By Matthew Laundy, Mark Gilchrist, Laura Whitney
Antibiotic resistance threatens the potent prevention and therapy of infections. Antimicrobial Stewardship offers a realistic consultant in this starting to be region, supported by way of the overview of the on hand proof, together with instance case studies.
summary: Antibiotic resistance threatens the potent prevention and remedy of infections. Antimicrobial Stewardship presents a pragmatic advisor in this transforming into sector, supported by means of the overview of the to be had facts, together with instance case reviews
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Extra info for Antimicrobial stewardship
30 Pulcini C, Williams F, Molinari N, Davey P, Nathwani D. Junior doctors’ knowledge and perceptions of antibiotic resistance and prescribing: a survey in France and Scotland. Clin Microbiol Infect 2011;17:80–7. 31 Mattick K, Kelly N, Rees C. A window into the lives of junior doctors: narrative interviews exploring antimicrobial prescribing experiences. J Antimicrob Chemother 2014;69:2274–83. 32 Schouten JA, Hulscher MEJL, Natsch S, Grol RPTM, van der Meer JWM. Antibiotic control measures in Dutch secondary care hospitals.
Medicine, surgery, intensive care, haemato-â•‰oncology, and paediatrics), specialist hospital-â•‰based pharmacists, nursing professionals, the infection prevention and control (IPC) team, and patient safety teams. ASPs are unique within healthcare, lying between two traditionally separate streams of governance, namely IPC and therapeutics. It is important therefore that the AMT communicates through both channels, sharing intelligence regarding prescribing practice and AMR (and other consequences of prescribing) and keeping both abreast of developments and interventions.
Their perceptions and expectations put an external pressure on the prescriber in the commercial context of health. Thus, the prescription of antibiotics is the result of a complex deliberative process balancing short-â•‰term benefits to the patient with the negative medium-â•‰to long-â•‰term effects on bacterial ecology, with selection of multi-â•‰drug resistant (MDR) organisms. This conflict between individual benefit clearly tangible to the prescriber and the patient and insidious and invisible collateral damage introduces a strong psychological component into the complex process of antibiotic prescribing and consumption.