Bold Voices - June 2014 - (Page 9)

AT THE BEDSIDE Up to Half of Prescribed Antibiotics Unnecessary, Inappropriate Making it clear to patients that antibiotics aren't always necessary is one goal. C 9 multiple therapeutic options for resistant infections. These threats require monitoring and sometimes rapid incident or outbreak response. Hospitals Need Certified Infection Preventionist Although healthcare-associated infections are a national priority, one-third of acute care hospitals don't have a certified infection preventionist (IP) on staff, and guidelines for IP staffing are outdated, a study finds. "State of Infection Prevention in U.S. Hospitals Enrolled in the National Health and Safety Network," in American Journal of Infection Control, finds the average IP staffing ratio in 1,000 acute care hospitals analyzed is 1.2 per 100 beds. "Certification of IP staff varied across institutions," the study reports. Little time was spent on prevention process education, and some hospitals lacked feedback mechanisms. ICUs varied in the adequacy of prevention policies and how well clinicians adhered to them. AACN BOLD VOICES JUNE 2014 hanging how antibiotics are used is perhaps the most important step in slowing the development and spread of antibioticresistant infections, states a report from the Centers for Disease Control and Prevention (CDC), Atlanta. "Antibiotic Resistance Threats in the United States, 2013" notes that up to half of antibiotics prescribed are unnecessary and inappropriate. Stopping even some misuse would significantly slow the spread of superbugs. Nationwide, hospitals are trying to reduce antibiotic resistance through stewardship programs and community education, according to an article in FierceHealthcare. These programs raise awareness and promote proper handling and prescribing of antibiotics. Making it clear to patients that antibiotics aren't always necessary is one goal. "You just explain that this is probably a viral infection," John Harkess, an infectious disease specialist at Mercy Hospital in Oklahoma City, Okla., says in the article. "Antibiotics do not change the course of the viral infection and antibiotics have potential risks." The CDC report identifies three urgent drug-resistant threats - Clostridium difficile, drug-resistant Neisseria gonorrhoeae and carbapenem-resistant Enterobacteriaceae - and recommends four core actions to fight the spread of antibiotic resistance: prevent infections from occurring and spreading through immunization, infection control, screening, treatment and education; track resistant bacteria; improve the use of antibiotics; and develop new antibiotics and new diagnostic tests for resistant bacteria. The report groups antibiotic-resistant threats in two nonurgent categories. The first category is serious threats that are significant for varying reasons, such as low or declining domestic incidence or reasonable availability of therapeutic agents. They are not considered urgent, but the CDC warns they will worsen and may become urgent without ongoing public health monitoring and prevention activities. The second non-urgent category includes bacteria with a low threat of antibiotic resistance, and/or when there are

Table of Contents for the Digital Edition of Bold Voices - June 2014

Another Angle
Pres Note Teaser
‘Take a Chance to Make a Change in Your Patients’ Lives’
New Mobile App Launched: AACN Bedside
AACN Research Grants Continue to Drive Evidence-Based Care
AACN Scholarships to Develop Training Skills and Professional Growth
Institutional Racism Can Damage Healthcare
Culture of Violence Becoming Normal
Nip Ethical Violations in the Bud
Up to Half of Prescribed Antibiotics Unnecessary, Inappropriate
Minimal Sedation, Early Mobilization May Reduce Delirium
Care Transition Programs Reduce Readmissions, Penalties
Unclear Relationship Between Hypothyroidism and Mild Cognitive Impairment
Women Have Unique Stroke Risks
Costs Increase Because of More Inpatient Constipation
Nursing-Supportive Work Environments Linked to Better Care
Smile, You’re on ReadyCam!
Automated EHR-Linked Checklist Greatly Reduces CLABSIs
Online Game Helps Students Identify, Manage Sepsis
Sepsis Detection System More Effective in Patient Diagnosis
In Our Journals
Test Can Predict Breast Cancer Outcomes
Spice It Up With Cinnamon
IHEs: Significant Cause of Preventable ED Visits
Certification Capsules
With Deep Appreciation for Your Generosity
Save the Dates for Progressive Care, Nurse Manager Fall Conferences
AACN Chapters Model Excellence
‘I Am a Critical Care Nurse’
President’s Note

Bold Voices - June 2014