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Published on: August 30, 2018
Antimicrobial stewardship: the role of the nurse
David Ladenheim1, Denise Rosembert, Carole Hallam
1East and North Hertfordshire NHS Trust.
Abstract:
Infections caused by organisms resistant to multiple drugs are associated with morbidity and mortality, prolonged hospital stay and increased costs. Since antibiotic use is the main factor in the development of resistance, it is hoped that the judicious use of antibiotics will reduce the emergence of antimicrobial resistance. This article addresses antibiotic misuse in the inpatient setting and outlines the role of the nurse in optimising antibiotic therapy through antimicrobial stewardship.
Insights
Antimicrobial resistance is a growing threat. This article highlights nurses
Area of Science:
- Antimicrobial resistance
- Infectious diseases
- Healthcare epidemiology
Background:
- Antimicrobial resistance (AMR) poses a significant global health threat, leading to increased morbidity, mortality, and healthcare costs.
- The overuse and misuse of antibiotics are primary drivers of AMR.
- Optimizing antibiotic use is crucial to mitigate the spread of resistant organisms.
Purpose of the Study:
- To address the issue of antibiotic misuse in inpatient settings.
- To outline the essential role of nurses in antimicrobial stewardship programs.
- To promote judicious antibiotic prescribing practices.
Main Methods:
- Review of current literature on antibiotic resistance and stewardship.
- Analysis of factors contributing to antibiotic misuse in hospitals.
- Identification of nursing interventions for optimizing antibiotic therapy.
Main Results:
- Antibiotic misuse is prevalent in inpatient settings, contributing to the rise of multidrug-resistant organisms.
- Nurses play a critical role in implementing and monitoring antimicrobial stewardship initiatives.
- Effective stewardship programs can lead to reduced antibiotic consumption and potentially curb resistance.
Conclusions:
- Nurses are integral to successful antimicrobial stewardship efforts.
- Targeted interventions addressing antibiotic misuse are necessary to combat AMR.
- Promoting evidence-based prescribing practices is key to preserving antibiotic efficacy.
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