Becker's Clinical Quality & Infection Control

January / February 2019 IC_CQ

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25 ANTIBIOTIC RESISTANCE & STEWARDSHIP 6 most common elements of infection control interventions for 3 drug- resistant bacteria By Anuja Vaidya A study published in Clinical Infectious Diseases examined infection prevention and control interventions for three drug-resistant bacteria present at inpatient facilities. Researchers conducted a systematic review and reanalysis of studies gath- ered from six major databases and conference abstracts. ey used effective practice and organization of care quality criteria to analyze the studies. ey identified 76 studies assessing interventions for carbapenem-resistant Entero- bacteriaceae, carbapenem-resistant Acinetobacter baumannii and carbapen- em-resistant Pseudomonas aeruginosa. Interventions were implemented using a multimodal approach in: • 10 of 11 CRE-focused studies • Four of five CRAB-focused studies • ree of three CRPsA-focused studies e most frequent intervention components included: • Contact precautions: 90 percent • Active surveillance cultures: 80 percent • Monitoring, audit and feedback of measures: 80 percent • Patient isolation or cohorting: 70 percent • Hand hygiene: 50 percent • Environmental cleaning: 40 percent n 5 hospitals earn CDC grants to develop antibiotic resistance solutions By Megan Knowles T he CDC awarded more than $15 million to 41 private and academic investigators, including five hospitals, to pilot innovative solutions that protect patients from antibiotic resistance. These awards, part of the agency's Antibiotic Resistance Solutions Initiative, are intended to increase the CDC's innovative approaches to fight antibiotic resistance. The CDC and investigators will improve antibiotic stewardship, analyze antibiotic-resis- tant germs and genes, investigate the human microbiome for how it relates to antibiotic resistance and develop new tools for antibiot- ic resistance detection. The 2018 hospital awardees are: 1. Cleveland VA Medical Center 2. Henry Ford Health System (Detroit) 3. Johns Hopkins Bayview Medical Center (Baltimore) 4. Rush University Medical Center (Chicago) 5. Children's Hospital of Philadelphia n Survey: 81% of Americans concerned about antibiotic resistance By Anuja Vaidya E ighty-one percent of Americans are concerned about the implications of antibiotic resistance on infection treatment, according to a survey commis- sioned by Research!America in collaboration with the Infectious Disease Society of America. The survey polled 1,004 U.S. adults. Five survey findings: 1. Sixty-five percent of Americans characterize antibiotic resistance as a public health problem. 2. Seventy-three percent agree that the federal govern- ment should provide incentives to increase private sector investment in the development of new antibiotics, and 83 percent said pharmaceutical companies should develop more antibiotics. 3. Around 92 percent of adults polled said that physicians and other healthcare professionals should only prescribe antibiotics when needed. 4. Thirty-seven percent believe antibiotics are effective for treating viral infections, but they are not. 5. Additionally, 29 percent would be dissatisfied if their physician did not prescribe an antibiotic to treat their child's viral infection. n

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