antibiotic resistant microorganisms

antibiotic resistant microorganisms

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...

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