dr. jim hutchinson - antibiotic stewardship programs and human health
DESCRIPTION
Antibiotic Stewardship Programs and Human Health - Dr. Jim Hutchinson, Medical Director, Vancouver Island Health Authority, from the 2014 NIAA Symposium on Antibiotics Use and Resistance: Moving Forward Through Shared Stewardship, November 12-14, 2014, Atlanta, Georgia, USA. More presentations at http://www.swinecast.com/2014-niaa-antibiotics-moving-forward-through-shared-stewardshipTRANSCRIPT
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Stewardship is the right word
Jim HutchinsonMedical Microbiologist
Medical Director - Antimicrobial Stewardship
Island Health
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20 minutes
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Principles
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No blame
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“Don’t focus on resistance, focus on use”
Jim Hutchinson
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Is antimicrobial use in animals causing
resistance to antimicrobials in infections of
humans?
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Yes
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Is antimicrobial use in animals more
important than use in humans?
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No
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The people are good
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Their motivations are “normal”
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Leaders influence motivations
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Stewardship
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Stewardship is leadership
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What data is needed for quality
management of infections?
• Antibiotic use
• Antibiotic resistance
– “Antibiogram”
• Measures of inflammation
– e.g. WBC, Temperature, Procalcitonin
• Outcome measures
– e.g. LOS, mortality, complications, readmissions
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