Antimicrobial Stewardship Research

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Research

Research drives innovation. The Antimicrobial Stewardship Program is committed to discovering new and better ways to promote the best patient outcomes with respect to antimicrobial use and to disseminate our findings to health care practitioners, health care researchers and the general public.

Research Projects

Knowledge and Attitudes of Community Healthcare Workers Towards Antimicrobial Stewardship (2016)

One of the difficult tasks in antimicrobial stewardship is to determine which interventions are best suited to make a positive impact in a particular health care setting (i.e., hospital, community clinic, pharmacy, etc.).  To aid in this process, we performed a survey of community healthcare workers throughout Saskatchewan to better understand what their knowledge and attitudes were towards antimicrobial stewardship.  The knowledge gained in this survey has helped direct us towards stewardship strategies that will be most effective in our community healthcare settings.

Effect of an Educational Intervention on Reducing the Use of Urine Cultures and Antibiotic Treatment of Asymptomatic Bacteriuria in Long Term Care (2017)

Treatment of asymptomatic bacteriuria [bacteria in the urine without symptoms of a urinary tract infection (UTI)] is not recommended, as it is not correlated with decreased morbidity, mortality or the occurence of a UTI, and may cause harm due to development of antimicrobial resistance and potential side effects of antibiotics. The Antimicrobial Stewardship Program is conducting prospective chart audits on residents of long term care facilities to determine the appropriateness of requests for urine culture and sensitivity tests, presence of documented symptoms and their relevance to UTI, and the appropriate use of antibiotics. An educational session will be offered to clinical staff, followed by post-intervention data collection and analysis to determine if education helps reduce inappropriate use of urine cultures and antibiotics.

ICU are on Antibiotics: Antimicrobial Stewardship in Intensive Care (2017)

Care of the critically ill can sometimes come at odds with some aspects of antimicrobial stewardship.  Research has shown an increase in mortality of 10% for every hour of delay in targeted antimicrobial therapy in the critically ill, septic patient.  With a paucity of information or a known source of infection, broad spectrum therapy may be initiated until more information about the patient becomes available.  

Formal antimicrobial stewardship has not been conducted within the Critical Care program of the Regina Qu’Appelle Health Region.  With different resistance patterns in each region, an individualized approach to care needs to be developed.  As trends in current practice remain unknown, this retrospective chart audit assessing antimicrobial stewardship for the treatment of pneumonia in the ICU will create a baseline for critical care, identify what the team is doing well and potential areas for improvement.

Student Alumni

Christine Lee

Summer Research Student - 2016, 2017

Research Project:

Survey of the Knowledge and Attitudes of Saskatchewan's Community Healthcare Workers Towards Antimicrobial Stewardship (2016)

Effect of an Educational Intervention on Reducing the Use of Urine Cultures and Antibiotic Treatment of Asymptomatic Bacteriuria in Long Term Care (2017)

Other Projects: Antimicrobial Stewardship Program website development, informational tool development for community clinics.

 

Shelby Pflanzner

Summer Research Student - 2017

Research Project: ICU are on Antibiotics: Antimicrobial Stewardship in Intensive Care [Cosupervised by Dr. Jonathan Mailman (PharmD), Clinical Pharmacy Specialist (Critical Care)]

Contact Us

Email our team at Antimicrobial.Stewardship@rqhealth.ca

Phone us at 306-766-3520

We are located at:

Regina General Hospital
4B32, 1440 14th Ave
Regina, SK S4P 0W5

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