Intermountain leading national charge against antibiotic overuse, ‘superbugs’ –

Intermountain leading national charge against antibiotic overuse, ‘superbugs’ –

SALT LAKE CITY — Emerging “superbugs” threaten to undo progress made in modern medicine, health officials say.

And they’re occurring as a result of overusing something meant to heal — antibiotics.

That’s why Intermountain Healthcare, in collaboration with the University of Utah, announced an initiative Tuesday to battle overprescribing of antibiotics in the Beehive State — and to set a standard. The Centers for Disease Control and Prevention has awarded the organizations a nearly $2 million contract to lead the charge and establish best practices.

“Antibiotics are very unique drugs. They’re the only drug that the more we use them, the less effective they become,” said Dr. Eddie Stenehjem, medical director of antibiotic stewardship at Intermountain Healthcare.

Last week, the CDC released its 2019 antibiotic resistance threat report, which said antibiotic resistant bacteria, or superbugs, infect 2.9 million people each year in the U.S., killing 35,000.

Antibiotic resistance occurs when bacteria develop the ability to “defeat” antibiotics, according to the CDC.

That happens because antibiotics kill good bacteria along with bad bacteria, making way for new types of bad bacteria in a person, said Dr. Adam Hersh, professor of pediatric infectious diseases at the University of Utah.

People don’t become resistant to antibiotics, but bacteria do. And bacteria are shared within communities, making antibiotic resistance a problem for everyone, said Dr. Anthony Wallin, medical director of Intermountain’s urgent care service line.

“For example, if I used antibiotics in my patients in my community and use them a lot, those patients are more likely to have antibiotic-resistant bacteria within them. They can then transfer that bacteria to other family members, other patients, other communities, and then they can get sick with antibiotic-resistant infections as well,” Stenehjem explained.

“This is an issue that we need to address, not just nationally and globally, but an issue we have to address locally and regionally here in Salt Lake City,” he said.

Proud to be part of the Antibiotic Stewardship work that Dr. Eddie Stenehjem and his team are leading. Big things are in store for Intermountain and our community from this important work. #antibioticstewardship

Learn more:

— Intermountain (@Intermountain) November 19, 2019

Antibiotic-resistant bacteria has “the potential to undermine many, if not all, of health care advances. Infections with antibiotic resistant bacteria lead to more costly health care, it leads to increased patient suffering, and it also leads to increased patient mortality,” he said. It also leads to problems with treating serious illnesses like cancer.

Intermountain Healthcare’s contract with the CDC started last October, and the initiative launched in July. Since then, the organization has seen a 20% decline in antibiotic prescribing in respiratory conditions, according to Stenehjem.

“So far, that’s over 4,000 antibiotic prescriptions not given, and that’s over 30,000 days of antibiotic therapy not given. And that’s a major reduction of antibiotics going into our community,” he said.

Intermountain is also trying to prevent infections through vaccinations, Stenehjem said, and by encouraging safe sex practices, as sexually transmitted infections “are one of the highest-growing” among antibiotic-resistance infections.

When infections do develop in communities, Intermountain wants to limit their spread by detecting them quickly through surveillance.

Intermountain officials are also working to decrease and optimize antibiotic use through what’s called “antibiotic stewardship,” by educating the caregivers in their system as well as their patients about the ways and reasons to limit antibiotic use.

Hersh said the initiative is focusing on decreasing antibiotic prescribing in urgent care settings because between 80% and 90% of antibiotic prescribing happens in outpatient settings like primary care, retail and urgent care clinics. Among those prescriptions, between one-third and one-half of prescriptions “are completely unnecessary, meaning they didn’t need to be prescribed, and the patient is not benefiting from them,” according to Hersh.

In Intermountain’s system, there are 39 urgent care centers that see a total of about 700,000 patients a year.

Hersh said there’s a lot of variability between clinics and clinicians. Some are prescribing antibiotics “most of the time that they see a patient with, say, a cough or a cold,” he said. Others are prescribing them infrequently.

The initiative seeks to make infrequent prescribing consistent across the system.

Intermountain is also presenting data to its doctors so they can see their own prescribing rates, as well as those of their colleagues.

“It’s very important because physicians, when they see each other and what they’re doing, they tend to make changes. They’re relatively competitive people, so it turns out that that helps quite a bit,” Wallin said.

He said a challenge to convincing doctors to prescribe less is hesitancy around change. “Any human is resistant, and some of our doctors have been practicing 30 years, and you’re changing 30 years of habits,” Wallin explained.

Do your part to keep yourself and others healthy. If you get sick, remember #antibiotics don’t treat viruses, like those that cause #colds & #flu. Talk with your doctor about the best treatment and what you can do to relieve symptoms.

— CDC (@CDCgov) November 19, 2019

Patients’ perceptions also need to change, Stenehjem said.

“And part of our role, and our clinicians’ role, is to help the patients understand that antibiotics are not benign medications. These are medications that come with risks, and those risks include diarrhea, rash, and development of a type of diarrhea that can kill you,” he said.

Intermountain is trying to change perceptions in patients by talking to them about “watchful waiting” and “delayed prescriptions” — letting one’s body fight respiratory illnesses before turning to antibiotics — as well as symptomatic therapies that can usually be found over the counter, Wallin said.

In the majority of respiratory conditions, according to Stenehjem, antibiotics will do more harm than good.

But he said antibiotics are still beneficial for conditions like urinary tract infections, skin infections, pneumonia, strep throat, and a minority of ear and sinus infections.

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  134. Can I take your number? Turning on components of the immune system can bring its own health problems, but the idea — which has yet to get beyond the basic research stage — is to turn up certain elements to achieve a better balance.

  135. I need to charge up my phone Instead, the NYPD imposed punishments typically ranging from Police Academy training to loss of vacation days to no discipline at all.

  136. A pension scheme Know that this evening as far as I am concerned, I’m feeling Charlie Coulibaly,” he wrote on Sunday, hours after millions had taken part in rallies throughout France

  137. How much does the job pay? (The)only thing I’m worried about is what my teammates think of me, what the coaching staff thinks of me, and we go to battle together.”

  138. Very funny pictures Meanwhile, over 36,000 breath tests were carried out on drivers at more than 7,500 checkpoints nationwide, with around 20 drivers being arrested every day on suspicion of driving while intoxicated

  139. I want to report a JetClub claims it has also experienced a 40pc increase in the number of enquiries for private jet services, which it puts down to an influx of billionaires moving to the UK from countries in the Middle East, Russia and Asia.

  140. Could I have , please? The production process for perovskite panels is very straightforward, but researchers still have to test the material under different conditions to better understand its properties, before companies embark on industrial-scale production, it said.

  141. How do you know each other? “I am not happy to be a soldier.” He joined the militia two years ago because “soldiers were killing our people” but now hopes to become a pastor.

  142. I do some voluntary work Brown also is on the ballot on Tuesday in neighboring New Hampshire in a three-way primary to win the Republican nomination to run for U.S

  143. I read a lot drugmaker said on Monday in a regulatory filing, noting its assessment was based on having seen “unblinded” data from the huge study.

  144. I’ve lost my bank card Yum Brands declined to say when the tours in China began, how many consumers had participated, or what impact they had

  145. How much is a Second Class stamp? Cafes and shops have been painted with spots in honour of the race’s “King of the Mountains” jersey, schools have created collages and sculptures for the Tour and yellow bikes are everywhere: mounted on walls and trees, sitting outside houses and pubs — even hanging from a church steeple.

  146. Pleased to meet you The 1,400-plus pages of medical records show that nurses, doctors and other hospital employees wore face shields, double gowns, protective footwear and even hazmat suits to avoid touching any of Duncan’s bodily fluids

  147. I’d like to cancel this standing order A FIFA task force this week recommended moving the tournament to November-December to avoid the summer heat in Qatar

  148. I support Manchester United No-nonsense coach Tom Coughlin made it pretty clear that he didn’t dig Rolle’s imaginary photo shoot end-zone celebration with Dominique Rodgers-Cromartie in the fourth quarter of the Giants’ blowout win over the hapless Tennessee Titans

  149. What part of do you come from? Ban also welcomed pledges by developed nations totaling almost $10 billion to a new Green Climate Fund, due to help developing nations cut emissions and adapt to climate changes that will put pressure on food and water supplies.

  150. This is your employment contract Much of the 40 million of taxpayers’ money spent on planning for the now abandoned children’s hospital at the Mater site in Dublin may have been wasted, the latest financial statements of the National Paediatric Hospital Development Board have indicated.

  151. Whereabouts in are you from? According to Dr Cecile Svanes of the University of Bergen, this is an important study as it is the first to show ‘how a father’s smoking habit pre-conception can affect the respiratory health of his children’.

  152. I’ve just graduated The analysis we are publishing today shows Tory plans mean spending cuts larger in the next four years than in the last five years

  153. How many would you like? The plot centres around Ben Caspar, a corrupt manager of a fictional Californian city who is found on a lonely stretch of Pacific Coast highway with satanic symbols etched on his chest

  154. I’m training to be an engineer GM at that event announced its partnership with AT&T so that all future Chevys would be shipped with networked technology includedin each vehicle.

  155. Go travelling “The inclusion of the Latin cross on the helmets also excludes the 19 percent of the American population that is non-religious.”

  156. A pension scheme A megaphone also helps battered women’s stories reach policymakers, who may then be motivated to devote resources to combating domestic violence

  157. Can you hear me OK? The study found that those with low fitness levels in their 40s, or who had a bigger increase in blood pressure or heart rate measurements a few minutes after starting a low-intensity fitness test on a treadmill, had lower brain tissue volume later in life

  158. I live in London Texting by novice drivers raises the chances of an accident almost four-fold, the authors of a new position statement point out

  159. Could you ask her to call me? While the processes that take place are not unique to the nebula, at a distance of 6,500 light-years, it is the closest, most dramatic area of such activity.

  160. I never went to university But Turkey has resisted publicly endorsing a new global strategy to defeat the Islamic State, which has kidnapped 49 Turkish citizens, including some diplomats.

  161. I work with computers Most ministers at an EU meeting in the Latvian capital pinned their hopes on the latest Minsk agreement succeeding and said the EU should only consider tightening sanctions if the ceasefire was seriously violated, such as by a separatist offensive on the Ukrainian port of Mariupol.

  162. We need someone with qualifications “With that sort of track record, no-one is going to take any notice of what they’re saying on the NHS, or anything else

  163. I’m unemployed Graham White, a spokesman for Canada’s largest pipeline company, confirmed the investigation is related to crude volumes nominated by shippers on its system

  164. How do you do? According to local media reports, Ambarita had spent up to a year studying aircraft taking off and landing, had learned from the Internet how to hide in the wheel well and had made an unsuccessful attempt in the past to hitch a free plane ride.

  165. I’m sorry, I’m not interested Just for the sake of clarity is this post only dedicated to those who say “This debate is moronic, you are all morons, you should be focused on ________ [insert pet cause]” or does it include those who only say “This debate is moronic, you are all morons”?

  166. I sing in a choir ‘I looked at companies like Netflix and and it seemed like a good idea to apply the same regular delivery principle to shaving supplies,’ he says.

  167. Very interesting tale The close up black and white photographs of flowers, minerals, shells and butterfly wings will be exhibited alongside kaleidoscopic collages arranging the photos in repeat

  168. I’m not working at the moment We are overjoyed to announce that, as of yesterday evening, officials at Emory University Hospital and the Centers for Disease Control are no longer able to detect virus in her body

  169. I like watching football The Old Bailey heard on Wednesday how Quinn leaked stories such as the arrests of Dane Bowers, Mick Hucknall and TV presenter Chris Tarrant, as well as inside information on the hunt for Milly Dowler and the investigation into the brutal attack on pregnant mother Abigail Witchalls.

  170. Have you got a telephone directory? Around 375,000 people work in the UK oil industry and half of those are in north east Scotland says a cold looking Dominic Laurie from Aberdeen docks on BBC Breakfast

  171. How would you like the money? In fact, it’s important to remember that most people will be renters and homeowners during different stages of their lives

  172. Do you know each other? Draghi went ahead with his part: the ECB announced in September it would buy bundles of bank loans, a way of stimulating the flow of credit to businesses

  173. I’d like to take the job But the men of the vast Ilyich iron and steel works in theUkrainain port of Mariupol are still in place, pouring moltensteel, running the rolling mill and pledging to defend theirfactory and town from an onslaught by pro-Russian rebels.

  174. I sing in a choir After losing to Wisconsin in the inaugural conference title game in 2011, the Spartans beat Ohio Statefor the championship in year three of the game

  175. Canada>Canada But expert wisdom at Westminster held that Ed Miliband was distrusted and even despised by the voters and that he would simply be incapable of mounting an effective challenge to the Conservative Party in the heat of a general election campaign.

  176. I’d like to transfer some money to this account The Heinz-Kraft deal is in many ways just the latest example of that, although Buffett noted that the two companies still have a strong base of customers.

  177. Have you seen any good films recently? We know that he fiddled around a good deal at the beginning, but now we know that he kept fiddling around all the time and it helps explain why he had so much difficulty finishing paintings.

  178. I want to report a Tory Defence Minister Anna Soubry told the BBC's Andrew Marr Show: “I would appeal, if there is any truth in this, to him then go now, hold your head up

  179. Get a job 3, 2012, GSK asked staff to save documents related to certain employees in China, Chinese and U.S.-linked firms, senior Chinese academics and education institutes, particularly those concerning contracts, negotiations and payments.

  180. I’m sorry, he’s This included reservations on a total of 6,600 properties, with the total rate of home completions increasing by 6% to 12,454 homes – which the firm said had improved with a strong level of mortgage availability.

  181. I love the theatre The fighting was the worst in years in the capital of thepoor Arabian peninsula country and appeared to be the biggestchallenge yet to a U.N.-backed transition to democracy launchedafter veteran ruler Ali Abdullah Saleh stepped down in 2012.

  182. I work with computers England’s set piece was excellent throughout the match, which only makes the other parts of their game more frustrating

  183. Have you got any qualifications? This young duo won over the cold, cold heart of Simon Cowell, who sent their anti-bullying rap act straight on through.

  184. Could you tell me my balance, please? Average revenue per patient per day rosealmost 2 percent last year, Anahp estimates, well below overallinflation of 6.5 percent.

  185. I’m not sure In Camarillo, a Ventura County city about 50 miles northwest of Los Angeles, rain was falling at about an inch an hour over hillsides ravaged by a 2013 wildfire

  186. I’m sorry, I didn’t catch your name They conducted the test by filling one flask with a typical, pungent brewer’s yeast culture and another with a mutant yeast strain that didn’t contain the aroma gene

  187. Through friends ”In July it warned that malicious software from the Energetic Bear hacking group, which some believe has ties to the Russian government, could have infected energy and industrial firms around the world

  188. Very funny pictures We build up the dose of the allergy shots gradually, and then it’s a once a month shot taken for 3-5 years.” The majority of patients experience symptom relief thanks to allergy shots.

  189. Do you have any exams coming up? The Syrian military frequently uses helicopters to drop crude barrel bombs — giant canisters packed with hundreds of pounds of explosives and scrap metal-— on rebel-held towns and neighborhoods.

  190. We’ll need to take up references According to the earlier draft list circulating among EU officials, Britain’s Jonathan Hill would be in charge of energy policy at a time of tension with Russia over the crisis in Ukraine

  191. How long have you lived here? In Britain, securing regulatory approval for either a new antibiotic or a new drug involves undertaking Phase I, Phase II and Phase III clinical trials – which typically cost well over 100 million and could easily take 10 years to complete

  192. Have you seen any good films recently? In addition to “The View,” she has appeared on “Dancing With the Stars” and “30 Rock,” among other shows

  193. Children with disabilities Healthy people and people with various conditions, such as obesity, heart disease and Parkinson’s disease, were included.

  194. Sorry, I ran out of credit He also says the current system of oversight has contributed to problems in some schools in Birmingham and the so-called Trojan Horse conspiracy, in which there were claims of hardline Muslim groups trying to take over schools in the city.

  195. I came here to work Top banks expect they will have to hold GLAC bond capital equivalent to about 10 percent of their risk-weighted assets ontop of their core capital buffers which currently stand ataround 10 percent

  196. Could I order a new chequebook, please? We all understand that engineering work on the railways has to go ahead, but Network Rail’s handling of the situation in the post-Christmas Day period simply gives “forward planning” a bad name

  197. Another year Prime Minister David Cameron marked the beginning of the financial year Monday by warning that the opposition Labour Party would raise taxes, as he sought to break the deadlock in polls ahead of May 7 elections.

  198. Three years A one-hour, postgame program takes us into the winning team’s locker room and then all over major cities, where viewing parties are being held

  199. How much will it cost to send this letter to ? Since its establishment in 1983, Fighting Blindness has invested more than €15 million in over 70 research projects.

  200. Where are you from? But the first-string offense, the unit that’s supposed to propel the Giants back into Super Bowl contention, managed one middling highlight

  201. The line’s engaged As one of those to contribute, it would be unfair to apportion undue significance to this number when it comes to the long‑standing philosophy of the Olympic and Paralympic funding body, which held its first board meeting yesterday since the closing date for submissions

  202. Whereabouts are you from? Paul Deneve, former chief executive of Yves Saint Laurent before joining Apple to work on unnamed ‘special projects’ in 2013, said the experience of shopping for an Apple Watch was “deeply personal”.

  203. How do you do? Knowing the characteristics of children with these conditions helps us develop policies and plan services for children and their families,” he said.

  204. I’ll put her on China should pay attention to the quality of the economy,” he said in a question-and-answer session at the World Economic Forum.

  205. A book of First Class stamps the low-cost ones have to be sold at high-volume to keep costs low, whereas Japan’s semiconductor industry is about developing the next generation and to add value,” said Takeshi Sudo, senior vice president of innovative business development at Fujitsu.

  206. Best Site Good Work The Dow Jones industrial average rose 259.83 points,or 1.47 percent, to 17,895.22, while the S&P 500 gained25.71 points, or 1.26 percent, to 2,065.95

  207. What are the hours of work? Branded enemies can be pitted against others, creating power struggles that allow Talion to control the dominance of each territory

  208. Will I be paid weekly or monthly? Donovan argued that the disclosure would damage the credibility of prosecutors seeking to assure both grand jurors and witnesses that details of their participation would be kept from public view

  209. Could you ask him to call me? The rest of the world — particularly anyone who remembers the grim news coming out of Belfast in the 1970s and 1980s — should find optimism in that.

  210. We need someone with experience ** German automotive supplier Norma is seekingmore acquisitions on a similar scale to that of NationalDiversified Sales, which it agreed to buy earlier this month for$285 million, its chief executive told Reuters on Wednesday.

  211. How do I get an outside line? Under this plan, most families who have qualified for tax subsidies are paying less than $100 a month for premiums, said CMS administrator Marilyn Tavenner” in a statement

  212. Incorrect PIN Another of the complainants, who spoke on condition ofanonymity because a meeting with Vestager was confidential,said: “The first thing she said at the meeting was that sheunderstands the harm we have suffered.”

  213. Children with disabilities Roche already markets Pulmozyme for cystic fibrosis and Xolair for severe asthma in the United States and has other experimental respiratory products in clinical development, including another severe asthma drug called lebrikizumab.

  214. In tens, please (ten pound notes) The fourth and final suspect in the grisly 2008 murders of an Iraq War veteran and his newlywed wife was sentenced to death Friday, ending five years of painful court hearings for the couple’s families.

  215. I wanted to live abroad Fish and Wildlife Service (FWS) to conduct conservation efforts to protect the monarch butterfly under the Endangered Species Act.

  216. We went to university together Wilfong said he has a young seizure patient in a different, less rigorous study who has shown dramatic improvement after several months on the marijuana-based treatment, “but that doesn’t prove it was due to the” experimental drug,” he said.

  217. We’re at university together After the Connecticut stop, Obama traveled to Philadelphia for a rally with businessman Tom Wolf, who has a sturdy 11-point lead over Republican Governor Tom Corbett in the Pennsylvania governor’s race, according to an average of polls by RealClearPolitics.

  218. I’d like to pay this in, please Inuit lore tells of “white men who were starving” as late as the winter of 1850 on the Royal Geographical Society Island.

  219. Have you seen any good films recently? Under Burkina Faso’s constitution, the head of the NationalAssembly should take office if the president resigns, with amandate to organise elections within 90 days

  220. I’ve been made redundant “Although a joyful time for many, Christmas can tend to magnify life’s pressures for people who may be vulnerable emotionally or psychologically

  221. Have you seen any good films recently? If further disputes arise with the federal government, the settlement outlines a process to resolve them.

  222. Could you tell me the dialing code for ? Well, if you’re brought up in it, if you’re indoctrinated before you’re 10 years old, it’s a hard thing to get over


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