Best practices on AMR

What can you do as a healthcare specialist against antibiotic resistance?

Health care workers have a vital role in preserving the power of antimicrobial medicines.

Inappropriate prescribing and dispensing can lead to their misuse and overuse if medical staff lack up-to-date information, cannot identify the type of infection, yield to patient pressure to prescribe antibiotics or benefit financially from supplying the medicines.

Inadequate hygiene and infection prevention and control in hospitals help to spread infections.

Source: World Health Organization. Global action plan on antimicrobial resistance. Geneva: WHO; 2015. Available from: http://apps.who.int/iris/bitstream/10665/193736/1/9789241509763_eng.pdf?ua=1.

 

ECDC – materials for professionals in hospitals and other healthcare settings:
key messages, factsheets, posters, checklists

Source: CDC Vital Signs, 2014

Prevention of increasing antimicrobial resistance

 

  • Limiting antibiotic use – use antibiotics only when required and inform patients about it 
  • Appropriate antibiotic treatment as soon as possible – rapid diagnostic
  • Correct determination of the duration of antibiotic therapy
  • Monitoring and mapping the drug-resistant infections

 

How to inform patients about the risks of antibiotic resistance and appropriate use of antibiotics and alternative treatments for viral infections such as common colds and flu: https://antibiotic.ecdc.europa.eu/en/healthcare-workers/materials-primary-care-prescribers

The importance of appropriate therapy starting on time:
https://ccforum.biomedcentral.com/articles/10.1186/s13054-020-2742-9

Provide appropriate antibiotic treatment as soon as possible through rapid diagnostic: AMR DetecTool

How to determine the duration of antibiotic therapy:
https://www.who.int/selection_medicines/committees/expert/22/applications/ABWG_optimal_duration_AB.pdf

Multiple national and international monitoring programs for drug-resistant infections: EARS – Net
https://www.ecdc.europa.eu/en/about-us/partnerships-and-networks/disease-and-laboratory-networks/ears-net

EARS-Net performs surveillance of antimicrobial susceptibility of seven bacterial pathogens commonly causing infections in humans:

  • Escherichia coli
  • Klebsiella pneumoniae
  • Pseudomonas aeruginosa
  • Acinetobacter species
  • Streptococcus pneumoniae
  • Staphylococcus aureus
  • Enterococcus faecalis
  • Enterococcus faecium

What to do at the hospital level?

Set up an antimicrobial stewardship team:

Antimicrobial stewardship teams in hospitals are encouraging optimal use of antimicrobials.

The goals of antimicrobial stewardship are to help practitioners pick the right drug at the right dose and duration of therapy while preventing misuse and minimizing the development of resistance.

This review describes all of the important information about the antimicrobial stewardship: why, what, who, how, when, and where:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3203003/

Core Elements of Hospital Antibiotic Stewardship Programs:
https://www.cdc.gov/antibiotic-use/core-elements/hospital.html

 

Copyright 2020 – AMRDETECTOOL