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Antimicrobial Stewardship: Leveraging the “Butterfly Effect” of Hand Hygiene

It is vital that there are coordinated, collaborative efforts to address the threat of antimicrobial resistance (AMR) and to prevent and control the spread of hospital-onset infections, particularly those due to multidrug-resistant (MDR) pathogens. The butterfly effect is a concept in which metaphor...

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Autores principales: Brink, Adrian John, Richards, Guy Antony
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9598193/
https://www.ncbi.nlm.nih.gov/pubmed/36290006
http://dx.doi.org/10.3390/antibiotics11101348
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author Brink, Adrian John
Richards, Guy Antony
author_facet Brink, Adrian John
Richards, Guy Antony
author_sort Brink, Adrian John
collection PubMed
description It is vital that there are coordinated, collaborative efforts to address the threat of antimicrobial resistance (AMR) and to prevent and control the spread of hospital-onset infections, particularly those due to multidrug-resistant (MDR) pathogens. The butterfly effect is a concept in which metaphorically speaking, small, seemingly trivial events ultimately cascade into something of far greater consequence, more specifically by having a non-linear impact on very complex systems. In this regard, antimicrobial stewardship programs (ASP), when implemented alongside infection prevention control (IPC) interventions in hospitals, particularly hand hygiene (HH), are significantly more effective in reducing the development and spread of AMR bacteria than implementation of ASP alone. In this perspective, we briefly review the evidence for the combined effect, and call for closer collaboration between institutional IPC and ASP leadership, and for well-functioning IPC programs to ensure the effectiveness of ASP.
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spelling pubmed-95981932022-10-27 Antimicrobial Stewardship: Leveraging the “Butterfly Effect” of Hand Hygiene Brink, Adrian John Richards, Guy Antony Antibiotics (Basel) Perspective It is vital that there are coordinated, collaborative efforts to address the threat of antimicrobial resistance (AMR) and to prevent and control the spread of hospital-onset infections, particularly those due to multidrug-resistant (MDR) pathogens. The butterfly effect is a concept in which metaphorically speaking, small, seemingly trivial events ultimately cascade into something of far greater consequence, more specifically by having a non-linear impact on very complex systems. In this regard, antimicrobial stewardship programs (ASP), when implemented alongside infection prevention control (IPC) interventions in hospitals, particularly hand hygiene (HH), are significantly more effective in reducing the development and spread of AMR bacteria than implementation of ASP alone. In this perspective, we briefly review the evidence for the combined effect, and call for closer collaboration between institutional IPC and ASP leadership, and for well-functioning IPC programs to ensure the effectiveness of ASP. MDPI 2022-10-03 /pmc/articles/PMC9598193/ /pubmed/36290006 http://dx.doi.org/10.3390/antibiotics11101348 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Perspective
Brink, Adrian John
Richards, Guy Antony
Antimicrobial Stewardship: Leveraging the “Butterfly Effect” of Hand Hygiene
title Antimicrobial Stewardship: Leveraging the “Butterfly Effect” of Hand Hygiene
title_full Antimicrobial Stewardship: Leveraging the “Butterfly Effect” of Hand Hygiene
title_fullStr Antimicrobial Stewardship: Leveraging the “Butterfly Effect” of Hand Hygiene
title_full_unstemmed Antimicrobial Stewardship: Leveraging the “Butterfly Effect” of Hand Hygiene
title_short Antimicrobial Stewardship: Leveraging the “Butterfly Effect” of Hand Hygiene
title_sort antimicrobial stewardship: leveraging the “butterfly effect” of hand hygiene
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9598193/
https://www.ncbi.nlm.nih.gov/pubmed/36290006
http://dx.doi.org/10.3390/antibiotics11101348
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