Nurses are part of the Antimicrobial Stewardship Team
Nurses are part of the Antimicrobial Stewardship Team
Active engagement of nurses in antimicrobial stewardship activities is long-overdue. We can all appreciate the nursing presence in management of antimicrobials in different clinical settings, however there is little to no evidence that supports nurses as antimicrobial stewards. This is partly due to barriers, and knowledge gaps that currently exist in nursing practice. We have created nursing resources to help address some of the knowledge gaps that currently exist.
Active engagement of nurses in antimicrobial stewardship activities is long-overdue. We can all appreciate the nursing presence in management of antimicrobials in different clinical settings, however there is little to no evidence that supports nurses as antimicrobial stewards. This is partly due to barriers, and knowledge gaps that currently exist in nursing practice. We have created nursing resources to help address some of the knowledge gaps that currently exist.
Shorter might be better.
For many common infections. shorter course antimicrobials are as good as longer courses but with less risk and antimicrobial resistance
When antimicrobials were first discovered and used, treatment courses were long and usually measured in weeks. As we gained experienced and evidence, we realized we don't need as much antimicrobial exposure to have the same amount of benefit. While not all conditions can be treated with short course antimicrobials, using shorter course when possible can help.
Less antimicrobial exposure means
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fewer serious reactions like allergies and organ damage.
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less antimicrobial resistance in people and the environment
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fewer common side effects like nausea and vomiting
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less C. difficile infection
For more information on specific conditions and antimicrobial therapy durations, see this recent publication by Grant et al.