Newsletter Vol. 29 No. 3

Overview of This Issue

In this issue of the APUA Clinical Newsletter, we turn our attention to infection control as a powerful means to control increasing spread of more deadly drug-resistant hospital infections worldwide.  Our expert authors evaluate individual infection control measures and argue against “component” approaches to infection control programs. They call for better integration of antibiotic stewardship into hospital infection control as the most effective way to slow escalating antimicrobial resistance in all human pathogens. Suggested improvements include: improving AMR surveillance and antibiotic use data collection; improving teamwork within healthcare facilities; and a health systems approach – tracking patient movement throughout the system and among levels and facilities.

The Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA) have issued guidelines* which recommend building surveillance tools to track routes of transmission and promoting provider education, accountability, and teamwork among infection preventionists, nursing, and housekeeping staff. Infection control managers should be for responsible ensuring provision of data to unit staff and clinicians and promoting compliance with protocols. At the same time, antimicrobial stewardship efforts – most often led by pharmacy departments – should be integrated with infection control to forestall the emergence of resistant pathogens, thereby lowering the burden for infection control programs**. 

Happy Holidays from the APUA team and thank you for your partnership!

Kathleen Young
Executive Director
Alliance for the Prudent Use of Antibiotics

*SHEA and IDSA guidelines can be found here.
**For more information, see APUA Newsletter No. 29 Vol. 2, "Antibiotic Stewardship Gaining Traction: Recommended Models and Resources"

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