Antibiotic Resistant Organisms
By: Erica Coreas, Valerie Deumani, Mayte Garza, Genesis Gonzalez,
and Jennifer Guien
Identification of Problem
• Increase of antimicrobial-resistant infections
• The use of higher toxicity drugs
ARI’s are associated with:
• Higher costs
• Increased hospital charges
• Increased number of mortalities
(Neidell et al., 2012)
Clinical Question
As a population, what are the most efficient techniques
that most effectively prevent antibiotic resistance?
Search Strategy
•
EBSCO Host
•
CINAHL
•
Google Scholar
•
PubMed
Search Results
ASI vs. ARI:
•
Cost: Increased approximately $6,000-$30,000
•
Length of hospitalization: Increased up to seven
days
•
Mortality rate: Increased by 11%
(Neidell et al., 2012)
Summary of Evidence
Quantitative
•
•
•
•
Strict hand hygiene
Effective treatment and diagnosis of infection
Surveillance of antibiotic use and resistance
Establish an infection control and prevention
committee
(Uchil et al., 2014)
Qualitative
•
•
•
•
Inform and educate on ARO’s
Wear gloves
Hand hygiene protocol
Do not share personal items
(Murphy, 2012)
Reco
mme
Prac
nded
tice C
MIND
hang
e:
ME
M- Microbiology guides therapy whenever
possible (culture & sensitivity testing)
I- Indications should be evidence based
N- Narrowest spectrum required
D- Dosage Appropriate
M- Minimize duration
of therapy
E- Ensure monotherapy
(one Rx) in most cases
(NPS Medicinewise, 2014)
Strategies for Implementation of Measurable Outcomes
1. All healthcare personnel should be properly educated on the use of antibiotics
2. Educate and motivate clients to take medication as prescribed
3. And until antibiotic therapy is completed
4. Adhere and follow national measures and strategies
Barriers
•
Challenging to control
•
Overuse of current antibiotics
•
Slow development of new antibiotics
•
Inappropriate use of...