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The missing link in antimicrobial stewardship strategy

June 13, 2018

Minneapolis, June 13, 2018 - Empowering nurses to participate in antimicrobial stewardship programs (ASPs) is the missing link in strengthening hospital-wide antimicrobial stewardship and improving patient care, according to a new study presented at the 45th Annual Conference of the Association for Professionals in Infection Control and Epidemiology (APIC).

The research, conducted at Jefferson Health in New Jersey, shows that ASPs are strengthened by educating nurses about antimicrobial stewardship and obtaining their buy-in.

"Our findings show that nurses have been overlooked and under-utilized in ASPs," said Jefferson Health - New Jersey Infection Control Officer Cindy Hou, DO, MA, MBA, FACOI, the study's lead author. "Changing the culture and empowering nurses to speak up about antimicrobial stewardship leads to closer team coordination and cross-discipline collaboration, which ultimately saves lives."

A 10-question quiz on antibiotic usage found that nurses were generally not comfortable with microbiology reports or familiar with the unique features of different antibiotics. A baseline assessment found that 93.8 percent of nurses incorporated microbiology results during sign-out reporting, but only 50 percent checked susceptibility results of cultures before administering antibiotics. What's more, only 65.1 percent of clinical nurses notified physicians if cultures showed resistance.

Nurse buy-in was achieved by engaging chief nursing officers at Jefferson's three New Jersey hospitals, opening up participation in ASPs to nursing leadership, educators, performance improvement, and infection control staff.

Materials were written in "nurse speak" and integrated into the typical nursing work flow to promote usage.

"Multidrug-resistant organisms cause a significant proportion of serious healthcare-associated infections and are more difficult to treat because there are fewer and, in some cases, no antibiotics that will cure the infection," said 2018 APIC President Janet Haas, PhD, RN, CIC, FSHEA, FAPIC. "This study shows that by engaging with nurses and pushing for greater team collaboration, major progress can be made on ASPs, which is essential to help reduce the threat of antibiotic resistance."
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APIC 2018 Annual Conference is one of the most comprehensive infection prevention conferences in the world, with more than 100 educational sessions and programs led by experts from across the globe and attended by nearly 5,000 professionals. The conference aims to provide infection preventionists, physicians, researchers, epidemiologists, educators, administrators, and medical technologists with strategies that can be implemented immediately to improve prevention programs and make healthcare safer. Join the conversation on social media with the hashtag #APIC2018.

About APIC

APIC's mission is to create a safer world through prevention of infection. The association's more than 15,000 members direct infection prevention programs that save lives and improve the bottom line for hospitals and other healthcare facilities. APIC advances its mission through patient safety, implementation science, competencies and certification, advocacy, and data standardization. Visit APIC online at http://www.apic.org. Follow APIC on Twitter: http://www.twitter.com/apic and Facebook: http://www.facebook.com/APICInfectionPreventionandYou. For information on what patients and families can do, visit APIC's Infection Prevention and You website at http://www.apic.org/infectionpreventionandyou.

Association for Professionals in Infection Control

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