Antimicrobial Stewardship Report

The development of antibiotics was an important advancement in 20th century medicine. Previously deadly infectious diseases are now routinely treated with antibiotics. Moreover, for modern-day medical procedures such as chemotherapy treatment to be successful, antibiotic use is necessary. For these reasons, the prospect of bacteria developing widespread resistance to antibiotics is a major concern as it would render many modern-day medical therapies unviable.

A Superbug is a bacterium that can live in the human body and has the ability to withstand all forms of antibiotic medication. Superbugs are becoming increasingly significant in modern medicine as they are becoming more and more resistant to antibiotics. Antibiotics were discovered in 1928 by Alexander Fleming (Walsh and McManus, 2000). This resulted in a huge movement forward in medical history and even greatened human life expectancy. Since then antibiotics have been widely used and abused, people began to treat everything with this ‘miracle’ drug. If antibiotics are continually used as bacteria grows exponentially more resistant to them then eventually society will fall back into an era without the readily

Antimicrobial stewardship (AS) can be attained while fostering quality patient satisfaction. Interdisciplinary standards of practice exist to ensure evidence-based prescribing practices yet the pervasive use of antibiotics remains rampant globally. This is a multifaceted topic that impacts primary care prescribers, pharmacists, nurses, pharmaceutical companies, governing bodies, educational institutions, research teams, and the general population. This article will investigate how Canadian nurse practitioners (NPs) are in a prime position to influence an overdue revolution in AS, specifically for uncomplicated viral upper respiratory tract infections (URTIs) of children ages two to ten in primary care.

The article “The End of Antibiotics” discusses a 57 year old man that was dying and how doctors could only sit by while his condition deteriorated. This man was not shot or stabbed, he was infected with antibiotic resistant bacteria that was slowly killing him. He died months later after being bombarded with antibiotics in the form of capsules, tablets, and IVs (Begley par.1). This is the unsettling power that superbugs like this one has over modern day medicine. A superbug is a bacteria that has evolved its cellular structure to resist antibiotics. Dr. Richard Wenzel of the University of Iowa stated, “Only a few years after penicillin came into wide use with World War II, strains of staph had emerged

The misuse and overdose of the antibiotics increase the resistance problem. It can cause these bacteria to

Antibiotic resistance is becoming a more prevalent issue. This is a growing dilemma because, not only do patients have the potential to develop resistance, but they also can transmit the resistant bacteria to others (McKellar, 2014). Additionally, it is estimated that over one-third of all antibiotics prescribed to patients are unnecessary (Centers for Disease Control and Prevention, 2016). Overutilization of antibiotics is a growing problem due to some patients’ inappropriate demands for antibiotics or misdiagnoses by prescribers, however, underutilization of antibiotics can be just as problematic. Physicians are trained to use good antimicrobial stewardship when prescribing antibiotics; only giving them to patients who truly do have a bacterial infection. This becomes an issue when providers are too cautious and do not prescribe antibiotics in an attempt not to contribute to antibiotic resistance. Unfortunately, this caution could have a detrimental effect on the health of patients who actually need the antibiotics. To combat this issue, we must find a balance between good antimicrobial stewardship to minimize resistance while also taking underutilization into consideration. We, as pharmacists, are at a unique position between the physician and

in their tracks -- every year, 2 million Americans become infected with bacteria that are resistant to antibiotics http://www.care2.com/greenliving/antibiotic-resistance-and-the-rise-of-the-superbug.html

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

Adherence to antibiotic prophylaxis guidelines at University Medical Center is poor within the study period. Supporting implementation of antibiotic stewardship program and making sure that all of prophylactic antibiotics are covered by Health Insurance are importance and necessary in order to improve effectiveness and appropriateness of antibiotic prophylaxis usage

The development and advancement of antibiotic resistance is dependent on a number of factors, and cannot be resolved with one single solution. Research suggests the best strategy to manage the misuse of antibiotics leading to antibiotic resistance, is mandating all hospitals to implement an antimicrobial stewardship program. This solution meets all of the required criteria and is a sensible approach in resolving the growing rate of resistant. Making antimicrobial stewardships a part of the patient safety effort will help bring new support and spark the conversation that must take place in order to make advancement in resolving antibiotic resistance. Multiple studies have been conducted to evaluate the before and after introduction of ASPs and

The term “superbug” has been a headline in today’s conversations. America is known to be the number one country that’s is overly medicated, and one day our bodies would become resistant to the very same medications that would someday be needed to save your life. Scary as it sounds it is true. Superbugs or CRE (Carbapenem-resistant Enterobacteriaceae) is very serious among hospitals, colleges, foods, nursing homes, or one in twenty-five acute care facilities across the globe known to have contracted CRE in the past year. In a headline on CNBC the CDC mentions that over “forty-seven million unnecessary prescribed antibiotic prescriptions are given every year in the United States.” Meanwhile, as a faster way of promoting healthier livestock farmers

In the last fifty years, the most prominent and transformative medical advancement made was the discovery of antibiotics and disinfectants. On the contrary, with the uncovering of antibiotics came the repercussion of the progressively threatening antibiotic-resistant bacteria. Antibiotic-resistant bacteria or ‘superbugs’ formed due to the lack of care from the people to follow through with simple safety procedures in order to entirely get rid of bacterial illnesses and infections. Appropriate precautions are necessary and expectedly need to be taken, in order to minimize and possibly prohibit the formation, continual growth and limit the strength of resistance in the antibiotic-resistant superbugs, and most importantly to preserve medical advancements

It is undeniable that the recent discovery of antibiotics and disinfectants in the past century is leading to the creation of increasingly dangerous antibiotic-resistant bacteria. Super bugs like Methicillin-resistant Staphylococcus have begun breaking out in hospital areas, killing more and more patients due to the lack of people following through with simple safety measures. In order to stop the creation and spread of antibiotic-resistant super bugs, proper precautions must be taken such as avoiding antibacterial cleaners, following through with instructions when taking prescriptions and maintaining adequate hand hygiene. Through adhering to basic safety rules, the creation and spread of super bugs can be minimized and all together

    These are many killers that damage generations, but there is one tiny thing that has caused countless deaths and injuries throughout history -- Superbugs. It caused 700,000 deaths every year, and it was estimated to kill 10 million lives each year by 2050, which would cost over 100 trillion dollars per year and a worldwide economic output reduction of 2% to 3.5%, etc.(Walsh,para2) Surprisingly, superbugs are caused by nothing else but overusing “life-saver”: antibiotics. Thus, we must significantly limit the use of antibiotics in medicine and agriculture in order to stop the creation of deadly, drug-resistant “Superbugs.”

The overuse of antibiotics has been a problem for well over a decade. This misuse leads to many nonvisible problems arising within the human population. As the use of antibiotics increases, the number of antibiotic resistant bacteria also increases. When bacteria become resistant to an antibiotic, another antibiotic must be used to try and kill it and the cycle becomes vicious. Michael Martin, Sapna Thottathil, and Thomas Newman stated that antimicrobial resistance is, “an increasingly serious threat to global public health that requires action across all government sectors and society” (2409).