Clinics, guest edited by Dr. Cheston B. Cunha, is devoted to Antimicrobial Stewardship. Articles in this issue include: Principles of Antimicrobial Stewardship; Antibiotic Resistance in Stewardship; Therapy of Resistant Organisms: A Stewardship Approach; Optimal Antibiotic Dosing Strategies; The Importance of Interdisciplinary Collaboration in Antimicrobial Stewardship; Role of Education in Antimicrobial Stewardship; Role of the Hospital Epidemiologist in Antimicrobial Stewardship; Role of the Clinical Microbiology Laboratory in Antimicrobial Stewardship; Role of New and Rapid Diagnostics In Antimicrobial Stewardship; Antimicrobial Stewardship in the Community Hospital; Antimicrobial Stewardship in Long-Term Care Facilities; Role of the Pharmacist in Antimicrobial Stewardship; Pharmacoeconomic Considerations of Antimicrobial Stewardship Programs; Principles of IV-to-PO Switch and PO therapy; Role of Technology in Antimicrobial Stewardship; and Metrics of Antimicrobial Stewardship Programs.

Antimicrobial Stewardship, An Issue of Infectious Disease Clinics

Antimicrobial Stewardship, An Issue of Infectious Disease Clinics PDF

Author: Pranita Tamma

Publisher: Elsevier Health Sciences

Published: 2014-06-28

Total Pages: 169

ISBN-13: 0323299415

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This issue of Infectious Disease Clinics, edited by Sara Cosgrove, MD, Pranita Tamma, MD, and Arjun Srinvasan, MD, is devoted to Infection Prevention and Stewardship. Articles in this issue include Behavior Issues in Antimicrobial Stewardship; Research Methods and Measurement Approaches for Analyzing the Impact of Antimicrobial Stewardship Programs; The Role of the Microbiology Laboratory in Antimicrobial Stewardship; Antimicrobial Stewardship in Long Term Care Facilities; Antimicrobial Stewardship in the NICU; Antimicrobial Stewardship in Immuno-compromised Populations; Antimicrobial Stewardship in Community Hospitals/Lower Resources Settings; Antimicrobial Stewardship in the Outpatient Setting; Informatics and Antimicrobial Stewardship; Antimicrobial Stewardship Interventions; and Teaching and Education in Antimicrobial Stewardship.

Antimicrobial Stewardship in Non-Traditional Settings

Antimicrobial Stewardship in Non-Traditional Settings PDF

Author: Shira Doron

Publisher: Springer Nature

Published: 2023-03-01

Total Pages: 221

ISBN-13: 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 GUIDELINES Pocketcard

Antimicrobial Stewardship GUIDELINES Pocketcard PDF

Author: Thomas Hooton

Publisher: International Guidelines Center

Published: 2011-02-22

Total Pages: 0

ISBN-13: 9780984629053

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Guidelines Pocketcards(TM) are trifold pocketcards containing society-endorsed, evidence-based treatment guidelines in a brief algorithmic format that is most preferred by practicing clinicians, quality managers, nurses, educators, and medical students. The Antimicrobial Stewardship Guidelines Pocketcard(TM) is endorsed by the Infectious Diseases Society of America (IDSA), the Society for Healthcare Epidemiology of America (SHEA) and the Society of Infectious Diseases Pharmacists (SIDP), and is based on their latest guidelines. It contains key points, a management algorithm, and strategies that include prescriber education, implementation, feedback, use of information technology, and optimizing the use of antibiotics. The Antimicrobial Stewardship Guidelines Pocketcard(TM) provides all that is needed to make accurate clinical decisions at the point of care including key points; management algorithm; optimizing antibiotic use; and strategies for education, implementation, use of information technology, and feedback. Applications include point of care, education, QI interventions, clinical trials, medical reference, and clinical research.

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 PDF

Author: Emily Sydnor Spivak

Publisher: Elsevier Health Sciences

Published: 2023-10-27

Total Pages: 314

ISBN-13: 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 Susceptibility Testing Protocols

Antimicrobial Susceptibility Testing Protocols PDF

Author: Richard Schwalbe

Publisher: CRC Press

Published: 2007-05-22

Total Pages: 430

ISBN-13: 1420014498

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The clinical microbiology laboratory is often a sentinel for the detection of drug resistant strains of microorganisms. Standardized protocols require continual scrutiny to detect emerging phenotypic resistance patterns. The timely notification of clinicians with susceptibility results can initiate the alteration of antimicrobial chemotherapy and

Surgical Site Infection

Surgical Site Infection PDF

Author: Andrew Welsh

Publisher:

Published: 2008

Total Pages: 142

ISBN-13: 9781904752691

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Infections that occur in the wound created by an invasive surgical procedure are generally referred to as surgical site infections (SSIs). SSIs are one of the most important causes of healthcare-associated infections (HCAIs). A prevalence survey undertaken in 2006 suggested that approximately 8% of patients in hospital in the UK have an HCAI. SSIs accounted for 14% of these infections and nearly 5% of patients who had undergone a surgical procedure were found to have developed an SSI. However, prevalence studies tend to underestimate SSI because many of these infections occur after the patient has been discharged from hospital. SSIs are associated with considerable morbidity and it has been reported that over one-third of postoperative deaths are related, at least in part, to SSI. However, it is important to recognise that SSIs can range from a relatively trivial wound discharge with no other complications to a life-threatening condition. Other clinical outcomes of SSIs include poor scars that are cosmetically unacceptable, such as those that are spreading, hypertrophic or keloid, persistent pain and itching, restriction of movement, particularly when over joints, and a significant impact on emotional wellbeing. SSI can double the length of time a patient stays in hospital and thereby increase the costs of health care. Additional costs attributable to SSI of between £814 and £6626 have been reported depending on the type of surgery and the severity of the infection. The main additional costs are related to re-operation, extra nursing care and interventions, and drug treatment costs. The indirect costs, due to loss of productivity, patient dissatisfaction and litigation, and reduced quality of life, have been studied less extensively.

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