 10%
of US patients report having an allergy to a penicillin class antibiotic in his
or her past. What percent of US patients are truly allergic to penicillin?
a. 20%
b. 15%
c. 10%
d. 5%
e. <1%
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The answer is at the bottom of this newsletter.
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Summary Report: 2017
MN Clinic Survey of Antibiotic Stewardship Practices
- A Minnesota
Department of Health (MDH) survey was conducted to understand current clinic commitment to antibiotic stewardship, learn about
stewardship activities, identify barriers, and define stewardship resource
and support needs.
- Nearly half of surveyed clinics have not
made a formal commitment to stewardship or developed a stewardship policy.
- Minnesota has room for
improvement in use of stewardship interventions, like watchful waiting, use of treatment
guidelines, and providing patients with antibiotic alternatives.
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Read the MDH Antibiotic Stewardship Clinic Survey Summary Report.
Summary Report: 2018 MN Community Pharmacist Survey of Antibiotic Stewardship Practices
- Minnesota Department of Health (MDH), with partners Minnesota Board of Pharmacy and Minnesota Pharmacists Association, surveyed community pharmacists about commitment to antibiotic stewardship, inclusion of stewardship activities in daily workflow, barriers, and resource
and support needs.
- Over 80% of community pharmacists believe that they play a role in antibiotic stewardship and prevention of antibiotic resistance.
- With only 25% of surveyed pharmacists educating patients about antibiotic stewardship and resistance and only 10% utilizing a pharmacy stewardship policy, there is room for improvement in Minnesota's community pharmacies.
- Read the MDH Antibiotic Stewardship Community Pharmacy Survey Summary Report.
- Utilize the MDH Antibiotic Stewardship fact sheet for community pharmacists.
Show
your facility’s commitment to antibiotic stewardship!
- MDH has expanded the Antibiotic Stewardship Commitment Toolkit, which can be used across the continuum of care.
- Find posters that can be customized with your facility logo, prescriber names and photos, or even patient photos.
- Commitment posters have been shown to improve prescribing practices, and they provide a great way to discuss responsible antibiotic use with patients and families.
- With partners from Minnesota's Antibiotic Stewardship Collaborative and beyond, MDH has developed a guidance document called Using Electronic Health Records for Antibiotic Stewardship.
- The document is intended to support facilities to use electronic health records to drive action and facilitate antibiotic use tracking and reporting.
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Antibiotic
courses for sinusitis often exceed guidelines, per CDC study
-
Sinusitis
is the most common condition for outpatient antibiotic therapy in US.
- For
bacterial sinusitis, Infectious Diseases Society of America recommends
5–7 days of antibiotic treatment for uncomplicated cases.
-
CDC
found that median duration of therapy prescribed was 10 days, highlighting an opportunity for improvement in outpatient antibiotic stewardship.
- JAMA Internal Medicine: Antibiotic Therapy Duration in US Adults With Sinusitis
Longitudinal assessment published describing long-term care resident MDRO colonization
- Residents of nursing homes can be more prone to colonization (asymptomatic carriage) with multi-drug resistant organisms (MDRO).
- In a new study published in CID, authors report that of 651 residents, 56.8%
were colonized with MRSA (16.1%), VRE (33.2%), or resistant Gram-neg
bacilli (32.0%) at enrollment.
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Risk factors
for colonization included antibiotic use, hospitalization for >14 days, functional disability, and medical device use.
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Newly acquired colonization occurred at rates of 3.4 days for MRSA, 8.2 days for VRE, and
13.6 days for resistant Gram-negative bacteria.
- This study highlights the importance of antibiotic stewardship as well as communication about antibiotic use, MDRO infection, and MDRO colonization within and across health care settings.
- CID: Longitudinal Assessment
of Multidrug-Resistant Organisms in Newly Admitted Nursing Facility
Patients: Implications for an Evolving Population
American Association of Bovine Practitioners (AABP) releases position statement on raised-without-antibiotics programs
- In an AABP Position Statement, the professional association representing bovine veterinarians recognizes the importance of responsible antibiotic use as a tool in the veterinarian's role of preserving animal health and welfare.
- The key message of the position statement is, "Programs that seek to market cattle as “raised-without-antibiotics” (RWA) must not compromise cattle health and well-being in order to maintain animals in an RWA status."
- As RWA production has expanded, there is a growing concern that the practice might compromise animal health and welfare if production and marketing channels for animals that require treatment are not in place.
One Health Bill introduced in U.S. Senate
CDC
releases new "Be Antibiotics Aware" materials
in multiple languages
- Now find Spanish versions of "Be
Antibiotics Aware" CDC materials for consumers and CDC materials for healthcare providers.
-
Six
additional languages – French, Vietnamese, Chinese
(Traditional), Chinese (Simplified), Korean and Portuguese – will be released
in the coming weeks.
- Print materials are available to order online via CDC-INFO On
Demand.
To display the options, select “Antibiotic Use” from the drop-down menu.
Antimicrobial Use and Resistance Module Webinar
-
On May 8, 2018, MDH will host a webinar on the CDC National Healthcare
Safety Network Antimicrobial Use and Resistance (AUR) Module.
- Hear a speaker
from CDC's Division of Healthcare Quality and Promotion, as well as professionals from two hospitals currently using the AUR Module to track antimicrobial use.
- More details and webinar registration can be found on the MDH AUR Module website.
CDC Online Antibiotic Stewardship Training
- CDC will soon launch the second of a four-section web-based training
course on Antibiotic Stewardship.
- Section 2 will focus on Antibiotic
Stewardship in Outpatient Settings and Communication Practices.
-
Doctors, nurse
practitioners, physician assistants, certified health education specialists,
nurses, pharmacists, and public health practitioners with a master’s degree in
public health are eligible to receive up to eight hours of free CE for the
entire course.
-
Register for the CDC Training on
Antibiotic Stewardship.
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 Answer: e. <1%
According to the CDC "Is it Really a Penicillin Allergy?" fact sheet, approximately 10% of U.S. patients report having an allergic reaction to a penicillin class antibiotic in their past, but fewer than 1% are found to have a true allergy once evaluated. In addition, about 80% of people lose a penicillin allergy sensitivity after 10 years.
Assessment of penicillin allergies can be included in a comprehensive antibiotic stewardship program. In addition to the materials from CDC, check out the slides from Dr. Becca Peglow's presentation at the 2018 Annual MN Antibiotic Stewardship Conference: Focus on Ambulatory Care.
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