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Antimicrobial stewardship and infection prevention and control in atopic dermatitis in children

Mataya Kilpatrick1, Stéphane L Bouchoucha1, Ana Hutchinson2

  • 1School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Deakin University, Geelong, VIC, Australia.

American Journal of Infection Control
|December 23, 2018
PubMed

Insights

Dermatology nurses caring for children with atopic dermatitis showed low awareness of antimicrobial stewardship principles. However, they were actively using key stewardship practices in their daily clinical work.

Area of Science:

  • Pediatric Dermatology
  • Infectious Disease Management
  • Nursing Practice

Background:

  • Atopic dermatitis is a chronic inflammatory skin condition with frequent flares.
  • Exacerbations of atopic dermatitis often lead to increased antibiotic prescriptions.
  • Antimicrobial stewardship is crucial to combat antibiotic resistance.

Purpose of the Study:

  • To explore dermatology nurses' perceptions of their role in antimicrobial stewardship.
  • To understand current practices in managing antibiotic use in pediatric atopic dermatitis care.
  • To identify barriers and facilitators to effective antimicrobial stewardship in this population.

Main Methods:

  • A qualitative study design was employed.
  • Data were collected at a specialist pediatric hospital.
  • Thematic and content analysis were used to analyze nurse perceptions.

Main Results:

  • Nurses demonstrated low formal awareness of antimicrobial stewardship concepts.
  • Key elements of antimicrobial stewardship were found to be integrated into clinical practice.
  • There is a gap between perceived knowledge and actual practice regarding antibiotic use.

Conclusions:

  • Dermatology nurses play a role in antimicrobial stewardship for pediatric atopic dermatitis.
  • Educational interventions may be needed to enhance nurses' understanding of stewardship principles.
  • Further research should explore strategies to optimize antibiotic use in this patient group.

Keywords:
Antimicrobial ResistanceKnowledge TranslationNurses' RoleNursingPatient AdvocacyPediatrics

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