8 - Antimicrobial Stewardship Flashcards
Explain the concept of antimicrobial resistance?
Antibacterial use leads to resistance
What are the consequences of antibacterial resistance?
- Treatment failure
- Prophylaxis failure
- Economic costs
What are the different definitions of antimicrobial resistance?
- MDR: Non-susceptibility to at least one agent in three or more antimicrobial categories
- XDR: Non-susceptibility to at least one agent in all but two or fewer antimicrobial categories
- PDR: Non-susceptibility to all agents in all antimicrobial categories ADD PICTURE
What is the definition of antimicrobial stewardship?
Ensures the appropriate use of antimicrobials by promoting the selection of optimal antimicrobial drug, regimen, dose, duration and route of administration
What are the objectives of antimicrobial stewardship?
What is the multidisciplinary team are involved in antimicrobial stewardship?
- Medical microbiologist
- Antimicrobial pharmacist
- Infection control nurse
- Hospital epidemiologist
- Information system specialist
What else does antimicrobial stewardship link with?
What are the three different stewardship intervention types?
What are the different ways of surveying antimicrobial stewardship?
Process measures:
- Antibacterial use in daily dose/1000 bed days
Outcome measures:
- Patient outcomes
- Emergence of resistance
- C.Diff infection rate
What are the three parts of an antimicrobial stewardship programme?
- MDT team
- Surveillance
- Interventions
What are the requirements for successful stewardship?
- Long term resources
- Hospital leadership support and authority to challenge inappropriate therapy
- Integration into organisational patient safely and quality of care processes
