Antimicrobial stewardship and infection prevention and control in atopic dermatitis in children

Kilpatrick, Mataya; Bouchoucha, Stéphane; Hutchinson, Ana

doi:10.1016/j.ajic.2018.11.001

Cited by 9 publications

(25 citation statements)

References 16 publications

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“…Three studies investigated several topics. For example Olivier et al 24,25 and Macqueen both investigated consumers and nurses IPC knowledge and self-reported adherence, while Kilpatrick et al 11 investigated nurse's knowledge and understanding of IPC and AMS principles.…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies evaluated nurses' knowledge, understanding or self-reported adherence to best practice guidelines for hand hygiene and IPC using survey methods 24,[26][27][28][29][30][31] and 5 used semistructured interviews or focus groups to explore this topic. 11,25,[32][33][34] The effectiveness of educational interventions to improve hand hygiene and IPC compliance and knowledge was evaluated in 6 studies (Table 2). [35][36][37][38][39][40] Three studies comprised observation audits of hand hygiene practices.…”

Section: Nurses and Infection Prevention And Controlmentioning

confidence: 99%

“…32 Similarly, Kilpatrick et al 32 found that nurses caring for children with atopic dermatitis were using PPE as self-protection, rather than to prevent cross-infection between patients. Kilpatrick et al 11 found that nurses saw their IPC role primarily as educators, focusing on the importance of educating family members about IPC strategies including the bacterial load of Staphylococcus aureus on the skin, and use of aseptic techniques within the home.…”

Section: Nurses and Infection Prevention And Controlmentioning

confidence: 99%

“…9,10 Nevertheless, nurses play a key role in AMS activities by: supporting system processes, monitoring for patient safety and optimal antibiotic use, and providing consumer education about optimal antibiotic use. [11][12][13] It is now recognised that empowering bedside nurses to actively engage in AMS programs could improve program uptake and consequently facilitate healthcare institutions' capacity to confront the emergence of AMR. 14 Engaging consumers (patients, family members, and carers) in the implementation and promotion of IPC and AMS in acute care settings is emerging as an additional strategy to support consistent implementation of these principles in practice.…”

Section: Introductionmentioning

confidence: 99%

“…16 Paediatric nurses are in a unique position to partner with both parents and children to ensure that consumers are fully informed and provided with opportunities to be active participants in these critically important aspects of their care. 11,17 This is the first known review that has explored current evidence for consumers' and nurses' involvement in both AMS and IPC in paediatric acute care settings. The purpose of this systematic review was to explore and synthesise the existing research evaluating nurses' and consumers' knowledge and understanding of AMS, and adherence to IPC best practice guidelines in acute paediatric care settings.…”

Section: Introductionmentioning

confidence: 99%

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Paediatric nurses’, children's and parents’ adherence to infection prevention and control and knowledge of antimicrobial stewardship: A systematic review

Kilpatrick

Hutchinson

Manias

et al. 2021

American Journal of Infection Control

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Introduction: Infection prevention and control precautions help to decrease microbial transmission, and through the appropriate use of antibiotics, Antimicrobial Stewardship programs aim to decrease the prevalence and emergence of Antimicrobial Resistance. Methods: A systematic review was undertaken to critically appraise and synthesise evidence for nurses', children's and parents' knowledge and understanding of antimicrobial stewardship, and of infection prevention and control in acute paediatric care settings. The Preferred Reporting Items for Systematic reviews and Meta-Analyses guided the review. Studies were included if they examined the factors that contributed to nurses' adherence to, or consumers' practice in relation to, antimicrobial stewardship and infection prevention and control. Results: Of the 16,957 papers identified, 50 studies conducted in acute paediatric settings met the eligibility criteria, and were included. Most studies were of low methodological quality. Fourteen studies evaluated nurses' knowledge and self-reported adherence to Infection Prevention and Control principles and identified consistent practice gaps by nurses. Six studies evaluating the effectiveness of education programs reported modest improvements in nurses' knowledge and adherence to infection prevention and control. There were 15 studies, that investigated consumers' involvement in infection prevention and control that identified the following themes: Consumer knowledge and attitudes to infection prevention and control and transmissionbased precautions, and parents' willingness to take an active role in infection prevention. Six studies focused on paediatric nurses' role in antimicrobial stewardship, exploring the following themes: (1) nurses' understanding and beliefs of antimicrobial stewardship roles, and (2) barriers to nurses taking a greater role in antimicrobial stewardship. Nine studies explored the role of consumers in antimicrobial stewardship and identified consumers' misconceptions about the benefits and downplayed concerns regarding antibiotic use. Discussion: Although consumers articulated a willingness to be actively involved in infection prevention, observed practice remained lower than that required to consistently prevent infection transmission. Conclusion: These findings highlight a critically important gap in current practice. In relation to optimal use of antimicrobials, although paediatric nurses were involved in supporting antimicrobial stewardship processes and educating consumers, they identified limited antimicrobial stewardship knowledge. Consumers appeared to lack understanding about the benefits of antibiotics and negated concerns regarding antibiotic use.

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Section: Resultsmentioning

confidence: 99%

Section: Nurses and Infection Prevention And Controlmentioning

confidence: 99%

Section: Nurses and Infection Prevention And Controlmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Paediatric nurses’, children's and parents’ adherence to infection prevention and control and knowledge of antimicrobial stewardship: A systematic review

Kilpatrick

Hutchinson

Manias

et al. 2021

American Journal of Infection Control

Self Cite

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Publication Trends of Qualitative Research in Dermatology

2023

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ImportanceQualitative studies serve as a tool for dermatologists and researchers in dermatology to engage with and understand perspectives of populations with different cultures and backgrounds.ObjectiveTo assess (1) current approaches to qualitative dermatologic research and (2) the publication trends of these studies with the aim to inform researchers regarding qualitative research and its significance and applicability in the field of dermatology.Evidence ReviewA scoping review was conducted in which PubMed and CINAHL Plus were searched using dermatology AND qualitative, dermatology, and 7 qualitative methods terms. Studies were selected for inclusion using 3 levels of screening. Level 1 excluded articles published in a language other than English. Level 2 excluded articles of studies involving mixed methods, quantitative methods, systematic review, and meta-analysis. Level 3 excluded articles that were not specific to general dermatology, medical dermatology, pediatric dermatology, dermatologic surgery, dermatopathology, or education and training associated with dermatology. Finally, all duplicates were removed. The searches were conducted from July 23 to 28, 2022. All articles obtained from PubMed and CINAHL Plus searches were recorded in REDCap.FindingsA total of 1398 articles were reviewed, and of these, 249 (17.8%) were qualitative dermatology studies. Common qualitative methods included content analysis (58 [23.3%]) and grounded theory/constant comparison (35 [14.1%]). Individual interviews were the most common data collection method (198 [79.5%]), and patients (174 [69.9%]) were the most common participant type. Patient experience (137 [55.0%]) was the most common investigated topic. Overall, 131 qualitative studies (52.6%) in dermatology were published in dermatology journals, and 120 qualitative studies (48.2%) in dermatology were published between 2020 and 2022.Conclusions and RelevanceQualitative research in dermatology is becoming more prevalent. There is value in qualitative research, and we encourage researchers in dermatology to incorporate qualitative methods in their studies.

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Pathophysiology, Diagnosis, and Management of Infections in Atopic Dermatitis

Chan

Ong

2019

Curr Derm Rep

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Antimicrobial stewardship and infection prevention and control in atopic dermatitis in children

Cited by 9 publications

References 16 publications

Paediatric nurses’, children's and parents’ adherence to infection prevention and control and knowledge of antimicrobial stewardship: A systematic review

Paediatric nurses’, children's and parents’ adherence to infection prevention and control and knowledge of antimicrobial stewardship: A systematic review

Publication Trends of Qualitative Research in Dermatology

Pathophysiology, Diagnosis, and Management of Infections in Atopic Dermatitis

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