每次上课或讨论前一天，做些预习，看些文献，这样效果会很出色。
比如，抗菌药物管理方面，这篇文献读一下，效果会非常好！
当然，每人有分工，自己的亚专业，多看些文献资料。
希望学成归来，对于中国感控有较大的促进作用。
读文献，开始几天可能比较难，但是在这样的环境一下，1-2周后会感觉到一次飞跃。
APIC/SHEA Position Paper
Antimicrobial Stewardship: A Collaborative Partnership between Infection Preventionists and Healthcare EpidemiologistsJulia Moody, MS, SM(ASCP),1 Sara E. Cosgrove, MD, MS,2 Russell Olmsted, MPH, CIC,3 Edward Septimus, MD, FACP, FIDSA, FSHEA,4 Kathy Aureden, MS, MT (ASCP)SI, CIC,5 Shannon Oriola, BSN, RN, CIC, COHN,6 Gita Wasan Patel, RPh, PharmD, BCPS,7 and Kavita K. Trivedi, MD81. Workgroup Chair; HCA, Inc., Nashville, Tennessee 2. SHEA Advisor; Johns Hopkins Medical Institutions, Baltimore, Maryland 3. 2011 APIC President; Trinity Health, Ann Arbor, Michigan 4. SHEA Advisor; HCA, Inc., Nashville, Tennessee 5. Sherman Hospital, Elgin, Illinois 6. Sharp Metropolitan Medical Center, San Diego, California 7. HCA Supply Chain Services, Dallas, Texas 8. Center for Health Care Quality, California Department of Public Health Address correspondence to Julia Moody, MS, SM(ASCP), Clinical Director, Infection Prevention, Workgroup Chair, Clinical Services Group, HCA, Inc., Nashville, TN 37203 (julia.moody@hcahealthcare.com).
Received January 23, 2012; accepted January 23, 2012; electronically published March 15, 2012 Misuse and overuse of antimicrobials, primarily involving therapeutic agents used to treat infection in humans, is considered one of the world’s most pressing public health problems.1 Not only does such inappropriate use diminish the therapeutic benefit of essential medications, it also facilitates the development and spread of multidrug-resistant organisms (MDROs).2 Antimicrobial resistance and the rise in MDROs globally are associated with increased morbidity and mortality, cross-transmission within and between healthcare settings, and increased consumption of limited patient-care resources. Despite elevated awareness, publication of guidelines on antimicrobial stewardship,3 and several initiatives, the proportion of resistant strains causing both health care– and community-associated infections continues to increase and the number of new antimicrobials continues to decline.4,5 In response to this growing problem, the Centers for Disease Control and Prevention (CDC) launched the Get Smart for Healthcare initiative6,7 in 2004, which includes a national campaign to promote collaboration across healthcare settings and mobilize national and local health officials in educating patients, consumers, and healthcare practitioners about appropriate use of antibiotics. The importance of antimicrobial resistance was recently highlighted by the World Health Organization (WHO), which dedicated World Health Day 20118 to halting the spread of antimicrobial resistance. The CDC and WHO are leading voices working toward an international solution with a three-pronged focus: (1) optimizing use of existing antimicrobial agents, (2) preventing transmission of MDROs, and (3) pursuing new therapeutic tools to treat emerging pathogens. Antimicrobial Stewardship (AS) is an interprofessional effort and involves optimal, prudent antimicrobial use for patients across the continuum of care: acute, inpatient, and long-term care and outpatient settings.9 This position paper highlights the critical importance of healthcare epidemiologists (HEs) and infection preventionists (IPs) in effective antimicrobial stewardship programs (ASPs). The skills and knowledge each of these highly skilled professionals brings to a facility’s ASP, when combined with other disciplines, can accelerate progress toward preventing emergence and cross-transmission of MDROs (Table 1). The Association for Professionals in Infection Control and Epidemiology (APIC) and the Society for Healthcare Epidemiology (SHEA) are the professional organizations with historical focus, expertise, and credibility in articulating and implementing best practices in antimicrobial stewardship and infection prevention and control.
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发表于 2013-6-5 11:33
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