Antibiotic Stewardship

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Stanford University

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Antimicrobial Stewardship: Improving Clinical Outcomes by Optimization of Antibiotic Practices Internet Enduring Material Sponsored by: Stanford University School of Medicine Presented by: The Division of Infectious Diseases and Geographic Medicine at Stanford University School of Medicine NOTE: These videos were produced as part of a free online course offered by the Stanford Center for Continuing Medical Education (SCCME). If you wish to receive credit for your participation in the course, you will need to complete the full course on the SCCME website at: http://cme.stanford.edu/online. The course version on Coursera does not offer CME credit. Course Description Antibiotics are among the most frequently prescribed classes of drugs and it is estimated that approximately 50% of antibiotic use, in both the outpatient and inpatient settings, is inappropriate. At the same time, in contrast to any other class of drugs, every antibiotic use has a potential public health consequence – inappropriate use may not harm only the individual patient, but contributes to societal harm by exerting an unnecessary selective pressure that may lead to antibiotic resistance among bacteria. This video based course will introduce learners to the basic principles of appropriate antibiotic use, demonstrate how to apply these principles to the management of common infections, and outline how to develop and maintain an antimicrobial stewardship program. We will offer a number of illustrative cases, recognizable to the practicing physician in his or her practice to engage learners in the thought processes that lead to optimal decision making, improved outcomes of individual patients, and harm reduction vis-a-vis the bacterial ecology. The course will also explore strategies to implement principles of antimicrobial stewardship both in your practice and also at a program level.

抗生素管理:抗菌管理:通过优化抗生素操作方法改善临床结果 互联网持久材料赞助者:斯坦福大学医学院 演讲者:斯坦福大学医学院传染病与地理医学系 注意:这些视频是斯坦福大学持续医学教育中心(SCCME)提供的免费在线课程的一部分。如果您希望因参加该课程而获得学分,则需要在SCCME网站上完成完整的课程,网址为:http://cme.stanford.edu/online。 Coursera上的课程版本不提供CME学分。 课程说明 抗生素是最常用的处方药之一,据估计在门诊和住院环境中,大约有50%的抗生素使用是不合适的。同时,与任何其他类别的药物相比,每种抗生素的使用都有潜在的公共卫生后果–不适当的使用可能不仅会伤害单个患者,而且还会通过施加不必要的选择性压力而导致社会伤害,从而导致使用抗生素细菌之间的抵抗力。这个基于视频的课程将向学习者介绍适当使用抗生素的基本原理,演示如何将这些原理应用于常见感染的管理,并概述如何制定和维持抗菌素管理计划。我们将提供许多说明性的案例,这些实践案例是执业医师在他或她的实践中可以认识到的,以使学习者参与到思考过程中,从而导致最佳决策,改善单个患者的结局以及相对于细菌生态学减少伤害。本课程还将探讨在您的实践中以及在计划级别上实施抗菌素管理原则的策略。

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