Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May...

Nevadans for Antibiotic Awareness

Christine Petersen, MD

Bill Berliner, MD

School of Pharmacy

May 15, 2003

History of Antibiotics

1928 – Dr. Fleming Discovers Penicillin From Bread Mold

1944 – U.S. Military Takes Penicillin To The Battlefield

1945 – Bacteria With Resistance To Penicillin Isolated

History of Antibiotics

1960s – Methicillin Introduced

1991 – 29% of Staph Aureus Resistant

2001 – 62% of Staph Aureus Resistant

Resistance

The Problem Now

PSEUDOMAS AEROGINOSA

13 1416

18.516

2326

28

CEFTAZIDIME IMIPENEM

% R

ES

IST

AN

CE

1991 1999 2000 2001 1991 1999 2000 2001

The Problem Now

STREPTOCOCCUS PNEUMONIA

32

42

22

29

PENICILLIN CEFOTAXIME

% R

ES

IST

AN

CE

2000 2001 2000 2001

The Problem Now

50% Of Hospital Acquired Bloodstream Infections Are Caused By Methicillin-resistant Staph Aureus (MRSA)

70% Of Nursing Home Staph Infections Are Caused By MRSA

The Problem Now

“There Are Patients Today In Hospitals For Whom There Are No Effective Therapies.”

Gary DoernDirector of Clinical Microbiology

University of Iowa


Stakeholders Clark County School District Health Plans Hospital systems (HCA, Universal, Washoe,

Carson/Tahoe) Laboratories Nevada Board of Pharmacy Pharmaceutical Houses SNF’s


Stakeholders (continued) State and County Health Districts State PRO (Health Insight) UNSOM (medical school) Virgen Advertising Agency


Committees Executive Public Awareness Provider Education Surveillance/Infection Control


Provider Education State-wide Team - PCP’s, Infectious Disease,

ENT, Academic, Rural, Urban Agreed on CDC Guidelines and Other Provider

Materials Distribution Through Mailings, Face to Face,

CME Meetings, Hospital Medical Staff Meetings

Distribution by Physicians, Drug Reps


Provider Education (continued) All PCP’s (70% two or more times) All Las Vegas/Reno/Carson/Tahoe ERs and

Urgent Care Center Staff All UNSOM Students and Residents Clark County School Nurse & Aide Training Washoe County School Nurse & Aide Training Hand Washing Campaign (20 facilities)


Public Awareness Governor Guinn Kick-off (October 29, 2001) Posters, Brochures to ERs, Urgent Care

Centers in Las Vegas, Reno, Carson/Tahoe Information to all Clark County Family and

Childcare Centers


Public Awareness (continued) TV/Radio Spots Developed in English and

Spanish by Virgen Advertising Pro Bono Broadcasting Time via Nevada Broadcasting

Association Over 500 TV/Radio Spots State-wide Per

Month Since October of 2001.


Public Awareness (continued) 1 Million Bookmarks Printed and Distributed by

Nevada Pharmacies 9th Grade Supplemental Curriculum Developed,

Based on CBS Series, “Survivor” Senate/Assembly Resolution in Support of NAA

Passed February 10, 2003 Legislative Reception at Governor’s Mansion with

Governor Guinn Proclamation, February 10, 2003

Number of Antibiotic Scripts Filled

per Member per Month

HPN Consolidated (Commercial and Medicare)

2000 –2002

0.081 0.082 0.080

0.060

0.063

0.058 0.0560.053

0.051

0.0710.066

0.064

0.000

0.010

0.020

0.030

0.040

0.050

0.060

0.070

0.080

0.090

Quarter 1 Quarter 2 Quarter 3 Quarter 4

200020012002


Next steps Involve the School of Pharmacy and Dental

School. Refresh Media Spots Web Site Development Find Additional Funding!!!

Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May...

Documents

Transcript of Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May...