http://greatplainsqin.org/blog/event/antibiotic-stewardship-nursing-homes/?instance_id=1386. Up to 70 percent of nursing home residents receive an antibiotic during a year and up to 75 percent of antibiotics are prescribed incorrectly.¹. The Centers for Medicare & Medicaid Services (CMS) has finalized a new rule that will require nursing homes to have an antibiotic stewardship program. Join adult infectious disease doctor, Sarah Kabbani, MD, MSc, a medical officer with CDC’s Office of Antibiotic Stewardship for a discussion of CDC’s Core Elements of Antibiotic Stewardship for Nursing Homes.
From the 2019 One Health One Planet™ symposium — One Health and the Future of Food. Find additional resources here: https://www.phipps.conservatory.org/green-innovation/for-the-world/one-health-one-planet/one-health-one-planet-2019. Antibiotics and Antibiotic Resistance in the Environment. Alison Franklin, a Ph.D. candidate at Penn State University, explored the pressing issue of antibiotic resistance in our environment and how resistance genes travel through point and nonpoint sources in water in her presentation titled “Antibiotics and Antibiotic Resistance in the Environment.”. We may think of environmental contaminants simply as litter or pesticides, but the category actually includes pharmaceuticals, human hormones, microplastics, antibiotics and resistance genes. Although they are thought to help humans when we are sick, they are getting into our environment and causing an effect.. “There has been work showing that it is not just antibiotics that lead to antibiotic resistance, but there may be other compounds in conjunction with antibiotics or even by themselves that lead to the emergence of antibiotic resistance,” noted Franklin. “It is not just one thing. There are many different factors that play into this.”. Antibiotics reach the environment through point and nonpoint sources. Point sources include municipal wastewater, where human activity directly affects placement in the environment. A nonpoint source may be runoff water, something that cannot be controlled in a direction. Antibiotic hotspots may be places where animal manure and waste runs off into a water source, or waste treatment plans with sewage, which are not always designed to properly treat it.. “Reuse of wastewater may be used for spray irrigation,” said Franklin. “If you go west where there are more arid regions, or California where there are water shortages, we are starting to see the reuse of wastewater so that is a concern and also considered a point source. When you are talking about antibiotics in the environment and how it is possibly impacting human population, animal population, or just cycling through the environment, the focus is on water. because it is cyclical.”. Antibiotics cycle through the environment by way of water. The body can only metabolize so much of the antibiotic content, and then excretes the rest. Animals and people receive an antibiotic, release it into either a point or nonpoint source, where it then goes into the soil and groundwater. From there, it may go into drinking water treatment and then come back into human and animal contact. Resistance can occur when applying manure to soil, where it can. affect soil organisms and disrupt the nitrogen cycle.. “What are the effects in humans and mammals? We really don’t know, and that’s why having these types of symposiums bringing together people from the medical field, research, and environmental research are very important,” noted Franklin.. There are so many factors to this cycle that researchers like Alison Franklin cannot look at just one area to know if there is an impact.. About One Health One Planet™. We are seeing unprecedented changes in the earth’s environmental and physical processes. Climate change, air pollution, reduced availability of clean water, and persistent toxic chemicals threaten human, animal, and environmental health and well-being.. To build a shared interdisciplinary vision of “health” and serve as a catalyst for positive change, Phipps Conservatory brings together leaders to explore global and local environmental issues and their effects on human, animal and environmental health through the One Health Initiative. One Health is a movement that is forging a new level of collaboration among physicians, veterinarians, scientific-health and environmentally-related disciplines. Thought leaders from disparate fields promote strategies to expand interdisciplinary understanding and communication in all aspects of healthcare for humans, animals and the environment.. ###. We are seeing unprecedented changes in the earth’s environmental and physical processes. Climate change, air pollution, reduced availability of clean water, and persistent toxic chemicals threaten human, animal, and environmental health and well-being.. To build a shared interdisciplinary vision of “health” and serve as a catalyst for positive change, Phipps Conservatory brings together leaders to explore global and local environmental issues and their effects on human, animal and environmental health through the One Health Initiative. One Health is a movement that is forging a new level of collaboration among physicians, veterinarians, scientific-health and environmentally-related disciplines. Thought leaders from disparate fields promote strategies to expand interdisciplinary understanding and communication in all aspects of healthcare for humans, animals and the environment.
Nursing homes are entrusted with the health and well-being of countless residents who depend on their services. Most nursing home residents are elderly and many have existing medical conditions that make the indoor environmental quality of their nursing home a critical component of their health.. In 2015, the European Respiratory Journal (ERJ) published a study that examined how poor indoor air quality (IAQ) can impact the lung health of elderly nursing home residents. The EU funded project looked at 600 residents over the age of 65 in 50 different nursing homes.. Indoor pollutant data was collected from five categories. They included: particulate matter with a diameter of 10 micrometers or less (PM10), particulate matter with a diameter of 0.1 micrometers or less (PM0.1), formaldehyde, nitrogen dioxide (NO2), and ozone (O3). According to the study, for residents exposed to moderate to high levels of PM10 and NO2 there was an association with breathlessness and cough. Exposure to PM0.1 was associated with wheezing, and formaldehyde exposure was linked with Chronic Obstructive Pulmonary Disease (COPD).. Another area of concern in nursing homes is the presence of microbial contaminants and pathogens. Nursing home residents may already suffer from conditions such as COPD, asthma and other respiratory diseases. The presence of airborne mold could aggravate these conditions and some types of mold, such as Aspergillus, can lead to potentially fatal infections. Some types of bacteria, including Legionella, can also become airborne and lead to serious health concerns. This is especially true in nursing homes were residents may already have a weakened immune system.. Healthcare-associated infections (HAIs) and community-acquired infections spread through contact with contaminated surfaces and by direct contact with others are another area of concern for nursing home residents. Serious infections can be caused by a number of drug resistant pathogens that include everything from Methicillin-resistant Staphylococcus aureus (MRSA) to Clostridium difficile (C. diff).. Even the use of cleaning chemicals that emit volatile organic compounds (VOCs) can cause indoor air quality issues.. These are just a few things to know about the importance of indoor environmental quality in nursing homes. To learn more about this or other indoor air quality, health and safety, occupational or environmental issues, please visit the websites shown below.. Clark Seif Clark http://www.csceng.com. EMSL Analytical, Inc. http://www.emsl.com. Indoor Environmental Consultants, Inc. http://www.iecinc.net. LA Testing http://www.latesting.com. Zimmetry Environmental http://www.zimmetry.com. Healthy Indoors Magazine http://www.iaq.net. Hudson Douglas Public Adjusters http://HudsonDouglasPublicAdjusters.com
Watch this webinar for a review on CDC guidelines for judicious use of antibiotics in seniors in an effort to minimize the risk of antimicrobial resistance, the causes of C. difficile as response to antibiotic therapy, and the benefits of immunization.
Antibiotics can effectively treat common infections when used properly. However, such medicines are often unnecessarily and inappropriately used on nursing home residents. In this video interview, Elizabeth Frentzel, AIR principal research scientist, describes the negative outcomes of inappropriately prescribing antibiotics and explains what can be done to better use antibiotics in nursing homes.
http://www.euronews.net/ Retired teacher Lill-Karin Skaret counts herself lucky, after having a close call with a bacterium resistant to many antibiotics.. . The Norwegian grandmother had just arrived on holiday in India when she broke her leg in a car crash.. . While at hospital in India she picked up bug, before being flown home to Norway.. . “From the airport to the hotel there was this accident,” she said.
Researchers discovered there is a drug-resistant bacteria colonizing nursing homes. They refer to them as multidrug-resistant gram-negative bacteria, and if their number keep increasing it could become a real healthcare issue. Seiner Allyu, of the Columbia Nursing School, stated, “Identifying which patients are most prone to an increased risk of MDR-GNB will enable infection preventionists to tailor efforts and stem future contaminations. The results of our study suggest that there is much more to be done with regard to infection prevention within nursing homes.”. http://www.upi.com/Health_News/2017/04/27/Drug-resistant-bacteria-greatly-affects-nursing-home-residents/8921493318669/. http://www.wochit.com. This video was produced by YT Wochit Entertainment using http://wochit.com
TUESDAY, May 30, 2017 (HealthDay News) Multidrug-resistant bacteria, such as E. coli, can be found in more than one-quarter of people living in nursing homes, a research review finds. Reviewing. TUESDAY, May 30, 2017 (HealthDay News) Multidrug-resistant bacteria, such as E. coli, can be found in more than one-quarter of people living in nursing homes, a research review finds. Reviewing eight prior studies, researchers reported rates ranged from 11 percent of residents to an alarming 59 percent, with 27 percent the average. TUESDAY, May 30, 2017 (HealthDay News) Multidrug-resistant bacteria, such as E. coli, can be found in more than one-quarter of people living in nursing homes, a research review finds.
Reviewing eight prior studies, researchers reported rates ranged from 11 percent of residents to an alarming 59 percent, with 27 percent the average. TUESDAY, May 30, 2017 (HealthDay News)—Multidrug-resistant bacteria, such as E. coli, can be found in more than one-quarter of people living in nursing homes, a research review finds. Reviewing eight prior studies, researchers reported rates ranged from 11 percent of residents to an alarming 59 percent, with 27 percent the average.
1 in 4 nursing home residents has antibiotic-resistant bacteria by Serena Gordon, Healthday Reporter (HealthDay)—Multidrug-resistant bacteria, such as E. coli, can be found. 1 in 4 Nursing Home Residents Has Antibiotic-Resistant Bacteria Multidrug-resistant bacteria, such as E. coli, can be found in more than one-quarter of people living in nursing homes, a research review finds. 5/31/2017 1 in 4 Nursing Home Residents Has Antibiotic-Resistant Bacteria TUESDAY, May 30, 2017 (HealthDay News) Multidrug-resistant bacteria, such as E. coli, can be found in more than one-quarter of people living in nursing homes, a research review finds.
TUESDAY, May 30, 2017 (HealthDay News) Multidrug-resistant bacteria, such as E. coli, can be found in more than one-quarter of people living in nursing homes, a research review finds. Reviewing eight prior studies, researchers reported rates ranged from 11 percent of residents to an alarming 59 percent, with 27 percent the average. 1 in 4 nursing home residents has antibiotic-resistant bacteria 31 May 2017, by Serena Gordon, Healthday Reporter (HealthDay)—Multidrug-resistant bacteria, such as. Antibiotic resistant bacteria are a serious issue for nursing homes.
Studies have demonstrated that many residents are colonized with these bad bugs when they are admitted to nursing homes. It was estimated that 25% of residents in these studies were colonized with MRSA and 25% to 67% were colonized with VRE.
List of related literature:
• Resistant bacteria usually occur in hospitals but are at the highest risk of spread in nursing homes and home nursing that receive these patients for further treatment.
HSCT centers should ensure adherence to hand hygiene, appropriate isolation precautions, and environmental disinfection when patients develop viral gastroenteritis.
Patients in hospital who are colonized with antibiotic-resistant bacteria provide a source from which the organisms may spread easily to other patients.
In approximately one-third of cases, no pathogens are isolated, either because the patient was receiving antibiotics when the specimens were obtained or because of suboptimal culture techniques.
Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.
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