scholarly journals Antimicrobial Stewardship: Development and Pilot of an Organisational Peer-to-Peer Review Tool to Improve Service Provision in Line with National Guidance

Antibiotics ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 44
Author(s):  
Olaolu Oloyede ◽  
Emma Cramp ◽  
Diane Ashiru-Oredope
Keyword(s):  
Public Health ◽  
Peer Review ◽  
Antimicrobial Stewardship ◽  
Service Provision ◽  
Good Practice ◽  
Survey Method ◽  
Global Public Health ◽  
Inappropriate Use ◽  
National Guidance ◽  
New Antibiotics

Antimicrobial resistance continues to be a considerable threat to global public health due to the persistent inappropriate use of antibiotics. Antimicrobial stewardship (AMS) programs are essential in reducing the growth and spread of antibiotic resistance, in an environment which lacks incentives for the development of new antibiotics. Over the years, a variety of resources have been developed to strengthen antimicrobial stewardship. However, the differences in resources available present a challenge for organisations/teams to establish the best resources to utilise for service provision. A peer review tool was formulated using four national documents on AMS and tested through three phases with feedback. A survey method was used to collect feedback on the validity, feasibility, and impact of the AMS peer review tool. Feedback received was positive from the earlier pilots. The tool was found to be useful at identifying areas of good practice and gaps in antimicrobial stewardship across various pilot sites. Feedback suggests the tool is useful for promoting improvements to AMS programs and highlights that the content and features of the tool are appropriate for evaluating stewardship.

scholarly journals Mechanisms of Antimicrobial Resistance in ESKAPE Pathogens

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Sirijan Santajit ◽  
Nitaya Indrawattana
Keyword(s):  
Public Health ◽  
Antimicrobial Resistance ◽  
Antimicrobial Agents ◽  
Multidrug Resistant ◽  
Resistance Mechanisms ◽  
Global Public Health ◽  
Drug Usage ◽  
Inappropriate Use ◽  
Public Health Challenges ◽  
Eskape Pathogens

The ESKAPE pathogens (Enterococcus faecium,Staphylococcus aureus,Klebsiella pneumoniae,Acinetobacter baumannii,Pseudomonas aeruginosa, andEnterobacterspecies) are the leading cause of nosocomial infections throughout the world. Most of them are multidrug resistant isolates, which is one of the greatest challenges in clinical practice. Multidrug resistance is amongst the top three threats to global public health and is usually caused by excessive drug usage or prescription, inappropriate use of antimicrobials, and substandard pharmaceuticals. Understanding the resistance mechanisms of these bacteria is crucial for the development of novel antimicrobial agents or other alternative tools to combat these public health challenges. Greater mechanistic understanding would also aid in the prediction of underlying or even unknown mechanisms of resistance, which could be applied to other emerging multidrug resistant pathogens. In this review, we summarize the known antimicrobial resistance mechanisms of ESKAPE pathogens.

Antimicrobial stewardship in wound care

2020 ◽  
Vol 29 (15) ◽  
pp. S10-S16
Author(s):  
Val Edwards-Jones
Keyword(s):  
Antimicrobial Stewardship ◽  
Antimicrobial Agents ◽  
Wound Care ◽  
Advisory Committees ◽  
Healthcare Facilities ◽  
Full Compliance ◽  
National Guidance ◽  
New Antibiotics ◽  
Underlying Causes ◽  
The Impact

Strategies to tackle the global crisis of antimicrobial resistance include implementing antimicrobial stewardship across the healthcare and agricultural sectors. Many clinical specialities have developed policies to advise practitioners on how to prescribe antibiotics more effectively, but there is still a lack of data on the impact of this change. Overuse and misuse of antibiotics have been commonplace since their introduction 70 years ago, and have contributed to the development of the resistance seen today. There is a dearth of new antibiotics and, if nothing is done to restrict the use of those that remain effective, there is a risk of returning to the pre-antibiotic era where simple infections could result in death. In wound care, it is essential that antibiotic treatment is appropriate to reduce infections. Many medical conditions predispose people to wounds that are difficult to heal and become chronic unless the underlying causes are addressed. Most wound infections are caused by bacteria, which are becoming increasingly resistant to commonly used antibiotics. This necessitates strict regimens for managing infection, which include prescribing antibiotics only when they are essential. Antimicrobial stewardship is undertaken in all UK healthcare facilities, and local advisory committees oversee the prudent use of antibiotics and other antimicrobial agents to try to prevent further increases in resistance. National guidance has been produced but whether full compliance has been followed has yet to be established and the impact of implementation needs to be analysed.

scholarly journals Prevalence and Risk Factors Analysis for Low Back Pain Among Occupational Groups in Key Industries of China

2021 ◽  
Author(s):  
Ning JIA ◽  
Meibian ZHANG ◽  
Huadong Zhang ◽  
Ruijie Ling ◽  
Yimin Liu ◽  
...  
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Multivariate Logistic Regression Analysis ◽  
Central China ◽  
Survey Method ◽  
Global Public Health ◽  
Occupational Groups ◽  
Significant Difference ◽  
Heavy Loads ◽  
Key Industries

Abstract Background: With the acceleration of industrialization and the growth of population aging, LBP has become the main disease of life loss caused by disability, which brings huge economic burden to society and is a global public health problem that needs to be solved urgently. The purpose of this study is to carry out epidemiological investigation and research on a large sample of people in key industries in different regions of China, to find out the incidence and distribution characteristics of LBP in key industries in China, to explore the epidemic law, and to provide reference basis for alleviating the global public health problems caused by LBP.Methods: This study adopts the modified epidemiological cross-sectional survey method and the stratified cluster sampling method. From the representative enterprises in key industries in seven regions of North China, East China, central China, South China, southwest, northwest and Northeast China, all workers on duty and fulfill the criteria are taken as the research objects. The Chinese version of musculoskeletal disease questionnaire modified by a standardized Nordic Questionnaire was used to collect information, and a total of 57501 valid questionnaires were received. Descriptive statistics were used and multivariate logistic regression analysis (p < 0.05) was performed to explore the associations between musculoskeletal disorders and potential risk factors.Results: The annual incidence of LBP in key industries or workers in China is 16.4%. There was significant difference in the incidence of LBP among occupational groups in different industries (P < 0.05). The results of multivariate regression model show that always make the same movements with your trunk, working in the same positions at a high pace, trunk position, always turn round with your trunk, often work overtime, lift heavy loads (more than 20 kg), education level, staff shortage, working age (years), cigarette smoking, use vibration tools at work Body mass index (BMI), lift heavy loads (more than 5 kg) and age (years) were risk factors for LBP. Physical exercise, standing often at work and absolute resting time are protective factors.Conclusion: The incidence of LBP in key industries or workers in China is high. It is urgent to take relevant measures according to individual, occupational and psychosocial factors of LBP to reduce the adverse impact of LBP on workers' health.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PEMINATAN KONTRASEPSI PIL DAN SUNTIK DI WILAYAH KERJA PUSKESMAS GLOBAL TIBAWA

2019 ◽  
Vol 8 (1) ◽  
pp. 54
Author(s):  
Melisa R Baharu ◽  
Harismayanti Harismayanti ◽  
Andi Kurniati Naue
Keyword(s):  
Public Health ◽  
Sampling Technique ◽  
Survey Method ◽  
P Value ◽  
Research Use ◽  
Global Public Health ◽  
Chi Square ◽  
Cross Sectional ◽  
Know How ◽  
Age Factor

The purpose of this research is to know how factors (age, knowledge, and number of child ren) can influence contracepti on specialization , this research use analytical survey method with cross sectional approach. Conducted in global public health center of Tibawa Gorontalo Regency with the number of samples of 63 respondents taken using Purposive Sampling technique. Data analysis using chi - square statistic test with degree of significance 0,05. The result of the research showed that there was a significant correlation between age factor with the pillandinjection contraception specialization (P value 0.007

scholarly journals The Barriers in the implementation of Antimicrobial Stewardship Programs: A systematic Review

2019 ◽  
Author(s):  
Nehad Ahmed ◽  
Irfanullah Khan ◽  
Mohamed Azmi Hassali ◽  
Abdul Haseeb ◽  
Amer Hayat Khan
Keyword(s):  
Public Health ◽  
Systematic Review ◽  
Antimicrobial Stewardship ◽  
Rational Use ◽  
Inappropriate Use ◽  
Current Review ◽  
Pubmed Database ◽  
Rational Use Of Antibiotics ◽  
Common Barriers

Abstract Background The resistance to Antimicrobial is considered as one of the most important risks that affect public health and healthcare. Antimicrobial stewardship programs comprise a series of interventions that help to stop the inappropriate use of antimicrobials.Methods The published literature on the barriers of implementing stewardship programs is limited. We searched for the relevant articles from 2007 till the end of 2017 using the keyword “Antimicrobial Stewardship Programs" in PubMed database.Results There are many barriers in the implementation of antimicrobial stewardship programs. To improve the rational use of antibiotics it is important to overcome these barriers.Conclusion According to the included studies into current review or manuscript, there are 9 major barriers for ASPs. Lack of training and knowledge, inter-professional and inter-specialty conflict, and lack of resources are the most common barriers.

scholarly journals Pharmacy Students’ Knowledge and Perceptions about Antimicrobial Stewardship

2019 ◽  
pp. 1-8 ◽  
Author(s):  
Nehad J Ahmed ◽  
Khalil Y Abujheisha ◽  
Mohamed F. Balaha
Keyword(s):  
Public Health ◽  
Saudi Arabia ◽  
Antibiotic Resistance ◽  
Antimicrobial Stewardship ◽  
Bacterial Resistance ◽  
Background Knowledge ◽  
Antibiotic Use ◽  
Pharmacy Students ◽  
Antimicrobial Use ◽  
Global Public Health

Introduction: Antibiotic resistance is considered one of the serious threats to global public health. Antimicrobial stewardship programs should be implemented by all hospitals to improve antimicrobial use. It is important that pharmacy students have a sound knowledge of antimicrobial stewardship. Objective: The aim of this study was to determine pharmacy students’ knowledge and perceptions about antimicrobial stewardship. Methodology: The study included a questionnaire that was used to assess the background knowledge of pharmacy students and their perceptions on antimicrobial stewardship. Results and Discussion: Out of 103 students who completed the survey, 25 students (24.27%) reported that they know what antimicrobial Stewardship is, and only 39 students were familiar with antimicrobial stewardship programs in Saudi Arabia. Most of the students (95.14%) reported that they need more antimicrobial stewardship training. Conclusion: Our results, therefore, recommend that pharmacy students should have more training on bacterial resistance, antibiotic use and antimicrobial stewardship.

scholarly journals Antimicrobial Stewardship: Fighting Antimicrobial Resistance and Protecting Global Public Health

2020 ◽  
Vol Volume 13 ◽  
pp. 4713-4738
Author(s):  
Md Anwarul Azim Majumder ◽  
Sayeeda Rahman ◽  
Damian Cohall ◽  
Ambadasu Bharatha ◽  
Keerti Singh ◽  
...  
Keyword(s):  
Public Health ◽  
Antimicrobial Resistance ◽  
Antimicrobial Stewardship ◽  
Global Public Health

The Use of Principles of Good Assessment in Recognition of Prior Learning Practice in Library and Information Science in South Africa

Mousaion ◽  
2018 ◽  
Vol 35 (3) ◽  
Author(s):  
Ike Khazamula Hlongwane
Keyword(s):  
South Africa ◽  
Information Science ◽  
Good Practice ◽  
Survey Method ◽  
Library And Information Science ◽  
Prior Learning ◽  
Good Assessment ◽  
Recognition Of Prior Learning ◽  
Appeals Process ◽  
South African Higher Education

Recognition of Prior Learning (RPL) practice offers sound benefits to library and information science (LIS) schools. Despite these envisaged benefits, very little is known about RPL practice in LIS schools in South Africa. This study sought to establish whether principles of good assessment were being followed in the LIS schools to ensure the integrity of the RPL outcomes. A combination of a questionnaire and document analysis were used to collect data from the ten LIS schools in the South African higher education and training landscape. The questionnaire was used to collect quantitative data through a survey method. In addition, the researcher employed content analysis to collect qualitative data from institutional RPL policy documents. The findings indicate that RPL assessment processes across LIS schools in South Africa were largely subjected to principles of good practice. The study found that in accordance with the SAQA RPL policy the purpose of assessment was clarified to the candidate upfront, the quality of support to be provided to the candidate in preparing for the assessment was established, an appeals process was made known to the candidate, and the choice of assessment methods was fit for purpose to ensure credible assessment outcomes. It is therefore recommended that other disciplines or departments use LIS schools’ experiences as a benchmark to improve their own RPL endeavours.

Life Lessons of the Pandemic ”Covid - 19”

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 469-471 ◽  
Author(s):  
Bhagyashri Vijay Chaudhari ◽  
Priya P. Chawle
Keyword(s):  
Public Health ◽  
Review Article ◽  
Public Health Emergency ◽  
The Novel ◽  
Global Public Health ◽  
Strange Situation ◽  
Republic Of China ◽  
Lifetime History ◽  
The People ◽  
Life Lessons

“A lesson learned the hard way is a lesson learned for a lifetime.” Every bad situation hurts; however, it sure does teach us something a lesson. In the same manner of a new lesson for Human lifetime, history is observing 'The Novel COVID-19 ’, a very horrible and strange situation created due to fighting with a microscopic enemy. WHO on 11 February 2020 has announced a name for new disease as - 19 and has declared as a global public health emergency and subsequently as pandemic because of its widespread. This began as an outbreak in December 2019, with its in Wuhan, the People Republic of China has emerged as a public health emergency of international concern. is the group of a virus with non-segmented, single-stranded and positive RNA genome. This bad situation of pandemic creates new scenes in the life of people in a different manner, which will be going to be life lessons for them. Such lessons should be kept in mind for the safety of living beings and many more things. In this narrative review article, reference was taken from a different article published in various databases which include the view of different authors and writers on the &quot;Lessons to be from Corona&quot;.

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