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https://www.readbyqxmd.com/read/27913975/clinical-impact-of-an-antibiotic-stewardship-program-at-a-children-s-hospital
#1
Brian R Lee, Jennifer L Goldman, Diana Yu, Angela L Myers, Leslie M Stach, Erin Hedican, Mary Anne Jackson, Jason G Newland
INTRODUCTION: Antibiotic stewardship programs (ASP) improve appropriate antibiotic use. Data are limited on the clinical benefit of ASPs in children's hospitals. This study's objective was to determine the impact of an ASP on length of stay (LOS) and readmission rate among patients admitted to children's hospitals. METHODS: Data from a prospective-audit-with-feedback ASP were used to examine the ASP review characteristics, including antibiotic(s) prescribed, clinical indication, recommendations made by the ASP, and agreement with recommendations...
December 2, 2016: Infectious Diseases and Therapy
https://www.readbyqxmd.com/read/27902375/improving-time-to-optimal-staphylococcus-aureus-treatment-using-a-penicillin-binding-protein-2a-assay
#2
Sonia N Rao, Sheila K Wang, Jose Gonzalez Zamora, Amy P Hanson, Radhika S Polisetty, Kamaljit Singh
The penicillin-binding protein 2a (PBP2a) assay is a quick, accurate and inexpensive test for determining methicillin susceptibility in Staphylococcus aureus. A pre-post study design was conducted using a PBP2a assay with and without the impact of an antimicrobial stewardship (AS) intervention to improve time to optimal therapy for methicillin-susceptible (MSSA) and methicillin-resistant Staphylococcus aureus (MRSA) isolates. Our results demonstrate significantly improved time to optimal therapy and support the use of a PBP2a assay as part of an AS program for all healthcare facilities, especially those with limited resources...
October 14, 2016: Journal of Medical Microbiology
https://www.readbyqxmd.com/read/27880667/the-current-treatment-landscape-other-fungal-diseases-cryptococcosis-fusariosis-and-mucormycosis
#3
Olivier Lortholary, Mario Fernández-Ruiz, John R Perfect
Compared with major invasive mycoses such as aspergillosis and candidiasis, the antifungal stewardship management strategies of other fungal diseases have different opportunities and considerations. Cryptococcosis, fusariosis and mucormycosis are globally prevalent invasive fungal diseases (IFDs), but are not currently included in antifungal prophylaxis guidelines for immunocompromised hosts. Since the implementation of biomarkers as part of diagnostic screening strategies, the concept of pre-emptive antifungal therapy has emerged for these IFDs...
November 2016: Journal of Antimicrobial Chemotherapy
https://www.readbyqxmd.com/read/27832047/core-elements-of-outpatient-antibiotic-stewardship
#4
Guillermo V Sanchez, Katherine E Fleming-Dutra, Rebecca M Roberts, Lauri A Hicks
The Core Elements of Outpatient Antibiotic Stewardship provides a framework for antibiotic stewardship for outpatient clinicians and facilities that routinely provide antibiotic treatment. This report augments existing guidance for other clinical settings. In 2014 and 2015, respectively, CDC released the Core Elements of Hospital Antibiotic Stewardship Programs and the Core Elements of Antibiotic Stewardship for Nursing Homes. Antibiotic stewardship is the effort to measure and improve how antibiotics are prescribed by clinicians and used by patients...
November 11, 2016: MMWR. Recommendations and Reports: Morbidity and Mortality Weekly Report. Recommendations and Reports
https://www.readbyqxmd.com/read/27823118/procurement-problems-what-lies-beneath
#5
Jane Bates
Perhaps because we have to budget so carefully ourselves, nurses are mindful not to squander NHS resources. Yet the health service's poor stewardship of taxpayers' money has been hot news on and off for years.
October 5, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27817759/status-of-the-prevention-of-multidrug-resistant-organisms-in-international-settings-a-survey-of-the-society-for-healthcare-epidemiology-of-america-research-network
#6
Nasia Safdar, Sharmila Sengupta, Jackson S Musuuza, Manisha Juthani-Mehta, Marci Drees, Lilian M Abbo, Aaron M Milstone, Jon P Furuno, Meera Varman, Deverick J Anderson, Daniel J Morgan, Loren G Miller, Graham M Snyder
OBJECTIVE To examine self-reported practices and policies to reduce infection and transmission of multidrug-resistant organisms (MDRO) in healthcare settings outside the United States. DESIGN Cross-sectional survey. PARTICIPANTS International members of the Society for Healthcare Epidemiology of America (SHEA) Research Network. METHODS Electronic survey of infection control and prevention practices, capabilities, and barriers outside the United States and Canada. Participants were stratified according to their country's economic development status as defined by the World Bank as low-income, lower-middle-income, upper-middle-income, and high-income...
November 7, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27814531/environmental-impact-of-non-certified-versus-certified-asc-intensive-pangasius-aquaculture-in-vietnam-a-comparison-based-on-a-statistically-supported-lca
#7
Trang T Nhu, Thomas Schaubroeck, Patrik J G Henriksson, Roel Bosma, Patrick Sorgeloos, Jo Dewulf
Pangasius production in Vietnam is widely known as a success story in aquaculture, the fastest growing global food system because of its tremendous expansion by volume, value and the number of international markets to which Pangasius has been exported in recent years. While certification schemes are becoming significant features of international fish trade and marketing, an increasing number of Pangasius producers have followed at least one of the certification schemes recognised by international markets to incorporate environmental and social sustainability practices in aquaculture, typically the Pangasius Aquaculture Dialogue (PAD) scheme certified by the Aquaculture Stewardship Council (ASC)...
October 27, 2016: Environmental Pollution
https://www.readbyqxmd.com/read/27810065/social-media-as-a-tool-for-antimicrobial-stewardship
#8
Jennifer Pisano, Natasha Pettit, Allison Bartlett, Palak Bhagat, Zhe Han, Chuanhong Liao, Emily Landon
BACKGROUND: To increase the reach of our antimicrobial stewardship program (ASP), social media platforms, Facebook and Twitter, were used to increase internal medicine residents' (IMRs') antibiotic (Abx) knowledge and awareness of ASP resources. METHODS: Fifty-five of 110 (50%) IMRs consented to participate; 39 (71%) completed both pre- and postintervention surveys and followed our ASP on social media. Along with 20 basic Abx and infectious diseases (IDs) questions, this survey assessed IMR awareness of ASP initiatives, social media usage, and attitudes and beliefs surrounding Abx resistance...
November 1, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27773076/pathology-use-stewardship-pre-analytical-review-of-tissue-specimens-previously-processed-by-default-for-mycobacterial-culture-maintains-the-quality-of-laboratory-diagnosis-and-optimises-the-use-of-laboratory-resources
#9
Jeremy Brown, Jason Patterson, Briony Hazelton, Mitchell Brown, Peter Jelfs, Vitali Sintchenko, Sharon C-A Chen
No abstract text is available yet for this article.
February 2016: Pathology
https://www.readbyqxmd.com/read/27771878/forest-stewardship-council-fsc-pesticide-policy-and-integrated-pest-management-in-certified-tropical-plantations
#10
Pedro Guilherme Lemes, José Cola Zanuncio, José Eduardo Serrão, Simon A Lawson
The Forest Stewardship Council (FSC) was the first non-governmental organization composed of multi-stakeholders to ensure the social, environmental, and economic sustainability of forest resources. FSC prohibits certain chemicals and active ingredients in certified forest plantations. A company seeking certification must discontinue use of products so listed and many face problems to comply with these constraints. The aim of this study was to assess the impacts of certification on pest management from the perspective of Brazilian private forestry sector...
October 22, 2016: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/27747254/effects-of-a-syndrome-specific-antibiotic-stewardship-intervention-for-inpatient-community-acquired-pneumonia
#11
Michelle K Haas, Kristen Dalton, Bryan C Knepper, Sarah A Stella, Lilia Cervantes, Connie S Price, William J Burman, Philip S Mehler, Timothy C Jenkins
Background.  Syndrome-specific interventions are a recommended approach to antibiotic stewardship, but additional data are needed to understand their potential impact. We implemented an intervention to improve the management of inpatient community-acquired pneumonia (CAP) and evaluated its effects on antibiotic and resource utilization. Methods.  A stakeholder group developed and implemented a clinical practice guideline and order set for inpatient, non-intensive care unit CAP recommending a short course (5 days) of a fluoroquinolone-sparing antibiotic regimen in uncomplicated cases...
October 2016: Open Forum Infectious Diseases
https://www.readbyqxmd.com/read/27725009/passing-the-baton-to-pharmacists-and-nurses-new-models-of-antibiotic-stewardship-for-south-africa
#12
A Brink, D Van den Bergh, M Mendelson, G A Richards
The optimisation of antibiotic use to maximise patient care and safety through antibiotic stewardship forms one of the cornerstones of the global response to antibiotic resistance. Stewardship efforts in low- and middle-income countries are challenged by lack of healthcare professionals trained in infection. Therefore, in resource-poor settings, the traditional model of infection specialist-led stewardship may be impractical, requiring new models to be developed. A recent South African study across 47 Netcare hospitals nationally highlighted the role of pharmacists in this regard, proving that non-specialised pharmacists can drive a prospective audit, feedback collaborative strategy and a range of improvement science principles to reduce antibiotic consumption by the same levels as that documented in high-resource, infection specialist-led stewardship programmes...
September 6, 2016: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/27714706/what-s-new-in-multidrug-resistant-pathogens-in-the-icu
#13
Gabor Zilahi, Antonio Artigas, Ignacio Martin-Loeches
Over the last several decades, antibacterial drug use has become widespread with their misuse being an ever-increasing phenomenon. Consequently, antibacterial drugs have become less effective or even ineffective, resulting in a global health security emergency. The prevalence of multidrug-resistant organisms (MDROs) varies widely among regions and countries. The primary aim of antibiotic stewardship programs is to supervise the three most influential factors contributing to the development and transmission of MDROs, namely: (1) appropriate antibiotic prescribing; (2) early detection and prevention of cross-colonization of MDROs; and (3) elimination of reservoirs...
December 2016: Annals of Intensive Care
https://www.readbyqxmd.com/read/27694681/the-politico-economic-challenges-of-ghana-s-national-health-insurance-scheme-implementation
#14
Adam Fusheini
BACKGROUND: National/social health insurance schemes have increasingly been seen in many low- and middle-income countries (LMICs) as a vehicle to universal health coverage (UHC) and a viable alternative funding mechanism for the health sector. Several countries, including Ghana, have thus introduced and implemented mandatory national health insurance schemes (NHIS) as part of reform efforts towards increasing access to health services. Ghana passed mandatory national health insurance (NHI) legislation (ACT 650) in 2003 and commenced nationwide implementation in 2004...
April 27, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27669494/column-theme-groundwater-management-directions-stewardship-to-sustain-our-water-resources
#15
Vicki Kretsinger Grabert, Dawn Samara Kaback
No abstract text is available yet for this article.
September 26, 2016: Ground Water
https://www.readbyqxmd.com/read/27660091/vancomycin-resistant-enterococci-epidemiology-infection-prevention-and-control
#16
Katherine Reyes, Ana Cecilia Bardossy, Marcus Zervos
Vancomycin-resistant enterococci (VRE) infections have acquired prominence as a leading cause of health care-associated infections. Understanding VRE epidemiology, transmission modes in health care settings, risk factors for colonization, and infection is essential to prevention and control of VRE infections. Infection control strategies are pivotal in management of VRE infections and should be based on patient characteristics, hospital needs, and available resources. Hand hygiene is basic to decrease acquisition of VRE...
September 19, 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27639302/what-explains-the-demand-for-collective-forest-rights-amidst-land-use-conflicts
#17
Prakash Kashwan
This article presents one of the first empirical studies of the demand for collective forest rights by forest-dependent groups locked in longstanding conflicts with government forestry agencies, which is a common feature of forested regions in the Global South. This analysis shows that (1) past engagements with community-based forest protection help foster demand for collective forest management rights despite the longstanding land use conflicts; (2) large areas of forest land affected by land use conflicts undermine the propensity of community groups to demand collective forest rights; (3) after the area affected by land use conflicts is controlled for, a larger number of land rights claimants is associated with a greater probability that a village group will claim collective forest rights; and (4) micro-institutional variables, particularly financial autonomy of village groups engaged in forest protection efforts, are likely to be among the main drivers of the local demand for collective forest management rights...
December 1, 2016: Journal of Environmental Management
https://www.readbyqxmd.com/read/27617762/antibiotic-stewardship-and-hospital-hygiene-in-german-paediatric-inpatient-facilities-a-qualitative-survey-from-the-paed-ic-working-group
#18
K Weiss, A Simon
BACKGROUND: Antibiotic stewardship (ABS) and hospital hygiene have both been identified as key components to increase patient safety in hospital inpatients. To set the stage for a new approach in this field, a working group of German Pediatric Infectious Disease (PID) Specialists invented the Paed IC Project in 2012. METHODS: This article summarized the results of a qualitative study using telephone interviews, to which 18 German PID specialists were invited. RESULTS: All local study coordinators and additional PID specialists from the 11 paediatric tertiary care inpatient facilities consented to participate...
September 2016: Klinische Pädiatrie
https://www.readbyqxmd.com/read/27608304/-update-in-infectious-diseases-2016
#19
REVIEW
F J Candel, A B García-García, M Peñuelas, A García-Alvarez, F Chiarella, L López-González, C García-Salguero, C Lejárraga, I Rodríguez-Avial
Antimicrobial resistance increases it health, social and economic impact. in all areas (state, regional and local), initiatives to try to contain the problem of resistance arise. In the update of this year 2016, we study microbiological, epidemiological and clinical aspects of multi-resistant bacteria, as well as resources for therapeutic approach, from ancient to modern drugs from therapeutic combinations to optimization Stewardship programs. In the case of fungal infection, we analyze clinical scenarios with different species in yeast or new clinical settings in filamentous fungi...
September 2016: Revista Española de Quimioterapia: Publicación Oficial de la Sociedad Española de Quimioterapia
https://www.readbyqxmd.com/read/27600602/the-concordance-of-serial-ana-tests-in-an-australian-tertiary-hospital-pathology-laboratory
#20
Adrian Y S Lee, Andrew R Hudspeth, Stephen Adelstein
The antinuclear antibody (ANA) tests are some of the more frequently requested tests for the diagnosis of autoimmunity. Although they are used primarily as diagnostic blood tests, multiple requests on the same patient continue to be encountered in the laboratory. This retrospective analysis of serial ANA testing at one pathology laboratory in Australia is the first study that examines the statistical concordance and possible implications of this on clinical practice. High-titred ANA have quite good repeatability for titre and pattern, and low-titred ANA, which can be non-specific, have poor repeatability...
October 2016: Pathology
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