Antimicrobial Stewardship

In the last decade, the number of prescriptions for antibiotics has increases. Even though, antibiotics are helpful, an excess amount of antibiotics can be dangerous. Quite often antibiotics are wrongly prescribed to cure viruses when they are meant to target bacteria. Antibiotics are a type of medicine that is prone to kill microorganisms, or bacteria. By examining the PBS documentary Hunting the Nightmare Bacteria and the article “U.S. government taps GlaxoSmithKline for New Antibiotics” by Ben Hirschler as well as a few other articles can help depict the problem that is of doctors prescribing antibiotics wrongly or excessively, which can led to becoming harmful to the body.

It is thought that overuse of antibiotics is related to the development of antimicrobial resistance (AMR) (Austin). As a consequence, there has been an increasing trend to promote appropriate prescribing of antibiotics so as to maximise their therapeutic efficacy and minimise the outbreak of resistance. Antimicrobial stewardship (AMS) programs in hospitals are exemplary of a method used to promote rational prescription of antibiotics. In this review, we will briefly introduce some examples of AMR to illustrate the extent of this issue. We will then move on to describe AMS programs and the strategies required to

Respiratory syncytial virus (RSV) has a seasonal and yearly incidence, usually between November and April. It is responsible for high infant morbidity and mortality worldwide.. By the first year of life, 60% of children are infected, and almost 100% are infected by 2 years of age. (Saso,&Kampmann,2016). The more common age for hospitalizations occur between 2-3 months of age, and is the leading cause of infants being hospitalized in the developed world, accounting for 2 % of admissions during the winter season. (geerdink,Pillay,Meyalard,2015). The natural RSV infection in those younger than 6 months does not adequately develop a long-lasting immunological response, making reoccurrence of infection likely to reoccur. RSV is an infection that causes cold-like illness that can also cause otitis media, rhinitis, bronchitis, croup, and, pneumonia. Although RSV can cause different reactions, Bronchiolitis is the most common form of occurrence in the pediatric population. This virus is very caustic to the respiratory lining for vulnerable infants, that it increases the risk for respiratory diseases in later years of childhood.

A couple times a year local and national mass media put the spotlight on problems connected to antibiotic overuse. Some people consider those problems to be real and serious, and others think that the discussed topics are nothing more than new “fashionable” subjects to talk about, distracting people from “real” problems, such as climbing gas prices or war expenses. Meanwhile, antibiotic overuse continues as a common practice among US doctors and agribusinesses for the last 20 years. The practice of antibiotic overuse has put patient’s health at risk, contributed to antibiotic resistance and increased bacterial mutation to a new, stronger level; as well as it hitting the economy with new costly expenses in health care. It is time to stop

Throughout my life, adults have insisted the use of antibiotics to fight against the most inconsequential illnesses, whether it’s the cold or the flu. However, neither illness is due to invasion of bacteria. This misuse can lead to antibiotic resistance, also known as antimicrobial resistance(AMR), currently one of the central issues facing the public health system. While the process for antibiotic resistance occurs naturally through the process of adaptation, the mismanagement of antibiotic resources has accelerated the rate at which the bacteria adapt. The occurrence of this misinformation isn’t limited to a few adults: even some of my peers suggest taking antibiotics when faced with the flu. This leads to asking whether AMR is truly a problem and are present regulations enough to combat the issue.

Every year a familiar scene plays out in clinic waiting rooms, chairs filled with miserable patients waiting to see their physician with complaints of a never ending cough and a constant nasal drip. More than likely, these patients will receive a prescription for antibiotics, but should they? Most acute respiratory tract infections (ARTIs), do not require an antibiotic, the symptoms will resolve themselves over time without antibiotic treatment. Healthcare experts and scientists have warned the public about the dangers of overusing antibiotics, and there are thousands of studies to support that fact, but no one is listening. Patients are convinced they need to have antibiotic treatment, and somehow their time is wasted if they leave empty

The influenza virus is “an acute respiratory tract illness, with outbreaks occuring annually that are responsible for large numbers of hospitalization and death worldwide” (Dool et al. 314-319). The influenza virus has a few common symptoms that

Upper respiratory tract infections (URTI), including acute otitis media (AOM) are the most common cause of ambulatory physician visits and antimicrobial prescriptions in children1,2. The most common bacterial causes of URTI are Streptococcus pneumoniae and Haemophilus influenzae, though the majority of cases are caused by viral pathogens 3–10. Distinguishing between viral and bacterial URTI can be difficult. Reports on quality of antimicrobial prescriptions have shown a 30-50% of all out-patient prescriptions due to (upper) respiratory tract infections to be inappropriate2,10,11. In Europe the quality of prescription is higher in the north of the continent, including Iceland compared to in the south12. Conversely, many factors contribute to the overuse of antimicrobials2,13–15, which in turn results to increase in antimicrobial resistance16,17. Contributing factors cited by by physicians to cause over-prescription include uncertainty of diagnosis, fear of disease complications, lack of perception of harmful effects of antimicrobials, not perceiving their own prescription practices to be a problem, pressure by patients, limited time, fear of damaging doctor-patient relationship in addition to language, cultural and educational barriers2,13–15. Antimicrobials were long a mainstay treatment against AOM in fear of rare, but dangerous complications, which have later been found to be unfounded, asnd

Research has revealed how overprescribing antibiotic creates several adverse outcomes, including the development of multidrug resistant organisms, Clostridium difficile infection, and increased costs of health care (Myung et al., 2015). The Consumer Report (2015) raised concern for the overuse of antibiotics and how it leads to the loss of the ability to treat serious infections. Doctors,

Influenza, also known as “the flu,” is a virus that infects the respiratory tract. Although Influenza is not as severe as many viral infections it's almost the worst for viral infections of the respiratory tract. Typically, when someone is infected with influenza they experience fever (usually 100° to 103°F in adults, but even higher in children) and causes a cough, sore throat, runny or stuffy nose, and also headaches, muscle aches, and usually extreme tiredness. There are sometimes other symptoms such as nausea, vomiting and diarrhea but usually only in rare cases with young children. One other note: The term “Stomach flu” isn’t really caused by the influenza virus.

Antibiotics-resistant organisms have become one of the most serious threats to public health, infecting over two million people and killing approximately 23,000 people annually.1 According to the CDC, “total inappropriate antibiotic use,” such as prescribing unnecessary antibiotics or giving the wrong dose or duration, makes up to 50% of all outpatient antibiotic use,2,3 and in 2009, the United States spent $10.7 billion on antibiotics, indicating that there is a lot of potential money to save.4

Every fall season, more than 1 billion Americans contract colds which lead to the overcrowding emergency rooms, doctor offices and urgent care visits. Most of them present similar symptoms of upper respiratory tract (URT) infections which affects the air passage in the nose, ears and throat. Among them, 5 to 20 percents of these symptoms are contracted by influenza, commonly called “the flu” (11). According to the Center of Disease Control and Prevention (CDC), flu diseases are episodic and can be acute which has claimed 3000 to 49000 lives from 1976 to 2006 although there have been no findings on a mortality report due to the common cold (11). Although the common cold and flu share a lot of common characteristics, but their complications

The common cold and Influenza are two common illnesses of the upper respiratory tract. These illness can often be mistaken for each other due to the overlapping symptoms. The two symptoms that seem to present when the flu is occurring are a fever with a cough. Prevention is also similar for both of the illnesses with the exception of an actual vaccine that can be administered annually for flu prevention. Diagnosis can occur in the physicians office according to the individuals symptoms that are presenting or by completing an rapid flu test. Treatments are also similar for both the common cold and the flu because they are both caused by viruses, therefore a patient would not benefit from antibiotic therapy. With educating the

Influenza is one of the most contagious illnesses caused by airborne viruses. I can lead to mild or severe illness and even death. Influenza can come suddenly and is marginally different to a ‘Cold”. The virus can cause infections of the lower respiratory tract (lungs) and the upper respiratory tract (throat, nasal). Influenza is disease that may cause symptom such as the following; fever (high body temperature), sore throat, muscle or body aches, cough, Headaches, runny or stuffy nose, fatigue/tiredness (CDC, 2016). it belongs to “Orthomyxoviridae” family of infections, “myxa” meaning ‘mucus’ in Greek. There are three major types of influenza that may also be addressed as different terminologies, such as flu

Eighty percent of antibiotic prescribing takes place in general practice (Haddox, 2013). Therefore, focus of limiting antibiotic