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Related Concept Videos

Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Hand hygiene01:23

Hand hygiene

Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Cleaning, Sterilization, and Disinfection01:30

Cleaning, Sterilization, and Disinfection

Cleaning, disinfection, and sterilization are the methods that help to break the infection chain and prevent disease.
Cleaning
The cleaning process usually involves using water with detergents or enzymatic cleaner and removing foreign material from objects and surfaces, including organic material such as body fluids or inorganic material like soil. Cleaning is performed before high-level disinfection and sterilization because foreign materials on the cover of the devices interfere with process...
Handwashing II: Pre-procedure and Initial Procedure Steps01:19

Handwashing II: Pre-procedure and Initial Procedure Steps

The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
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Antimicrobial Effectiveness01:28

Antimicrobial Effectiveness

The effectiveness of antimicrobial agents depends on various factors influencing their ability to eliminate microbial populations. Larger microbial populations require more time for complete eradication, emphasizing the importance of population size analysis when evaluating antimicrobial efficacy.Microbial resistance to antimicrobial agents varies significantly. Highly resilient microorganisms include endospores, gram-negative bacteria, and non-enveloped viruses, while prions are exceptionally...
Automated Microbial Diagnostics01:24

Automated Microbial Diagnostics

Automated diagnostic analyzers have transformed clinical microbiology by providing rapid and reliable methods for pathogen identification and antibiotic susceptibility testing. Among these systems, the Vitek 2 is widely used because it automates the traditionally labor-intensive processes of microbial identification (ID) and antibiotic susceptibility testing (AST), delivering standardized and timely results that are essential for effective patient care.Microbial Identification with ID CardsThe...

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Handshake Stewardship: A Highly Effective Rounding-based Antimicrobial Optimization Service.

Amanda L Hurst1, Jason Child, Kelly Pearce

  • 1From the *Department of Pharmacy; †Department of Infection Prevention and Control; ‡Department of Pediatrics; and §Section of Pediatric Infectious Diseases and Epidemiology, Children's Hospital Colorado and University of Colorado School of Medicine, Aurora, Colorado.

The Pediatric Infectious Disease Journal
|June 3, 2016
PubMed
Summary
This summary is machine-generated.

Handshake stewardship, a unique rounding-based strategy, significantly reduced overall antimicrobial use by 10.9% in a children's hospital. This approach, without restrictions, proved effective in combating antimicrobial resistance.

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Area of Science:

  • Infectious Diseases
  • Hospital Pharmacy
  • Antimicrobial Resistance

Background:

  • Antimicrobial resistance necessitates effective antimicrobial stewardship programs.
  • Traditional programs often rely on restrictive or preauthorization strategies.
  • A novel rounding-based strategy, 'handshake stewardship,' offers an alternative approach.

Purpose of the Study:

  • To evaluate the efficacy of the handshake stewardship strategy in reducing antimicrobial use.
  • To assess the impact of this non-restrictive, pharmacist-physician team-based approach on hospital-wide and unit-specific antimicrobial consumption.

Main Methods:

  • Retrospective analysis of hospital-wide and unit-specific antimicrobial use.
  • Data collected from October 2010 to September 2014 in a freestanding children's hospital.
  • Antimicrobial use measured in days of therapy per 1000 patient days (DOT/1000 PD).

Main Results:

  • Overall antimicrobial use decreased by 10.9% (942 to 839 DOT/1000 PD).
  • Antibacterial use decreased by 10.3%, with significant reductions in vancomycin (25.7%) and meropenem (22.2%).
  • Decreased usage was observed hospital-wide and across individual units.

Conclusions:

  • The handshake stewardship approach is an effective strategy for antimicrobial stewardship programs.
  • This non-restrictive, rounding-based method significantly decreased antimicrobial use.
  • The strategy demonstrates success in combating antimicrobial resistance through optimized prescribing.