ANT I MI CROBI AL ST E WARDSHI P AND ANT I BI OGRAM Jo se ph P. I se r, MD, DrPH, MSc Chie f He a lth Offic e r, So uthe rn Ne va da He a lth Distric t
CDC AND WI NNABL E BAT T L E S • T o b a c c o • Mo to r Ve hic le I njurie s • Nutritio n/ Physic a l • T e e n Pre g na nc y Ac tivity/ Ob e sity • HI V in the US • F o o d Sa fe ty • He a lthc a re -Asso c ia te d I nfe c tio ns
HE AL T HCARE -ASSOCI AT E D I NF E CT I ONS • At a ny g ive n time , a b o ut 1 in e ve ry 25 pa tie nts ha s a n infe c tio n re la te d to the ir ho spita l c a re . He a lthc a re -a sso c ia te d infe c tio ns (HAI s) no t o nly a ffe c t pa tie nt live s, b ut a lso a dd to o ur g ro wing he a lthc a re c o sts. • CDC ha s ide ntifie d e limina ting HAI s a s a Winna b le Ba ttle . With a dditio na l e ffo rt a nd suppo rt fo r e vide nc e -b a se d, c o st-e ffe c tive stra te g ie s tha t we c a n imple me nt no w, we c a n ha ve a sig nific a nt impa c t o n o ur na tio n’ s he a lth. • Pre ve nt spre a d o f b a c te ria b e twe e n pa tie nts • Pre ve nt spre a d o f b a c te ria b e twe e n pa tie nts • I mpro ve a ntib io tic use a nd re duc e de ve lo pme nt o f re sista nc e b y using a ntib io tic s whe n ne c e ssa ry, use the a ppro pria te a ntib io tic in the pro pe r do sa g e , fre q ue nc y, a nd dura tio n
ST AT E ANT I MI CROBI AL ST E WARDSHI P PROGRAM (JW) • F irst sta te wide c o o rdina tio n initia tive in the Unite d Sta te s. • Jo int Co mmissio n will b e a dding a ntimic ro b ia l ste wa rdship a s a sta nda rd. • Will fo llo w CDC re c o mme nda tio ns • I nc lude s a fo rma l, writte n sta te me nt o f suppo rt fro m le a de rship suppo rting the ir o rg a niza tio n’ s ste wa rdship initia tive s.
JAPAN: I NI T I AL I NDI CAT I ON OF F ORE CAST ABL E DRUG RE SI ST ANT BACT E RI A ACT I VI T Y SI GNAT URE S
CI RPO-E . COL I RE SI ST ANCE ACROSS ACUT E CARE F ACI L I T I E S, WASHOE COUNT Y (I NC. CARSON VAL L E Y)
SNHD ANT I BI OGRAM • Simila ritie s • T he se b o th a re inte nde d to he lp g uide e mpiric a ntimic ro b ia l tre a tme nt a nd a re impo rta nt c o mpo ne nts o f de te c ting a nd mo nito ring tre nds in a ntimic ro b ia l re sista nc e .
SNHD ANT I BI OGRAM • Diffe re nc e s • We will c o nstruc t the c o mmunity a ntib io g ra m with da ta fro m lo c a l pro vide rs (ho spita l a nd c o mme rc ia l la b s); da ta is sto re d in ho use . • Mo nito r c urre nt tre nd o f a ntib io g ra m in c o mmunity. • Pro vide g uide o f e mpiric a ntimic ro b ia l tre a tme nt to lo c a l pro vide rs.
SNHD ANT I BI OGRAM • Outc o me s • T his will he lp g uide the c linic ia n a nd pha rma c ist in se le c ting the b e st e mpiric a ntimic ro b ia l tre a tme nt while mic ro b io lo g y c ulture a nd susc e ptib ility re sults a re pe nding .
ANT I BI OGRAM • SNHD Antib io g ra m will b e simila r to the pre vio us slide • Pla n to ha ve se ve ra l fo r diffe re nt po pula tio ns • Pe dia tric s • Adult • I CU • Ge ne ra l inpa tie nt a nd o utpa tie nt • Will a lso lo o k a t CC g e o g ra phy a nd ho spita l re fe rra l pa tte rns
SNHD • SNHD • 280 S. De c a tur Bo ule va rd • L a s Ve g a s, NV 89127 • 702-759-1201
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