Antimicrobials and antimicrobial resistance.

Abstract

This chapter discusses the second domain of the antimicrobial stewardship framework, antimicrobials and antimicrobial resistance, which includes 5 competency descriptors: (1) signs and symptoms of infection; (2) how inappropriate antimicrobial use (including non-adherence to treatment regime) may lead to antimicrobial resistance; (3) approaches to support optimal prescribing of antimicrobials; (4) the importance of adequate specimen collection during relevant stages of antimicrobial use (i.e. prior to/during antibiotic treatment); and (5) how to recognize the appropriate response to antimicrobial treatment and the main signs that demonstrate antimicrobial failures.

Não conformidades no processo de administração de antimicrobianos: revisão integrativa

“…O enfermeiro tem um papel importante na gestão de antimicrobianos (Antimicrobial Stewardship), tanto na minimização dos fatores que interferem na administração antimicrobiana e consequentemente, na resistência antimicrobiana, como na detecção precoce de sinais de infecção e orientação para otimização do tratamento antimicrobiano 27 . Porém, ainda há necessidade de ampliação do ensino sobre o tema para que a estratégia seja efetiva [28][29][30] .…”

Análise do perfil bacteriológico de pacientes internados em terapia intensiva quanto a morbimortalidade: Estudo longitudinal

“…Among the key actions of intensive care nurses in managing, controlling, and preventing HAIs and combating AMR is their active participation in early detection of infection cases, sample collection, antibiotic administration, treatment monitoring, adverse event monitoring, and accountability regarding antimicrobial treatment, aiming to optimize the use of agents. In this context, microbiological monitoring of critically ill patients can contribute to and guide prevention efforts, serving as a barrier to the dissemination of microorganisms [26][27][28][29] .…”

Brazilian Nurses Network Tackling the Antimicrobial Resistance (REBRAN): bringing the role of nurses from the shadow to the light

“…This includes active participation in early detection of infection, specimen collection, antibiotic administration, monitoring treatment and adverse events and taking responsibility regarding antimicrobial treatment to optimize the use of antimicrobial agents. Nurses are uniquely positioned to deploy antimicrobial stewardship strategies and serve as a central hub for care integration which directly influence antimicrobial prescribing (6)(7)(8)(9) . However, there are many challenges yet to face aiming at the full nurse's awareness and engagement in the activities that will lead to keep AMR under control.…”