The Importance Of Antibiotic Stewardship

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

Modern-day advances have allowed scientists to develop methods to control pathogens. The more common methods include the use of antiseptics, antibiotics, and vaccines. By definition, antiseptics are chemicals used to kill pathogens. A few widespread antiseptics include soap, vinegar, and rubbing alcohol. Antiseptics are primarily used for the external destruction of pathogens, while antibiotics and vaccines target internal pathogens. Nevertheless, there are and can be difficulties concerning the use of antibiotics. “As antibiotic use has become more common, antibiotic-resistant bacteria have evolved.” This resistance due to evolution is called antibiotic resistance. It results in the antibiotics having no effect whatsoever on the bacteria, rendering the antibiotics useless. When antibiotic resistance occurs, scientists must resume their search to create a new medicine to can kill the mutant bacteria.

Antibiotics, composed of microorganisms such as streptomycin and penicillin, kill other infectious microorganisms in the human body. At one point, antibiotics were considered to have “basically wiped out infection in the United States”, but due to their overuse and evolutionary

Fleming in 1928. Penicillin helped to treat some common infections: step throat, boils, it would heal wounds quicker, as well as treat more serious infections such as meningitis and pneumonia. Antibiotics usually kill only weak bacteria and after some years of antibiotic usage stronger bacteria have not only survived but also became resistant to the old cure. “Doctors have started to prescribe antibiotics to cure conditions such as ear infections, sinusitis, bronchitis, non-specific upper respiratory tract infections and even common colds and flu… According to the Director of Antimicrobial Resistance, Dr. Richard Besser, each year US physicians write $50 million worth of prescriptions that are ineffectual and unnecessary.” (Elisa Bussey). The more doctors were prescribing antibiotics, the bigger the number of people who become resistant to them. Most of the European countries prescribe antibiotics to kill bacteria only in cases of life threatening conditions. Patients in the US have become accustomed to receiving antibiotics for almost any health concerns and with time, patients have started to expect such prescriptions as a norm.

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.

Antibiotics are inarguably one of the greatest advances in medical science of the past century. Although the first natural antibiotic Penicillin was not discovered until 1928 by Scottish biologist Alexander Flemming, evidence exists that certain plant and mold growths were used to treat infections in ancient Egypt, ancient India, and classical Greece (Forrest, 1982). In our modern world with the advent of synthetic chemistry synthetic antibiotics like Erithromycin and its derivative Azithromycin have been developed. Antibiotics have many uses including the treatment of bacterial and protozoan infection, in surgical operations and prophylactically to prevent the development of an infection. Through these applications, antibiotics have saved countless lives across the world and radically altered the field of medicine. Though a wonderful and potentially lifesaving tool, antibiotic use is not without its disadvantages. Mankind has perhaps been too lax in regulation and too liberal in application of antibiotics and growing antibiotic resistance is the price we must now pay. A recent study showed that perhaps 70% of bacterial infections acquired during hospital visits in the United States are resistant to at least one class of antibiotic (Leeb, 2004). Bacteria are not helpless and their genetic capabilities have allowed them to take advantage of society’s overuse of antibiotics, allowing them to develop

Antibiotics differ from many other drugs in the fact that the treatment is for a very short time compared to drugs used to treat hypertension, diabetes, Parkinson’s, or cancer. The latter disorders have in common that the treatment, from the moment of diagnosis, is life-long. The treatment period for antibiotics is only a few weeks, making the return of investment poor. Increasing demands of authorities in both development and marketing phase and in legislation increase the costs of new antibiotics.[1] [3]

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

Antibiotics started being used for production purposes around the 1940s, farmers started to notice that when antibiotics were fed to their poultry, it promoted growth. This fast growth curve was especially liked by farmers because it increased the profits on their farms. From that point on, antibiotics were incorporated into livestock’s regular feed. In 1951, the FDA approved the first antibiotic that could be used for extra weight gain. It wasn’t until of 1969 that scientists started discovering antibiotic resistance due to the careless use by farmers. “When

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

Specific Purpose: At the end of my speech, my audience will support alternative labeling like an “antibiotic stewardship certification,” and the ethical use of antibiotics in animal agriculture.

Modern day society is constantly in motion. The miracle drug, known as antibiotics, was a remarkable scientific advancement of the 1940’s era and seems to keep up with our demands. It has become the foundation of medicine and health care in today’s society.

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).

Antibiotics was developed to combat bacteria by zero in on the bacteria’s structure. As time goes by bacteria can defeat antibiotics in their natural selection. Natural selection plays an important role in the progression of antibiotic resistance. Most of the bacteria dies when it is exposed to antibiotics they are sensitive to. Therefore, it creates more space and availability of nutrients for the surviving antibiotic-resistant bacteria. Subsequently,