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Journal of Intensive and Critical Care Nursing | Volume 2
J Intensive Crit Care Nurs, Volume 2
October 24-25, 2019 | Zurich, Switzerland
2nd European
Nursing Congress
International Conference on
Clinical Nursing & Practice
Joint Event
&
T
he purpose of this presentation is to provide an
understanding of “why” an evidence-based approach is
imperative for primary and urgent care providers to utilize
when deciding to prescribe antibiotics. Knowing when, how,
and what antibiotic to prescribe is an important aspect in
primary and urgent care. However, it has been demonstrated
that practitioners lack consistency in prescribing practices,
continue to ignore published evidence-based guidelines,
and overuse broad-spectrum antibiotics. Inappropriate use
of antibiotics is a leading cause of antimicrobial resistance
throughout the world. Currently, antibiotic resistance is
one of the most significant and challenging global problems
facing health care providers. This problem affects patients
both clinically and financially involving more expensive
alternative pharmacological agents (which potentially can
be toxic), prolonged hospitalization, and increased morbidity
and mortality. Despite recognition that unnecessary and
prolonged use of antibiotics is the greatest risk factor for
developing resistant pathogens, these practices persist
in clinical settings. For example, in many clinical cases of
respiratory tract infections caused by a virus, an antibiotic
has been chosen as a drug of choice. Currently, there are very
few new antibiotics being developed which increases the
significance of conserving our current resources. Antibiotic
resistant infections increase health care costs, require
complex and prolonged managed care, and are more likely to
result in hospitalization, disability, and even death. There are
multiple factors that influence inappropriate antibiotic use.
These include, but are not limited to, patient satisfaction, time
constraints, lack of knowledge on appropriate antibiotic use,
non-compliance with published evidence-based guidelines,
and overly cautious practitioners. This presentation’s primary
focus is to promote judicious use of antibiotics through better
understanding and utilization of evidence-based guidelines,
education, symptom relief, and complimentary therapies for
treatment of patients.
Speaker Biography
Wendy Stoelting-Gettelfinger completed her JD in 1993 and PhD in 1999
from Indiana University. She has been a family nurse practitioner (FNP) for
over a decade and serves as the graduate program director and associate
professor for the Family Nurse Practitioner, Adult Gerontology Nurse
Practitioner, Neonatal Nurse Practitioner, and Doctor of Nursing Practice
programs for the School of Nursing at the University of Indianapolis. She
remains an active practitioner and works in the areas of primary care and
internal medicine.
e:
stoeltinggett@uindy.eduWendy Stoelting-Gettelfinger
University of Indianapolis, USA
Improving Practice through Understanding: A Fresh Look at the
Judicious Prescription of Antibiotics
Notes: