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Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes

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Resisting resistance: practical decision tools for choosing antimicrobials safely.

Norma S Hannigan¹, Deanna R Tolman, Elaine L Larson

¹School of Nursing, Columbia University, New York, New York 10032, USA. nsh2106@columbia.edu

Journal of the American Academy of Nurse Practitioners

|May 4, 2012

Summary

Antimicrobial resistance is increasing due to overprescribing. Evidence-based tools and strategies can help nurse practitioners (NPs) make optimal antimicrobial choices at the point of care, improving prescribing practices.

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Area of Science:

Pharmacology
Infectious Diseases
Evidence-Based Medicine

Background:

Antimicrobial resistance (AMR) is a growing global health threat.
Inappropriate antimicrobial prescribing, particularly by nurse practitioners (NPs), contributes to AMR.
Lack of accessible clinical decision-making tools is a factor in suboptimal prescribing.

Purpose of the Study:

To present evidence-based decision-making strategies for appropriate antimicrobial prescribing.
To highlight available support tools for optimizing antimicrobial use.
To underscore the need for improved prescribing practices among NPs.

Main Methods:

Literature review of journal articles.
Synthesis of information from Internet websites.
Consultation of reference texts.

Main Results:

Emerging resistant microbial strains necessitate updated treatment approaches.
Overprescribing of antimicrobials fuels the development of resistance.
Practical, evidence-based tools can guide optimal antimicrobial selection.

Conclusions:

Evidence-based strategies and tools are crucial for combating antimicrobial resistance.
Point-of-care decision support can enhance antimicrobial prescribing by NPs.
Optimizing antimicrobial choices is essential for effective patient care and public health.