Antimicrobial Stewardship In Wound Care

Antimicrobial resistance (AMR) is now one of the leading causes of death around the world. The World Health Organization (WHO) has declared that AMR is one of the top 10 global public health threats facing humanity. The inappropriate use of antimicrobial drugs contributes to AMR and adverse events, and improving antimicrobial prescribing practices is a patient safety priority.[5] In 2013, the Centers for Disease Control and Prevention (CDC) estimated that at least 2 million illnesses and 23,000 deaths per year were caused by antibiotic-resistant bacteria in the United States. A more recent study estimated that in 2019, 44,800 deaths were directly caused by AMR and 186,000 deaths were associated with AMR in North America … By default, chronic wounds are contaminated by several types of bacteria. When the host (patient) does not adequately respond to bacterial contamination, this contamination can turn into colonization, which can further turn into infection. Wound infections are often caused by bacteria that are becoming increasingly resistant to common antibiotics due to antibiotics misuse and/or overuse.[2][3] It is thus imperative that antibiotic prescribing practices evolve such that antibiotics are prescribed only when they are essential … read more