[Bedside consultation by a multidisciplinary antibiotics team: an Antibiotic Stewardship Programme at UMCG]

Insights

Dutch hospitals are implementing antibiotic stewardship programs (ASP) to combat rising antibiotic resistance. A pilot project at University Medical Centre Groningen (UMCG) demonstrated a 75% intervention rate using a day 2 bundle, proving successful for wider implementation.

Area of Science:

  • Infectious Diseases
  • Clinical Pharmacy
  • Public Health Policy

Background:

  • Rising antibiotic use and resistance pose a significant global health threat.
  • The Dutch Working Party on Antibiotic Policy (SWAB) advocated for Antibiotic Stewardship Programmes (ASP) to address this challenge.
  • Multidisciplinary antibiotics teams (A-teams) are central to ASP implementation.

Purpose of the Study:

  • To evaluate the effectiveness of an ASP pilot project at the University Medical Centre Groningen (UMCG).
  • To assess the impact of a day 2 bundle for bedside consultation in a trauma surgery ward.
  • To determine the feasibility and success of ASP implementation in a clinical setting.

Main Methods:

  • Implementation of an ASP at the UMCG trauma surgery ward in 2012.
  • Focus on bedside consultations guided by a "day 2 bundle" protocol.
  • Data collection on intervention percentages during the pilot phase.

Main Results:

  • The ASP implementation achieved a 75% intervention percentage.
  • The pilot project on the trauma surgery ward was deemed successful.
  • Positive outcomes indicate potential for broader application within the hospital.

Conclusions:

  • ASP implementation, particularly using a day 2 bundle, is effective in managing antibiotic use.
  • The UMCG pilot project demonstrates the success of ASP in a clinical setting.
  • The program's success warrants expansion to other hospital wards.

Related Concept Videos

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
434
Antibiotic Selection00:57

Antibiotic Selection

Overview
48.9K
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
842
Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
683
Urine Studies II: Urine Culture and Sensitivity Test01:26

Urine Studies II: Urine Culture and Sensitivity Test

A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
2.9K
Treating Helicobacter pylori in Peptic Ulcers: Antimicrobial Therapy01:16

Treating Helicobacter pylori in Peptic Ulcers: Antimicrobial Therapy

Helicobacter pylori, a resilient gram-negative bacterium, can thrive in the stomach's harsh, acidic environment. Infection with H. pylori leads to a cascade of events within the stomach lining. One of the critical disruptions caused by this bacterium is the interference with somatostatin production, a hormone responsible for regulating acid secretion. This interference tips the balance, escalating acid secretion and diminishing bicarbonate levels. This imbalance compromises the defensive...
2.5K