Tag Archives: AMS
How can we control VRE? Ferguson ACIPC 2021 Invited presentation to ACIPC Conference – the top 3 horizontal (standard) controls are: Hand hygiene by healthcare staff Environmental controls – REACH trial Antimicrobial stewardship – target piperacillin+tazobactam and ceftriaxone to reduce usage below 30 DDD/1000 patient-days. References https://www.mja.com.au/journal/2019/211/3/reduced-vre-and-mrsa-colonisation-and-infection-following-sustained-reduction Ferguson- VRE in hospitals – 2014 monograph https://www.publish.csiro.au/ma/MA14011 […]
This year during Be Medicinewise week the National Prescribing Service (NPS) is encouraging clinicians to promote Australians taking charge of their health by being medicinewise, and raising awareness on the importance of having conversations about medicines. Be Medicinewise week (last week!) suggested clinicians ask patients to keep in mind 3 key pieces of advice to take control […]
AIMED stands for five essential principles that seek to optimise patient treatment with antimicrobials (antibiotics). Antimicrobial stewardship 101 – excellent overview from McKenzie, Rawlins and Del Mar in Australian Prescriber.
Antimicrobial stewardship is as important in nursing homes or any residential aged care facility as a hospital. A recent study of MRSA epidemiology in the Hunter New England region indicates a significant association between residential aged care residence and first detection of MRSA in the community associated group with no contact with healthcare over previous […]
On Friday 4th September 2015, the Clinical Excellence Commission Quality Use of Antimicrobials in Healthcare program hosted a symposium-style education and networking forum on the topic of antimicrobial stewardship. This event was attended by one hundred delegates, representing pharmacists, doctors, microbiologists, nurses and quality and safety professionals from both rural and regional areas. The vast […]
Antibiograms summarise local antimicrobial susceptibility in order to guide appropriate antimicrobial prescribing. Ideally they are updated annually by microbiology services to provide a current picture of bacterial susceptibility and the local incidence of key sentinel resistant pathogens.
The 5×5 Antimicrobial Audit is a sustainable model of audit, intervention and feedback designed to improve the quality of antimicrobial prescribing in targeted areas of clinical practice. The methodology of the 5×5 Antimicrobial Audit involves ongoing data collection of small sample sizes, with trained auditors required to answer up to 5 questions in 5 or […]
The Centers for Disease Control have put together a number of resources to help decrease prescribing of antibiotics and reduce antibiotic resistance. The (free) resources include information for community health, hospitals and veterinary medicine. The information is designed for both healthcare professionals and patients or their carers.
The UK now has national guidelines regarding antimicrobial stewardship, just like the USA and Australia. The guidelines recommend antimicrobial stewardship activities across all aspects of health care and encourage research into new antibiotics. The guideline also provides useful advice on how to deal with patients who inappropriately request antibiotics – see below for some excerpts-
Objective two of the recently released strategy focuses on implementation of effective antimicrobial stewardship across all sectors of human health. The 2013 National Antimicrobial Prescribing Survey deemed 30% of hospital antimicrobial prescriptions were inappropriate although it was hard to tell because only 71% had a reason for prescription documented in the medical notes. Inappropriate antimicrobial use is […]