Shifting the paradigm for promoting appropriate antibiotic use

Shifting the Paradigm for Promoting Appropriate Antibiotic use Shifting the Paradigm for Promoting Appropriate Antibiotic use Hoàng Thị Hằng hanght1416@gmail com Alexander Fleming 1928 penicillin Is p[.]

SHIFTING THE PARADIGM FOR PROMOTING

APPROPRIATE ANTIBIOTIC USE

Hoàng Th H ng ị ằ

hanght1416@gmail.com

ALEXANDER FLEMING

1928- PENICILLIN

Is penicillin discovery one of the most wonderful things in the 20 th century?

/ æntiba t k/ ˌ ɪˈɒ ɪ

1 What is “antibiotic”?

2 When to use antibiotics?

3 When not to use antibiotics?

1 Persistent (a) continuing for a long time

Famine is a persistent problem in many parts of the world

2 Ambulatory care= outpatient care

The studies highlighted the persistent problem of poor quality of antibiotic use in ambulatory care.

3 Diagnostic (a) related to identifying sth

4 Heterogeneity / het r d ˌ ə ə ʒəˈ ːə ni ti/ state of many

people

There is much heterogeneity among these

institutions.

5 attenuate (v) to make sth weaker or less

effective (The drug attenuates the effects of the virus)

6 Algorithm(n) set of rules that must be followed

7 Triage (n)

The triage normally takes a few minutes.

8 Feasible (a) possible

9 Scalabitily / ske l b l ti/ possibility to adapt to sth ˌ ɪ əˈ ɪ ə

The strategies are feasible interventions with established

12 Recalcitrance (n) the quality of being difficult to control.

They stated the recalcitrant nature of antibiotic

prescribing practices in the US.

13 trade-off (n) the act of balancing 2 things (There

is a trade-off between the benefits of the drug and the risk of side effects.)

14 Align (v) change sth

15 Judicious (a) careful and sensible

QUESTIONS

1. What did the 2 studies find out?

A- Litvin et all

B- Nakhoul and Hickner

2 What is the persistent problem? What did the investigators try to do? Explain the use of antibiotics for ARIs

3 What are 3 broad issues of strategies to reduce unsuitable antibiotic prescription?

4 What are the negative aspects from the study by Litvin and Nakhoul?

5 What problems of antibiotic overuse did Shortell and damschroder find

out? What is the role of local context? What should be done?

6 What is the conclusion?

1. What did the 2 studies find out?

A- Litvin et all

B- Nakhoul and Hickner

A- not reduce use of antibiotics overall/ specific target conditions

B- more than 50% of patients with + rapid test & DNA test

2 What is the persistent problem? What did the investigators try to do? Explain the use of antibiotics for ARIs.

A- poor quality of antibiotic use in

ambulatory care

B- focus on reducing + inappropriate

overuse of antibiotics (non-bacterial,

self-limited infections)

+inappropriate underuse  not use antibiotic when

necessary

3 What are 3 broad issues of

strategies to reduce unsuitable

antibiotic prescription?

A- heterogeneity of clinical settingsB- importance of multidimentional interventions

C- requirement for implementation strategies

4 What are the negative aspects from the study by Litvin and Nakhoul?

5 What problems of antibiotic overuse did Shortell and damschroder find

out? What is the role of local context? What should be done?

6 What is the conclusion?

4 What are the negative aspects from the study by Litvin and Nakhoul?

Not include components related to

patient attitudes and expectations for antibiotics

Patient and provider educational

interventions

Social marketing campaigns success

in health promotions & behavior

change

5 What problems of antibiotic overuse did Shortell and damschroder find

out? What is the role of local context? What should be done?

Local context success of

Diagnostic algorithmsEducational programsDecision support tools

What should be done

Individualize treatment

Strategies with local adaptation of interventions

6 What is the conclusion?

Overuse of antibiotics major public health concern

Inadequate engagement of

stakeholders and individuals

Mismatch between societal benefits and individual patient-clinician

 Main points of the text

 “đ con đ c m” (Dr Nguy n Trí Đoàn) P ể ượ ố ễ 217 246

 Name 5 types of vaccination

 “Vaccination” – “immunization”