ANTIBIOTIC STEWARDSHIP TO REGULATE MISUSE OF ANTIBIOTICS
Dr.T.V.Rao MD
A topic of Academic interest to Medical and Microbiology postgraduates 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 use without a prescription and overuse for self-limiting infections, universally, the health care providers are increasingly recognizing the importance of AMSP in HCI as a major contributor to sustaining usefulness of AMA in the treatment of infections
The need for Antibiotic Stewardship is growing It has appeared and is growing fast. Today so much resources are invested on educating the professionals and the society on matters related to Antibiotics misuse and creation of SUPERBUGS AND MDR STRAINS, still the awareness to catch up however it all depends on the cooperation of competent Clinical Microbiologists and wise clinicians, wish the teaching hospitals should take the initiative, to BRING the matters in order, and certainly utter chaos in times of crisis as happening in patients with sepsis LONG term care with many advances in medical profession. The aim of the Antimicrobial Stewardship Initiative is to improve the safe and appropriate use of antimicrobial s, reduce patient harm and decrease the incidence of antimicrobial resistance Criterion: Antimicrobial Stewardship
Safe and appropriate antimicrobial prescribing is a strategic goal of the clinical governance system.
Have an antimicrobial stewardship program in place
Provide clinicians prescribing antimicrobial access to current endorsed Therapeutic Guidelines on antimicrobial usage
Undertake monitoring of antimicrobial usage and resistance
Act to improve the effectiveness of antimicrobial stewardship
Stewardship increases coverage of empirical antimicrobial treatment while reducing the use of antimicrobial s in general, and broad spectrum antimicrobial s. As a result, Stewardship creates savings in terms of bed-days and lives, and reduces the spread of antimicrobial resistance
WHAT MICROBIOLOGISTS SHOULD TO
Another approach is to identify and communicate to prescribes specific situations where antibiotics should be withheld and guidance in relation to the duration of antibiotic use, which is often an area of misuse.
The importance of communicating, sharing and learning from data is also important.
Face-to-face meetings with prescribers, where there is an opportunity for reflection about their prescribing practices, or attending multidisciplinary teams, web-ex conferences, etc. are all important in promoting learning about prudent prescribing.
WHAT INDIA NEEDS - Regular education, easy availability of guidelines and audit of AMA prescription practices and their feedback are essential. Major stakeholders, physicians and surgeons must be involved in and even be leaders in all aspects of AMSP, guidelines and audits. Continuous research is warranted in all aspects of AMSP to obtain the best Programme for local needs. However all the Microbiologists should adopt to document the Antibiograms with credited software with maximum parameters it is the WHONET IT PROVIDES BEST OPTIONS AND THE MICROBIOLOGISTS SHOULD CONTRIBUTE FOR AUDITING THE ANTIBIOGRAMS THE FACTS ON ANTIBIOTIC RESISTANCE IN THE RESPECTIVE HOSPITALS
MANY MEDICAL COLLEGES IN INDIA HAVE STARTED INITIATION TO COLLABORATE WITH INTERNATIONAL ORGANIZATION HOPE WE ALL CAN DO GET WITH GREAT COOPERATION OF CLINICIANS
Ref Growing challenges of Antibiotic Resistance and stewardship application on world wide web
Dr.T.V.Rao MD Freelance Clinical Microbiologist
Resource person to WHONET.org USA
Dr.T.V.Rao MD
A topic of Academic interest to Medical and Microbiology postgraduates 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 use without a prescription and overuse for self-limiting infections, universally, the health care providers are increasingly recognizing the importance of AMSP in HCI as a major contributor to sustaining usefulness of AMA in the treatment of infections
The need for Antibiotic Stewardship is growing It has appeared and is growing fast. Today so much resources are invested on educating the professionals and the society on matters related to Antibiotics misuse and creation of SUPERBUGS AND MDR STRAINS, still the awareness to catch up however it all depends on the cooperation of competent Clinical Microbiologists and wise clinicians, wish the teaching hospitals should take the initiative, to BRING the matters in order, and certainly utter chaos in times of crisis as happening in patients with sepsis LONG term care with many advances in medical profession. The aim of the Antimicrobial Stewardship Initiative is to improve the safe and appropriate use of antimicrobial s, reduce patient harm and decrease the incidence of antimicrobial resistance Criterion: Antimicrobial Stewardship
Safe and appropriate antimicrobial prescribing is a strategic goal of the clinical governance system.
Have an antimicrobial stewardship program in place
Provide clinicians prescribing antimicrobial access to current endorsed Therapeutic Guidelines on antimicrobial usage
Undertake monitoring of antimicrobial usage and resistance
Act to improve the effectiveness of antimicrobial stewardship
Stewardship increases coverage of empirical antimicrobial treatment while reducing the use of antimicrobial s in general, and broad spectrum antimicrobial s. As a result, Stewardship creates savings in terms of bed-days and lives, and reduces the spread of antimicrobial resistance
WHAT MICROBIOLOGISTS SHOULD TO
Another approach is to identify and communicate to prescribes specific situations where antibiotics should be withheld and guidance in relation to the duration of antibiotic use, which is often an area of misuse.
The importance of communicating, sharing and learning from data is also important.
Face-to-face meetings with prescribers, where there is an opportunity for reflection about their prescribing practices, or attending multidisciplinary teams, web-ex conferences, etc. are all important in promoting learning about prudent prescribing.
WHAT INDIA NEEDS - Regular education, easy availability of guidelines and audit of AMA prescription practices and their feedback are essential. Major stakeholders, physicians and surgeons must be involved in and even be leaders in all aspects of AMSP, guidelines and audits. Continuous research is warranted in all aspects of AMSP to obtain the best Programme for local needs. However all the Microbiologists should adopt to document the Antibiograms with credited software with maximum parameters it is the WHONET IT PROVIDES BEST OPTIONS AND THE MICROBIOLOGISTS SHOULD CONTRIBUTE FOR AUDITING THE ANTIBIOGRAMS THE FACTS ON ANTIBIOTIC RESISTANCE IN THE RESPECTIVE HOSPITALS
MANY MEDICAL COLLEGES IN INDIA HAVE STARTED INITIATION TO COLLABORATE WITH INTERNATIONAL ORGANIZATION HOPE WE ALL CAN DO GET WITH GREAT COOPERATION OF CLINICIANS
Ref Growing challenges of Antibiotic Resistance and stewardship application on world wide web
Dr.T.V.Rao MD Freelance Clinical Microbiologist
Resource person to WHONET.org USA
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