Antibiotic Stewardship Flashcards
What are some of the consequences of antibacterial failure?
Treatment failure, prophalyxsis failure (as usually all surgical operations are precede by antibiotic prophalyxsis) and ecomonic costs are those who have resistant bacteria tend to have more time spent in hospital and a greater length of ITU stay
What is a multidrug resistant bacteria?
Non suspecitlibaily to at least one agent in 3 or more antimircobial cavity
What is a extensively drug resistant bacteria?
Non suspectibilty to at least one agent in all but two or fewer antibmirbial categories
What are is a pan drug resistant bacteria?
Non suspectibility to all agents in all of the antimircobial categories
What are the key objectives of antimircobial stewardship?
Approiate use of antimircobials, optimal clincial outcomes, minimise the toxicity and other adverse effects and reduce to the costs of healthcare for infections, and limit selection for antimircobial strains of bacteria
What are the key elements of an antimircbial stewardship program?
Involves a multidiscplinary team, including a medical microbioligst, and infection control nurse, a hospital epidemoligosit, a informaiton system specalist
What are some of features of a stuctural intervention?
Computerised reports, rapid lab tests, expert systems, and qulaitly monitoring
What are some of features of persusaive interventions?
Education, consensus, opninon leaders, reminders, audit and feedback
What are some of the key features of restictive interventions?
The reduced suspectibility reporting, the formulary restirction, prior authorisation, and automatic stop orders
What are some of the requirements for successful steawardship?
Long term confirmed and approiate resource,s hospital leasership supprot and delated indivualet ro challenge the inappriate antimircobial treatments
