{"id":3596,"date":"2021-11-17T14:00:24","date_gmt":"2021-11-17T19:00:24","guid":{"rendered":"https:\/\/www.med.unc.edu\/casp\/?p=3596"},"modified":"2023-06-22T14:39:00","modified_gmt":"2023-06-22T18:39:00","slug":"shortest-effective-durations-of-antimicrobial-therapy-focus-of-casps-observance-of-world-antimicrobials-awareness-week","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/casp\/2021\/11\/shortest-effective-durations-of-antimicrobial-therapy-focus-of-casps-observance-of-world-antimicrobials-awareness-week\/","title":{"rendered":"Shortest Effective Durations of Antimicrobial Therapy focus of CASP\u2019s observance of World Antimicrobials Awareness Week"},"content":{"rendered":"<p>More than half of all patients receive at least one antimicrobial agent during their hospital stay. At the Medical Center as with other facilities, patients sometimes receive treatment that is longer than needed for common infections. Reducing unnecessary antimicrobial exposure is essential to preserving the efficacy of these drugs for the future.<\/p>\n<p><a href=\"https:\/\/www.med.unc.edu\/casp\/wp-content\/uploads\/sites\/563\/2023\/05\/Duration-of-Antibiotic-Therapy.pdf\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-3597\" src=\"https:\/\/www.med.unc.edu\/casp\/wp-content\/uploads\/sites\/563\/2021\/11\/Screenshot-2021-11-17-at-13-00-37-UNCMC_ShorterSaferBetterPledge-Flyer-UNCMC_ShorterSaferBetterPledge-Flyer-pdf.png\" alt=\"Shorter durations are better for patients and better for slowing antimicrobial resistance\" width=\"500\" height=\"185\" srcset=\"https:\/\/www.med.unc.edu\/casp\/wp-content\/uploads\/sites\/563\/2021\/11\/Screenshot-2021-11-17-at-13-00-37-UNCMC_ShorterSaferBetterPledge-Flyer-UNCMC_ShorterSaferBetterPledge-Flyer-pdf.png 879w, https:\/\/www.med.unc.edu\/casp\/wp-content\/uploads\/sites\/563\/2021\/11\/Screenshot-2021-11-17-at-13-00-37-UNCMC_ShorterSaferBetterPledge-Flyer-UNCMC_ShorterSaferBetterPledge-Flyer-pdf-300x111.png 300w, https:\/\/www.med.unc.edu\/casp\/wp-content\/uploads\/sites\/563\/2021\/11\/Screenshot-2021-11-17-at-13-00-37-UNCMC_ShorterSaferBetterPledge-Flyer-UNCMC_ShorterSaferBetterPledge-Flyer-pdf-768x284.png 768w, https:\/\/www.med.unc.edu\/casp\/wp-content\/uploads\/sites\/563\/2021\/11\/Screenshot-2021-11-17-at-13-00-37-UNCMC_ShorterSaferBetterPledge-Flyer-UNCMC_ShorterSaferBetterPledge-Flyer-pdf-600x222.png 600w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/a><\/p>\n<p>Carolina Antimicrobial Stewardship Program\u2019s David Weber, MD, MPH and Ashley Marx, PharmD developed the <a href=\"https:\/\/www.med.unc.edu\/casp\/wp-content\/uploads\/sites\/563\/2023\/05\/Duration-of-Antibiotic-Therapy.pdf\">Best Practices<\/a> for Durations of Antimicrobial Therapy\u00a0 in 2020 with extensive review from adult and pediatric infectious diseases clinicians. The best practices serve as a quick reference for evidence-based durations for common infections such as lower respiratory, urinary tract, and skin and soft tissue. They are intended to complement clinical judgment.<\/p>\n<p>The shortest effective durations of antimicrobial therapy are both better for patients and for slowing antimicrobial resistance alike. \u201cClinical trials conducted in recent years have found short courses to be equally effective compared to longer courses for many types of infections,\u201d said Lindsay Daniels, PharmD, MPH, CASP\u2019s pharmacy lead. \u201cShorter courses reduce the risk of adverse effects, limit disruption of the microbiome, and decrease the risk of selecting for antibiotic-resistant organisms.\u201d<\/p>\n<p>While too-long durations may lead to problems, too-short therapy can also be a problem. Too-short durations can lead to relapse, ultimately leading to the need for repeated antimicrobial courses.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-3598\" src=\"https:\/\/www.med.unc.edu\/casp\/wp-content\/uploads\/sites\/563\/2021\/11\/Screenshot-2021-11-15-at-14-33-41-Go-Blue_CampaignContent_Final-pdf.png\" alt=\"Handle antimicrobials with care\" width=\"188\" height=\"169\" \/><\/p>\n<p>To mark <a href=\"https:\/\/www.who.int\/campaigns\/world-antimicrobial-awareness-week\/2021\">World Antimicrobial Awareness Week<\/a>, CASP is conducting a <a href=\"https:\/\/uncmedicalcenter.intranet.unchealthcare.org\/Pages\/2021\/Shorter-Safer-Better-Pledge-Campaign.aspx\">pledge campaign<\/a> to encourage UNC Medical Center colleagues to know, use, and share the shortest effective durations of antimicrobial therapy. Since the <em>Shorter. Safer. Better.<\/em> campaign kicked off at the end of October, more than 200 UNC Medical Center colleagues have pledged, and more than double that number have viewed the best practices. Udobi Campbell, PharmD, MBA, executive director of pharmacy, Triangle West region; Tom Ivester, MD, MPH, chief medical officer, UNC Medical Center; and Jeff Strickler, DHA, RN, interim chief nursing officer, UNC Medical Center, sponsor the campaign.<\/p>\n<p>The pledge offers concrete actions that individuals can take to know, use, and promote the shortest effective durations. For example, colleagues may choose to educate their patients about the importance of the shortest effective durations; nurses may pledge to highlight prescriptions that have continued beyond seven days without specified duration to the prescriber or pharmacist.\u00a0\u00a0Individuals not in patient care roles who care about antimicrobial resistance are also encouraged to pledge their support by helping spread the word.<\/p>\n<p>The campaign concludes at the end of World Antimicrobials Awareness Week on November 24.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>More than half of all patients receive at least one antimicrobial agent during their hospital stay. At the Medical Center as with other facilities, patients sometimes receive treatment that is longer than needed for common infections. Reducing unnecessary antimicrobial exposure is essential to preserving the efficacy of these drugs for the future. Carolina Antimicrobial Stewardship &hellip; <a href=\"https:\/\/www.med.unc.edu\/casp\/2021\/11\/shortest-effective-durations-of-antimicrobial-therapy-focus-of-casps-observance-of-world-antimicrobials-awareness-week\/\" aria-label=\"Read more about Shortest Effective Durations of Antimicrobial Therapy focus of CASP\u2019s observance of World Antimicrobials Awareness Week\">Read more<\/a><\/p>\n","protected":false},"author":103756,"featured_media":3598,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[4],"tags":[],"class_list":["post-3596","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","odd"],"acf":[],"featured_image":"https:\/\/www.med.unc.edu\/casp\/wp-content\/uploads\/sites\/563\/2021\/11\/Screenshot-2021-11-15-at-14-33-41-Go-Blue_CampaignContent_Final-pdf.png","featured_image_medium":"https:\/\/www.med.unc.edu\/casp\/wp-content\/uploads\/sites\/563\/2021\/11\/Screenshot-2021-11-15-at-14-33-41-Go-Blue_CampaignContent_Final-pdf.png","featured_image_medium_large":"https:\/\/www.med.unc.edu\/casp\/wp-content\/uploads\/sites\/563\/2021\/11\/Screenshot-2021-11-15-at-14-33-41-Go-Blue_CampaignContent_Final-pdf.png","featured_image_large":"https:\/\/www.med.unc.edu\/casp\/wp-content\/uploads\/sites\/563\/2021\/11\/Screenshot-2021-11-15-at-14-33-41-Go-Blue_CampaignContent_Final-pdf.png","featured_image_thumbnail":"https:\/\/www.med.unc.edu\/casp\/wp-content\/uploads\/sites\/563\/2021\/11\/Screenshot-2021-11-15-at-14-33-41-Go-Blue_CampaignContent_Final-pdf-150x150.png","featured_image_alt":"Handle antimicrobials with care","category_details":[{"name":"News","link":"https:\/\/www.med.unc.edu\/casp\/category\/news\/"}],"tag_details":[],"_links_to":[],"_links_to_target":[],"_links":{"self":[{"href":"https:\/\/www.med.unc.edu\/casp\/wp-json\/wp\/v2\/posts\/3596","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.med.unc.edu\/casp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.med.unc.edu\/casp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/casp\/wp-json\/wp\/v2\/users\/103756"}],"replies":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/casp\/wp-json\/wp\/v2\/comments?post=3596"}],"version-history":[{"count":0,"href":"https:\/\/www.med.unc.edu\/casp\/wp-json\/wp\/v2\/posts\/3596\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/casp\/wp-json\/wp\/v2\/media\/3598"}],"wp:attachment":[{"href":"https:\/\/www.med.unc.edu\/casp\/wp-json\/wp\/v2\/media?parent=3596"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.med.unc.edu\/casp\/wp-json\/wp\/v2\/categories?post=3596"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.med.unc.edu\/casp\/wp-json\/wp\/v2\/tags?post=3596"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}