c.diff, candida, allergic reaction, drug interaction, antibiotic resistance
What are the risks of antibiotic use? (5)
healthcare providers prescribe unnecessary ab's; duration of treatment on ab's is too long
Describe the patterns of antibiotic use in the USA. (2)
antibiotic resistance
resistance to bacteria only
bacteria develop mutations & multiply; some pass directly to other bacteria
How does antibiotic resistance happen?
prior ab exposure, inappropriate prescribing, ab use in animals, maternal ab exposure
What are Antibiotic-associated drivers of antibiotic resistance? (4)
alert receiving facilities when transferring patients who are infected w ab resistant germs; ask patient if they traveled recently or received care
How can we combat antibiotic resistance? (2)
antimicrobial resistance
resistance to bacteria, viruses, fungi, and parasites
invasive procedures, prior hospitalization, surgery, length of stay, non-home residence
What are Healthcare-associated drivers of antibiotic resistance? (5)
physician leader; pharmacist
To be licensed officially under the CDC, a ______ & ______ must be responsible for your organization's stewardship program.
CMS
_____ can decide if a hospital will get reimbursed, depending on if they do stewardship or not.
california; missouri
Which states have a state-level mandated ASP program? (2)
pharmacist
Nursing homes require that a _______ is in charge of monitoring, assessing, and communicating the use of antibiotics.