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Antibiotic Stewardship Programs and Human Health - Dr. Jim Hutchinson, Medical Director, Vancouver Island Health Authority, from the 2014 NIAA Symposium on Antibiotics Use and Resistance: Moving Forward Through Shared Stewardship, November 12-14, 2014, Atlanta, Georgia, USA. More presentations at http://www.swinecast.com/2014-niaa-antibiotics-moving-forward-through-shared-stewardship
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Stewardship is the right word
Jim HutchinsonMedical Microbiologist
Medical Director - Antimicrobial Stewardship
Island Health
20 minutes
Principles
No blame
“Don’t focus on resistance, focus on use”
Jim Hutchinson
Is antimicrobial use in animals causing
resistance to antimicrobials in infections of
humans?
Yes
Is antimicrobial use in animals more
important than use in humans?
No
The people are good
Their motivations are “normal”
Leaders influence motivations
Stewardship
Stewardship is leadership
What data is needed for quality
management of infections?
• Antibiotic use
• Antibiotic resistance
– “Antibiogram”
• Measures of inflammation
– e.g. WBC, Temperature, Procalcitonin
• Outcome measures
– e.g. LOS, mortality, complications, readmissions
