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Related Concept Videos

Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

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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.
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Standard Precaution01:26

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Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
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Hand hygiene01:23

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

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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...
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Endocarditis IV: Nursing Management01:29

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Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
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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...
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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
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Education and Communication in an Interprofessional Antimicrobial Stewardship Program.

Pamela A Foral, Jennifer M Anthone, Christopher J Destache

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    Summary

    Interprofessional antimicrobial stewardship teams improved patient care by achieving over 90% acceptance of their recommendations. This collaborative approach, using motivational interviewing, enhanced communication and outcomes in medical settings.

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    Area of Science:

    • Healthcare Management
    • Medical Education
    • Infectious Disease Management

    Background:

    • Interprofessional education and practice (IPE/IPP) are crucial for collaborative, patient-centered care.
    • Antimicrobial stewardship programs (ASPs) are essential for optimizing antibiotic use and combating resistance.

    Purpose of the Study:

    • To implement interprofessional ASP teams at two academic medical centers.
    • To evaluate the acceptance rate of ASP recommendations by medical and surgical teams.

    Main Methods:

    • Two interprofessional ASP teams were formed, comprising physicians, residents, medical students, pharmacists, pharmacy residents, and students.
    • Educational seminars and prospective audit/feedback processes were utilized.
    • Motivational interviewing was employed for face-to-face communication of recommendations.

    Main Results:

    • An overall recommendation acceptance rate exceeding 90% (2051/2266) was achieved.
    • The most common interventions included streamlining therapy, changing drug routes, and addressing bug-drug mismatches.
    • Route of administration changes had the highest acceptance rate at 96%.

    Conclusions:

    • Motivational interviewing and face-to-face communication effectively conveyed ASP recommendations.
    • Multidisciplinary team communication in an educational manner significantly increased the acceptance of antimicrobial stewardship interventions.