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Understanding of antimicrobial stewardship - Coggle Diagram
Understanding of antimicrobial stewardship
Multidisciplinary approach
Organisational wide approach
Infection control
GP's
Wards
Clinical scientists
Medical staff
Pharmacy
Ensures that patients are given appropriate treatment
Correct dosage of treatment for that patient
Correct duration of treatment
Most suitable treatment for that patient
Helps to prevent emergence of Antimicrobial resistance
Reduces the spread of antimicrobial resistance infections
MRSA
CPE
VRE
Reduce unnecessary prescription
Particularly of more harsh antibiotics such as Teicoplanin etc
Not starting on antibiotics unless there are clear signs of infection
Narrowing down from broad spectrum once culture results are available
Following NICE guidlines
Incorrect prescription/dosage/duration can lead to prolonged illness and hospital stays
Increased cost to the trust
increased mortality
Reduced protection for patients undergoing procedures
Combination of interventions
Political commitment
Monitoring AMR
Prescribing decisions
Monitoring of AMR emergence in microbes
E.g. KLPN gent res, CPE's
Referring isolates of interest to reference laboratories for further testing or archiving
Additional testing for resistance markers
Presumptive pos CPE's