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General information
Explanation
of how specific antibiotics work
Global
impact
of resistant organisms on patient care
Prudent
antibiotic use
controls ABR
Table
of common antibiotics
Q&A's:
frequently asked questions about antibiotics & resistance
Donate
to APUA
Practitioner guidelines
Otitis
media
Urinary
tract infections
Upper
respiratory tract
Antimicrobial
Stewardship Guidelines
Terapia
Antibiotica de la InfeccionBuco-Facial
Odontogenica.
In Spanish.
November
2004. Lima, Peru. Dr. Jose Antonio Cabrejos Alvarez jcabrejos@intramed.net
Conceptos
en Terapeutica Medica. Tercera Edicion. In Spanish.
Sociedad Cientifica de Estudiantes Medicina-Cayetano Heredia,
Lima, Peru. Septimo Aniversario. For information/Para informacion:
cugartegil@yahoo.com
Educational
materials...list
Book:
The Antibiotic Paradox
Therapeutic Guidelines: Antibiotic 
Lectures
for practitioners
Newsletter
with practitioner information and scientific articles
Pamphlet
for patients
Video
for healthcare practitioners (English,
Korean, Italian & Vietnamese)
Spanish
and English
online discussions about antibiotic resistance Factsheets:
read about antibiotic resistance
CME
& CEU:
continuing education
Internet
Guide on Antimicrobial Resistance
References
Publications:
books, journal articles, references
Survey
of physicians on factors that influence antibiotic prescribing
Article
on the ecology of ABR
FDA Consumer
reports that antibiotic resistance is becoming a public-healthnightmare:
Website links...list
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IDSA and
the Society for Healthcare Epidemiology of America release guidelines
for Antimicrobial
Stewardship
"Guidelines
for Developing an Institutional Program to Enhance Antimicrobial
Stewardship"
Clinical
Infectious Diseases 2007; 44: 159-77
This
document presents guidelines for developing institutional programs
to enhance antimicrobial stewardship, an activity that includes
appropriate selection, dosing, route, and duration of antimicrobial
therapy. The primary goal of antimicrobial stewardship is to optimize
clinical outcomes while minimizing unintended consequences of
antimicrobial use, including toxicity, the selection of pathogenic
organisms (such as Clostridium difficile), and the emergence of
resistance. Thus, the appropriate use of antimicrobials is an
essential part of patient safety and deserves careful oversight
and guidance.
Immediate
actions you as a healthcare practitioner can take to help limit
antibiotic resistance:
- Wash your hands thoroughly between
patient visits.
- Do not accede to patients' demands
for unneeded antibiotics.
- When possible, prescribe antibiotics
that target only a narrow range of bacteria.
- Isolate hospital patients with
multidrug-resistant infections.
- Familiarize yourself with local
data on antibiotic resistance.
- Read more: Unecessary Deaths: The Human and Financial Costs of Hospital Infections by the Committee to Reduce Infection Deaths (RID)
Find
out additional information about antibiotic resistance such as
societal costs, patient risk factors and prevention strategies...more
What
is being done to curb antibiotic resistance?
In
September 1999, APUA hosted the Summit on Antimicrobial Resistance
in San Francisco, at which an expert international panel created
an action plan to stem the rising tide of community-based
bacterial resistance. The conference was convened in the wake
of the recent alarming reports of deaths from multidrug resistant
Staphylococcus
aureus
in the community.
The Summit, entitled "Truth and Consequences in Community
Medical Practice," addressed solutions to the increasing
prevalence of resistant pathogens, antibiotic misuse by both
physicians and patients, and factors driving doctors to overprescribe
antibiotics. The conclusions reached at these day-long proceedings
are strategies recommended by the Summit's participants for
effectively managing the crisis of antibiotic resistance. |
With
about one-third of all outpatient antibiotic prescriptions
deemed unnecessary by the US Centers for Disease Control and
Prevention, and with the increasing wave of drug-resistant
bacteria, community physicians and the public at large must
take action to improve antibiotic use and curb antibiotic
resistance.
The
expert panel at the 1999 Summit on Antimicrobial Resistance
urged action in combatting antibiotic resistance. See the
strategies that were recommended by Summit participants...strategies
to combat AMR |
|
 From
IDSA, a pocket card on "Practice Guidelines for the
Management of Community Acquired Pneumonia in Immunocompetent
Adults".
To obtain
a copy, please contact IGC at www.myguidelinescenter.com
or call at 410-869-3332. Each pocketcard is $5.25. |
Sustainability for behaviour change in the fight against
antibiotic resistance: a social marketing framework
Timothy Edgar1*, Stephanie D. Boyd2 and Megan J. Palame´1
1Department of Communication Sciences and Disorders, Emerson College, 120 Boylston Street, Boston,
MA 02116, USA; 2Alliance for the Prudent Use of Antibiotics, 2nd Floor, 75 Kneeland Street, Boston,
MA 02111, USA
Antibiotic resistance is one of today’s most urgent public health problems, threatening to undermine
the effectiveness of infectious disease treatment in every country of the world. Specific individual
behaviours such as not taking the entire antibiotic regimen and skipping doses contribute to resistance
development as does the taking of antibiotics for colds and other illnesses that antibiotics
cannot treat. Antibiotic resistance is as much a societal problem as it is an individual one; if mass
behaviour change across the population does not occur, the problem of resistance cannot be mitigated
at community levels. The problem is one that potentially can be solved if both providers and patients
become sufficiently aware of the issue and if they engage in appropriate behaviours. Although a
number of initiatives have been implemented in various parts of the world to elicit behaviour change,
results have been mixed, and there is little evidence that trial programmes with positive outcomes
serve as models of sustainability. In recent years, several scholars have suggested social marketing as
the framework for behaviour change that has the greatest chance of sustained success, but the antibiotic
resistance literature provides no specifics for how the principles of social marketing should be
applied. This paper provides an overview of previous communication-based initiatives and offers a
detailed approach to social marketing to guide future efforts.
See Entire Article. |
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