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In 1997, SHEA and the Infectious Diseases Society of America published guidelines to prevent antimicrobial resistance arguing that "…appropriate antimicrobial stewardship, that includes optimal selection, dose, and duration of treatment, as well as control of antibiotic use, will prevent or slow the emergence of resistance among microorganisms."
Antimicrobial medications (aka antimicrobials or anti-infective agents) include antibiotics, antibacterials, antifungals, antivirals and antiprotozoals. [1] The World Health Organization (WHO) has set up an Infection Prevention and Control (IPC) unit in its Service Delivery and Safety department that publishes related guidelines. [2]
In 1996, the National Antimicrobial Resistance Monitoring System (NARMS) was established. [2] Starting in 2010, publications regarding antimicrobial drugs in food became an annual report. Starting in 2012, there was publicly solicited input on how data is to be collected and reported for matters relating to the use of antimicrobials for food ...
The goals of antimicrobial stewardship are to help practitioners pick the right drug at the right dose and duration of therapy while preventing misuse and minimizing the development of resistance. Stewardship interventions may reduce the length of stay by an average of slightly over 1 day while not increasing the risk of death. [103]
Australia's quality use of medicines (QUM) program, including antimicrobial stewardship; health care-related infection prevention and management efforts, including the National Hand Hygiene Initiative; clinical trial safety and reporting programs; These programs all broadly sit under one specific NSQHS Standard.
IDSA also promotes the establishment of antimicrobial stewardship programs and integration of good stewardship practices in every health care facility across the United States and is working to eliminate inappropriate uses of antibiotics in food, animals and other aspects of agriculture. [15]
[1] [9] The results of antimicrobial susceptibility tests performed during a given time period can be compiled, usually in the form of a table, to form an antibiogram. [ 31 ] [ 32 ] Antibiograms help the clinician to select the best empiric antimicrobial therapy based on the local resistance patterns until the laboratory test results are available.
immunization practices and public health; use of vaccines and other immunobiologic agents in clinical practice or preventive medicine; clinical or laboratory vaccine research; assessment of vaccine efficacy and safety; consumer perspectives and/or social and community aspects of immunization programs; at least one member must be an expert in ...