Anti-Microbial Resistance in Global Perspective.
| Main Author: | |
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| Other Authors: | , , , |
| Format: | eBook |
| Language: | English |
| Published: |
Cham :
Springer International Publishing AG,
2020.
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| Edition: | 1st ed. |
| Subjects: | |
| Online Access: | Click to View |
Table of Contents:
- Intro
- Foreword
- Acknowledgments
- Contents
- Contributors
- Acronyms
- List of Figures
- List of Tables
- 1 Introduction to Antimicrobial Resistance and the Maternal Sepsis Intervention
- Antimicrobial Resistance
- A Post-antibiotic Apocalypse?
- Addressing Antimicrobial Resistance on a Global Platform
- The Ugandan Antimicrobial Resistance National Action Plan
- The Commonwealth Partnerships for Antimicrobial Stewardship (CwPAMS) Project Call
- References
- 2 Autonomy, Evidence and Methods in Global Health
- The Commonwealth Partnerships for Antimicrobial Stewardship (CwPAMS) Programme
- Fleming Fund Priorities Identified by CwPAMS
- Outcomes Expected from Projects in the CwPAMS Call
- What Outcomes Are Expected from You Through CwPAMS?
- Why Maternal Sepsis?
- Study Context: The Post-natal and Gynaecology Wards at FPRRH
- The Intervention
- Methods Used in the Maternal Sepsis Intervention
- References
- 3 The Impact of the Maternal Sepsis Intervention
- Maternal Deaths from Sepsis at Fort Portal Regional Referral Hospital (FPRRH)
- 'The Road to Death': Understanding the Impact of Geography and Delays
- Impacts on Patients, Their Families, and Livelihoods
- Impact on Patient Stays
- Impacts on Hospital Budgets
- Patient Experiences
- References
- 4 Infection Prevention Control (IPC) and Antimicrobial Resistance (AMR)
- 'Prevention First'
- What Is a Health Care Acquired Infection?
- What Is a Surgical Site Infection?
- Infection Prevention and Control in the Ugandan National Action Plan
- IPC in the Maternal Sepsis Intervention
- Hand Hygiene
- IPC Infrastructure
- Improvements in the Infrastructure Score
- Repair of Sinks
- Infection Prevention and Control and Wound Management
- References
- 5 The Role of Microbiology Testing in Controlling Infection and Promoting Antimicrobial Stewardship.
- Bacteriology-Based (Individualised) Prescribing
- Facilitating Culture and Sensitivity Testing
- Utilising Laboratory Data and Antibiograms to Improve Empirical Therapy
- Utilising Local Staphylococcus aureus Populations as a Case Study to Investigate Trends in Resistance Patterns
- References
- 6 Task Shifting, Midwifery Empowerment and the Nascence of Clinical Pharmacy
- Procurement and Supply Chain Dynamics in Regional Referral Hospitals
- Antibiotic Distribution at Ward Level in FPRRH
- Discrepancies Between Order and Supply (Order Fill Rates)
- Key Challenges to Sustained Behaviour Change: The Impact of Stock-Outs on AMS
- Interpreting In-Patient Pharmacy Data-A Note
- Pharmacy Support in Accessing and Distributing Antimicrobials
- Pharmacy Leadership in a Ugandan Regional Referral Hospital
- References
- 7 Change Processes: Multi-Disciplinary Teamwork
- Perceptions of Team Working
- 'We Are a Bridge': The Changing Role of Pharmacy in FPRRH
- References
- 8 The Knowledge Creation and Transfer Mechanism
- Knowledge Transfer and Behaviour Change
- The Contribution of Formal Training in a Mentoring Context
- References
- 9 Conclusions: Capturing, Sustaining, Spreading and Researching Change
- Capturing Change
- Sustaining Change
- Sustainability and Human Resource Augmentation
- Sustainability and Access to Supplies
- Spreading Change
- Policy Transfer Opportunities Within the Hospital
- Researching Change: Ethnography and 'Snagging'
- References
- Appendix: Microbiology Testing at FPRRH
- Sample Acquisition
- Isolate Confirmation
- Identification of Clinical Isolates
- Antibiotic Resistance Profiling
- References
- Index.