scholarly journals The Role of Nursing Homes in the Spread of Antimicrobial Resistance Over the Healthcare Network

2016 ◽  
Vol 37 (7) ◽  
pp. 761-767 ◽  
Author(s):  
Carline van den Dool ◽  
Anja Haenen ◽  
Tjalling Leenstra ◽  
Jacco Wallinga
Keyword(s):  
Antimicrobial Resistance ◽  
Nursing Homes ◽  
Control Strategies ◽  
Surveillance Systems ◽  
Patient Transfers ◽  
Healthcare Network ◽  
Sis Epidemic Model ◽  
Potential Impact ◽  
Role Of Nursing

OBJECTIVERecerntly, the role of the healthcare network, defined as a set of hospitals linked by patient transfers, has been increasingly considered in the control of antimicrobial resistance. Here, we investigate the potential impact of nursing homes on the spread of antimicrobial-resistant pathogens across the healthcare network and its importance for control strategies.METHODSBased on patient transfer data, we designed a network model representing the Dutch healthcare system of hospitals and nursing homes. We simulated the spread of an antimicrobial-resistant pathogen across the healthcare network, and we modeled transmission within institutions using a stochastic susceptible–infected–susceptible (SIS) epidemic model. Transmission between institutions followed transfers. We identified the contribution of nursing homes to the dispersal of the pathogen by comparing simulations of the network with and without nursing homes.RESULTSOur results strongly suggest that nursing homes in the Netherlands have the potential to drive and sustain epidemics across the healthcare network. Even when the daily probability of transmission in nursing homes is much lower than in hospitals, transmission of resistance can be more effective because of the much longer length of stay of patients in nursing homes.CONCLUSIONSIf an antimicrobial-resistant pathogen emerges that spreads easily within nursing homes, control efforts aimed at hospitals may no longer be effective in preventing nationwide outbreaks. It is important to consider nursing homes in planning regional and national infection control and in implementing surveillance systems that monitor the spread of antimicrobial resistance.Infect Control Hosp Epidemiol 2016;37:761–767

Mealtimes In Nursing Homes: THE ROLE OF NURSING STAFF

2003 ◽  
Vol 29 (6) ◽  
pp. 40-47 ◽  
Author(s):  
Alan Pearson ◽  
Mary Fitzgerald ◽  
Rhonda Nay
Keyword(s):  
Nursing Homes ◽  
Nursing Staff ◽  
Role Of Nursing

scholarly journals Assessing the role of inter-facility patient transfer in the spread of carbapenemase-producing Enterobacteriaceae: the case of France between 2012 and 2015

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Narimane Nekkab ◽  
Pascal Crépey ◽  
Pascal Astagneau ◽  
Lulla Opatowski ◽  
Laura Temime
Keyword(s):  
Control Strategies ◽  
Patient Transfer ◽  
Spatial Distance ◽  
Patient Transfers ◽  
Healthcare Facilities ◽  
Healthcare Settings ◽  
The Impact ◽  
Local Transmission

Abstract The spread of carbapenemase-producing Enterobacteriaceae (CPE) in healthcare settings is a major public health threat that has been associated with cross-border and local patient transfers between healthcare facilities. Since the impact of transfers on spread may vary, our study aimed to assess the contribution of a patient transfer network on CPE incidence and spread at a countrywide level, with a case study of France from 2012 to 2015. Our results suggest a transition in 2013 from a CPE epidemic sustained by internationally imported episodes to an epidemic sustained by local transmission events through patient transfers. Incident episodes tend to occur within close spatial distance of their potential infector. We also observe an increasing frequency of multiple spreading events, originating from a limited number of regional hubs. Consequently, coordinated prevention and infection control strategies should focus on transfers of carriers of CPE to reduce regional and inter-regional transmission.

scholarly journals Perceptions of Antibiotic Therapy Among Nursing Home Residents: Perspectives of Caregivers and Residents in a Mixed Exploratory Study

Antibiotics ◽  
2019 ◽  
Vol 8 (2) ◽  
pp. 66 ◽  
Author(s):  
Mathieu Ahouah ◽  
Corinne Lartigue ◽  
Monique Rothan-Tondeur
Keyword(s):  
Antimicrobial Resistance ◽  
Nursing Homes ◽  
Antibiotic Therapy ◽  
Nursing Home Residents ◽  
End Users ◽  
Antibiotic Prescribing ◽  
Individual Interviews ◽  
Raising Awareness ◽  
Source Of Information

Antimicrobial resistance is a major public health threat worldwide. Some authors have suggested that end-users of nursing homes have an influence on antibiotic prescribing. The objective of this study is to describe the views of end-users and professionals on residents’ behavior towards antibiotic therapy in terms of knowledge, beliefs, and attitudes towards this drug class and its prescribing process. This is a concurrent mixed methodology study using questionnaires and semi-directive individual interviews with nursing homes residents, nurses, and doctors practicing in these facilities. The questionnaires analyzed were collected from 35 residents (24.3%) and 109 nurses (75.7%). The qualitative interview involved 26 of total participants that agreed to be interviewed. We noticed misconceptions being held by the residents regarding the antibiotic resistance phenomenon. Additionally, nurses were not considered as a source of information about antibiotics. Nurses and residents had conflicting opinions about residents requesting antibiotics, and the findings depict a stereotypical view of the nurse profession as a reflection of a cognitive representation. The authors conclude that, despite many campaigns, further efforts are needed to tackle antimicrobial resistance. Initiatives could include raising awareness about antimicrobial resistance, clarifying the role of nurses, and communicating well with residents about their needs in nursing homes.

scholarly journals Exploring perspectives on antimicrobial stewardship: a qualitative study of health managers in Kenya

2020 ◽  
Author(s):  
Samuel MUNGAI Mbugua ◽  
George Njoroge ◽  
Caroline Kijogi ◽  
Moses Kamita ◽  
Rachel Kimani ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Health Services ◽  
Antimicrobial Stewardship ◽  
Building Blocks ◽  
Health Concern ◽  
Surveillance Systems ◽  
Sensitivity Testing ◽  
Therapeutics Committee ◽  
Health Managers

Abstract Background: Antimicrobial resistance is a significant public health concern with the establishment of antimicrobial stewardship in hospitals being obligatory now more than ever. The perspectives and insights of health managers on antimicrobial stewardship (AMS), the complementary health services and building blocks are imperative towards implementation of robust antimicrobial stewardship programs. This study aimed to understand the perspectives of hospital managers to AMS and identify areas of management engagement and addressing potential blockades to change.Methods: A cross-sectional, qualitative, multicenter study was conducted in three hospitals in Kenya. Key-informant, face-to-face interviews with hospital health managers were carried out on their perspectives on antimicrobial stewardship. Qualitative data was captured using audio tapes and field notes, transcribed and managed using NVivo 12 software. An iterative process was used to develop the thematic framework and updated in two rounds of iteration analysis. Analysis charts for each emergent theme were developed and categorized across all participants.Results: Perspectives on antimicrobial stewardship are described in five thematic categories; Importance of antimicrobial stewardship and the role of medicines and therapeutics committee, availability of an antimicrobial formulary and usage surveillance systems, laboratory competency and recommendations for infection prevention and management, educational resources and communications channels available, building blocks and low-lying fruits for Antimicrobial Stewardship Committees. The role of stewardship collaboration in diagnosis and antimicrobial prescription was alluded to with managers indicating a growing rise in occurrence of antimicrobial resistance. There was no contextualized, hospital specific antimicrobial formulary based on the local antibiograms in any of the hospitals. Lack of adequate laboratory competency was a major deficit with most hospitals lacking culture and sensitivity testing services. Staff training and communication channels were available in varying capacity across the three hospitals. Building blocks identified include medicines and therapeutics committee, education, and training platforms (Continuous Medical Education and Continuous Professional Development activities) and hospital leadership commitment towards antimicrobial stewardship.Conclusions: The practice of antimicrobial stewardship is not implemented and well developed in the sampled healthcare facilities as demonstrated by lack of core AMS complementary health services. However, the health managers are aware of the fundamental importance of antimicrobial stewardship programs and the vast benefits of implementation and institutionalization of AMS to the hospital and its clients alike. The findings underpin the importance of understanding and incorporating the perspectives of health managers on the existing contextual mechanisms that can be leveraged on to establish robust Antimicrobial Stewardship programs in the fight against antimicrobial resistance.

FACTORS RELATED TO INCREASING THE NUMBER OF CASES OF MEASURES AND THE ROLE OF NURSING

2021 ◽  
Vol 1 (06) ◽  
Author(s):  
Antônia Cristina Dos Santos Batista ◽  
Bárbara Cristina Dos Santos Barbosa ◽  
Eloá Correia Nunes Eleutério ◽  
Vilma Lima De Souza Silva
Keyword(s):  
Latin American ◽  
Measles Virus ◽  
Control Strategies ◽  
Caribbean Literature ◽  
Infected People ◽  
Acute Infectious Disease ◽  
Descriptive Approach ◽  
Role Of Nursing ◽  
False News

The aim of the present study was to analyze the factors related to the increase in the number of measles cases and the role of nursing in this context. This work was developed by a literature search with a descriptive approach, which will be based on a systematic literature review. Available in the Scientific Eletronic Library Online (SciELO), Virtual Health Library (VHL) and Latin American and Caribbean Literature in Health Sciences (Lilacs) databases. Published between 2010 and 2020, in English and Portuguese. With the following keywords, National Program for Immunization, Nursing, Measles and Anti-vaccine Movement. Measles is a viral, acute infectious disease, potentially serious, transmissible and extremely contagious. Being the only form of prevention through vaccines. Transmission occurs directly, through nasopharyngeal secretions excreted when coughing, talking, sneezing or breathing by infected people. Brazil received the certificate of elimination of the circulation of the measles virus by the WHO, declaring the region of the Americas free of measles. In 2019 new cases arose in Brazil. There are several factors related to this increase in the number of cases ranging from anti-vaccine movements, false news about vaccination and poor vaccination coverage. Therefore, the objective is to relate these factors, highlighting the performance of nursing, showing some control strategies and seeking a solution to the problem.

scholarly journals Culture Change in Nursing Homes: What Is the Role of Nursing Home Resources?

2018 ◽  
Vol 55 ◽  
pp. 004695801878704 ◽  
Author(s):  
Latarsha Chisholm ◽  
Ning J. Zhang ◽  
Kathryn Hyer ◽  
Rohit Pradhan ◽  
Lynn Unruh ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Culture Change ◽  
Cross Sectional Study ◽  
Barriers To Adoption ◽  
Cross Sectional ◽  
High Culture ◽  
Central Florida ◽  
Role Of Nursing

Quality of care has been a long-standing issue in US nursing homes. The culture change movement attempts to transition nursing homes from health care institutions to person-centered homes. While the adoption of culture change has been spreading across nursing homes, barriers to adoption persist. Nursing homes that disproportionately serve minority residents may have additional challenges implementing culture change compared with other facilities due to limited financial and staffing resources. The objective of this study was to examine how nursing home characteristics are associated with culture change adoption in Central Florida nursing homes. This cross-sectional study included 81 directors of nursing (DONs) who completed the Artifacts of Culture Change survey. In addition, nursing home organizational data were obtained from the Certification and Survey Provider Enhanced Reports (CASPER). A logistic regression was conducted to examine the relationship between high culture change adoption and nursing home characteristics. The overall adoption of culture change scores in Central Florida nursing homes was low. Nevertheless, there was variability across nursing homes in the adoption of culture change. High culture change adoption was associated with nursing homes having lower proportions of Medicaid residents.

scholarly journals The role of veterinarians in the One Health approach to antimicrobial resistance perspectives in Jordan (Preprint)

2022 ◽  
Author(s):  
Randa Bazzi
Keyword(s):  
Antimicrobial Resistance ◽  
Animal Husbandry ◽  
Study Data ◽  
Surveillance Systems ◽  
Attitudes And Practices ◽  
Significant Difference ◽  
The One ◽  
Definition Of ◽  
Knowledge Attitudes And Practices

UNSTRUCTURED This study aims to evaluate the role of Jordanian veterinarians in terms of their knowledge, attitudes and common practices in combating antimicrobial resistance (AMR) and summarize the registered veterinary drugs between 2017 2020. Descriptive study data were collected using a standardized questionnaire that focused on the knowledge, attitudes, and practices of Jordanian veterinarians. The findings were analyzed descriptively; 84% of the participants agreed with the statement on the definition of AMR. The majority (95.65%) of participants agreed that AMR is a challenge for the veterinary sector in Jordan and that it should be prioritized over other zoonotic diseases. Approximately 69% of the participants believed that the misuse and overuse of antimicrobials by unqualified, fraudulent, or unauthorized practitioners is the primary reason for the rise of cases associated with AMR and the challenges that accompany these. The most common practice among the respondents in this study was to recommend clients (e.g., farmers and owners) to practice good animal husbandry (80.00%). The study also revealed that there was a significant difference (p = 0.015) between attendance at AMR training sessions and the professional sector (private, public, and academic) of the veterinarians. This study underscores the importance of implementing a continuous education program on AMR so as to enhance the all-round knowledge of veterinarians and improve their advisory skills. In addition, laws should be enacted to ensure that veterinarians prescribe the correct antimicrobials and to improve surveillance systems for monitoring the use of antimicrobials in veterinary medicine. INTERNATIONAL REGISTERED REPORT RR2-https://doi.org/10.1186/s44149-021-00033-5

scholarly journals The role of veterinarians in the One Health approach to antimicrobial resistance perspectives in Jordan

2022 ◽  
Vol 2 (1) ◽  
Author(s):  
Randa Bazzi ◽  
Akram Alaboudi ◽  
Gábor Rácz
Keyword(s):  
Antimicrobial Resistance ◽  
Animal Husbandry ◽  
Study Data ◽  
Surveillance Systems ◽  
Attitudes And Practices ◽  
Significant Difference ◽  
The One ◽  
Definition Of ◽  
Knowledge Attitudes And Practices

AbstractThis study aims to evaluate the role of Jordanian veterinarians in terms of their knowledge, attitudes and common practices in combating antimicrobial resistance (AMR) and summarize the registered veterinary drugs between 2017 2020. Descriptive study data were collected using a standardized questionnaire that focused on the knowledge, attitudes, and practices of Jordanian veterinarians. The findings were analyzed descriptively; 84% of the participants agreed with the statement on the definition of AMR. The majority (95.65%) of participants agreed that AMR is a challenge for the veterinary sector in Jordan and that it should be prioritized over other zoonotic diseases. Approximately 69% of the participants believed that the misuse and overuse of antimicrobials by unqualified, fraudulent, or unauthorized practitioners is the primary reason for the rise of cases associated with AMR and the challenges that accompany these. The most common practice among the respondents in this study was to recommend clients (e.g., farmers and owners) to practice good animal husbandry (80.00%). The study also revealed that there was a significant difference (p = 0.015) between attendance at AMR training sessions and the professional sector (private, public, and academic) of the veterinarians. This study underscores the importance of implementing a continuous education program on AMR so as to enhance the all-round knowledge of veterinarians and improve their advisory skills. In addition, laws should be enacted to ensure that veterinarians prescribe the correct antimicrobials and to improve surveillance systems for monitoring the use of antimicrobials in veterinary medicine.

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