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Use and overuse of antibiotics
Use and overuse of antibiotics
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Acknowledging that the effects of antimicrobial resistance can negatively impact all healthcare settings, proper management over the use of antibiotics is crucial to control the emergence and transmission of antimicrobial-resistant organisms. Requiring every hospital to adopt an antimicrobial stewardship program (ASP) can create an effective way to ensure the appropriate, optimal antibiotic prescribing. The Infectious Diseases Society of America (IDSA) defines the primary purpose of these programs are to enhance clinical outcomes while decreasing unintended consequences of antimicrobial use, including toxicity, the selection of pathogenic organisms, and the emergence of antibiotic resistance (File, Srinivasan, & Bartlett, 2014).
Advantages
However, increasing antibiotic resistance patterns among intensive care unit pathogens, cultivated by empiric-broad spectrum antibiotic regimens, characterizes the variable concerns. Recent literature point that antibiotic use before the development of VAP is associated with increased risk for potentially resistant gran-negative infections and Methcillin-resistant Staphylococcus auereus (MRSA)
Resistance arises from mutations that are not under the control of humans, but the evolution of bacteria has been sped along by the overexposure of antibiotics to both people and animals. The number of antibiotic-resistant strains of bacteria in an area is closely related to the frequency that antibiotics that are prescribed (Todar, 2012). Patients often unnecessarily demand antibiotics to treat common colds or simple illnesses that are not caused by bacteria. Instead, these infections are caused by viruses which, unlike bacteria, are unaffected by antibiotics. Incorrect diagnosis can also lead patients to using unnecessary antibiotics, which can sometimes be even more dangerous than otherwise left untreated. Besides the fact that antibiotics kill off beneficial bacteria in the intestines, misuse of antibiotics provides an opportunity ...
A common healthcare acquired infection that is seen both inside and outside of the hospital is methicillin-resistant Staphylococcus aureus (MRSA). MRSA can have detrimental effects on the patient and is usually acquired within the hospital setting. The PICOT statement has many important aspects to include such as: population, intervention, comparison, outcome, and time, which is used to produce an evidence-based question. According to Schmidt & Brown (2012), the PICOT statement is used in evidence-based practice is to make decisions about patient care based on evidence with clinical expertise appraisal and current research while also considering patient preferences and values. The PICOT statement: In patients between the ages of 30 and 70 admitted
According to USA Today, U.S. doctors are prescribing enough antibiotics to give to 4 out of 5 Americans every year, an alarming pace that suggests they are being excruciatingly overused. In fact, Dr. Aunna Pourang from MD states, “to give you an idea of how high the pressure is to prescribe antibiotics, I didn’t get a job once because during the interview I told the lead physician that I only prescribe antibiotic prescriptions when they are warranted.” The development and widespread obsession of antibiotics, or drugs that kill bacteria and thereby reduce infection, has helped billions of people live longer, healthier lives. Unfortunately, the more we rely on and abuse antibiotics, the more bacteria develop resistance to them, which makes treating infections that much more challenging and leads to the growth of drug-resistant strains of bacteria. Research from the Center of Disease Control found that two million people in the United States become infected with antibiotic resistant bacteria, while 23,000 people die from such infections each year. Americans often aren’t informed on the power of the human body and rush to assumptions when perfection isn’t present. In a nutshell, the obsession of antibiotics is quite deadly and needs to be addressed before it’s too
Therefore, local communities must take actions regarding antibiotic-resistance, whether they are awareness programs or state and nationally regulated laws. The act of hindering antibiotic-resistance development is also an individual commitment. People must understand the effects of excess antibiotics and commit to making a difference. These acts may be as simple as not demanding unnecessary antibiotics and finish the entire course when antibiotics are prescribed. Regardless to the natural evolution of bacteria, society must delay the development of antibiotic-resistance within bacteria with humanity has hastened
Life History and Characteristics: Staphylococcus aureus is a gram positive bacterium that is usually found in the nasal passages and on the skin of 15 to 40% of healthy humans, but can also survive in a wide variety of locations in the body. This bacterium is spread from person to person or to fomite by direct contact. Colonies of S. aureus appear in pairs, chains, or clusters. S. aureus is not an organism that is contained to one region of the world and is a universal health concern, specifically in the food handling industries.
Antibiotic resistance is one of the most important issues facing health care today, with wide reaching future implications if abuse continues. In the United States alone, antibiotic resistance is responsible for over two million illnesses and 23,000 deaths per year. Providers need to be judicious in the disbursement of these life saving pharmacological agents, while being informative of why antibiotics are not always the answer (Talkington, Cairns, Dolen, & Mothershed, 2014). In the case listed below, several issues need to be addressed including perception, knowledge deficit, and the caregiver’s role. This paper will focus on whether a prescription for antibiotics is appropriate and other courses of action that may be taken instead.
Nurses should take a leading role in reducing the impact of disease on patients and influence the expansion of evidence based infection prevention practice. Antimicrobial resistance prevention must remain a huge priority. In times of opposing priorities concerning patient safety, progress has been made in undertaking these bacteria’s and infections. The outlook of a near future without helpful antibiotics should not be dismissed, and all us in positions of influence should encourage and educate the conscientious use of antimicrobials seriously and do what we can to stop the situation from spreading.
Healthcare-associates Infections (HAIs) are infections that patients acquire during the course of receiving healthcare treatment for other conditions and can be devastating or even deadly ("CDC - HAIs the Burden - HAI", 2013). An HAI was defined as a localized or systemic condition that (1) results from an adverse reaction to the pres¬ence of an infectious agent(s) or its toxin(s), (2) that occurs during a hospital admission, (3) for which there is no evidence the infection was present or incubating at admission, and (4) meets body site-specific criteria (Klevens et al., 2007, p.2).
The role of nurses in the prevention of MRSA in the hospitals cannot be overemphasized. The prevalence of MRSA in hospitals calls for awareness and sensitization of all party involved in patient caregiving in the hospital. According to Wilkinson and Treas (2011), nurses take on many roles in the hospital: a caregiver, advocate, communicator, leader, manager counsellor, change agent and an educator. (Wilkinson &Treas. (2011) p.13.) The target of healthy people 2020 is to reduce MRSA and all other hospital acquired infection by 75% in the year 2020. (Healthy people 2020) This cannot be achieved without the maximum support of nurses because nurses have regular one on one contact with patients on daily basis.This paper will take a closer look at the role of a nurse as an educator in the prevention of MRSA in the hospital. One of the nurse’s roles in the prevention of MRSA in hospitals is patient/visitor/staff education.
, prevention and control in our hospitals, have left South Africa, like the rest of the international community, on the brink of a return to an era of stubbornly resistant pathogenic bacteria towards antibiotics.
Examine the ways that health professionals can use five steps of evidence based practice (EBP) as a practical framework to overcoming barriers to locating, appraising, and applying the best research evidence to an occupational health and safety practice.
Infection control is very important in the health care profession. Health care professionals, who do not practice proper infection control, allow themselves to become susceptible to a number of infections. Among the most dreaded of these infections are: hepatitis B (HBV), hepatitis C (HCV), and human immunodeficiency virus (HIV). Another infection which has more recently increased in prevalence is methicillin-resistant Staphylococcus aureus (MRSA). These infections are all treated differently. Each infection has its own symptoms, classifications, and incubation periods. These infections are transmitted in very similar fashions, but they do not all target the same population.
“An interesting byproduct of the newer solutions to medical dilemmas is the slowly growing resistance of antibiotics in bacteria (“Externalities”, 2016)”. The person who is affected by the negative externality concerning the use of antibiotics by others will see it as lowered utility: either subjective displeasure or potentially explicit costs, such as higher medical expenses in the future to treat infections that could have otherwise been treated easily at a lower cost (Ditah, 2011). In order to mitigate antibiotic resistance, healthcare workers should stop prescribing antibiotics unless it’s truly necessary. Additionally, the government should make more of an effort to tackle antibiotic resistance. People should also be educated about how overuse is
The Infection Prevention and Control (IPC) Program is an essential force maximizing quality, patient centered care, and safety throughout the Veterans Affairs North Texas Health Care System (VANTHCS). The VANTHCS “... is a progressive health care provider in the heart of Texas ... we serve more than 117,000 Veterans and deliver 1.4 million outpatient episodes of care each year to Veterans in 38 Texas counties and two counties in southern Oklahoma” (“VA North Texas,” 2016, para. 1). The purpose of the IPC Program is to guide a facility-wide approach toward identifying, preventing, controlling, and eliminating healthcare-associated infections (HAIs). This approach is facilitated through infection control (IC) practitioner’s role-modeling behaviors of assessing, supporting, guiding, and/or directing healthcare providers (HCPs) in the application of evidence-based practices (EBPs) to prevent HAIs. According to the Centers for Disease Control and Prevention (CDC), HAIs are often preventable adverse events that pose a major threat to patient safety (“Centers for Disease,” 2016). As a result, IC practitioners recognize the importance of preparing nurse faculty to engage clinical staff in the application of EBPs to prevent infections.