nevadans for antibiotic awareness christine petersen, md bill berliner, md school of pharmacy may...
TRANSCRIPT
![Page 1: Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May 15, 2003](https://reader035.vdocuments.net/reader035/viewer/2022062421/56649de95503460f94ae4c68/html5/thumbnails/1.jpg)
Nevadans for Antibiotic Awareness
Christine Petersen, MD
Bill Berliner, MD
School of Pharmacy
May 15, 2003
![Page 2: Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May 15, 2003](https://reader035.vdocuments.net/reader035/viewer/2022062421/56649de95503460f94ae4c68/html5/thumbnails/2.jpg)
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
![Page 3: Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May 15, 2003](https://reader035.vdocuments.net/reader035/viewer/2022062421/56649de95503460f94ae4c68/html5/thumbnails/3.jpg)
History of Antibiotics
1960s – Methicillin Introduced
1991 – 29% of Staph Aureus Resistant
2001 – 62% of Staph Aureus Resistant
Resistance
![Page 4: Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May 15, 2003](https://reader035.vdocuments.net/reader035/viewer/2022062421/56649de95503460f94ae4c68/html5/thumbnails/4.jpg)
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
![Page 5: Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May 15, 2003](https://reader035.vdocuments.net/reader035/viewer/2022062421/56649de95503460f94ae4c68/html5/thumbnails/5.jpg)
The Problem Now
STREPTOCOCCUS PNEUMONIA
32
42
22
29
PENICILLIN CEFOTAXIME
% R
ES
IST
AN
CE
2000 2001 2000 2001
![Page 6: Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May 15, 2003](https://reader035.vdocuments.net/reader035/viewer/2022062421/56649de95503460f94ae4c68/html5/thumbnails/6.jpg)
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
![Page 7: Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May 15, 2003](https://reader035.vdocuments.net/reader035/viewer/2022062421/56649de95503460f94ae4c68/html5/thumbnails/7.jpg)
The Problem Now
“There Are Patients Today In Hospitals For Whom There Are No Effective Therapies.”
Gary DoernDirector of Clinical Microbiology
University of Iowa
![Page 8: Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May 15, 2003](https://reader035.vdocuments.net/reader035/viewer/2022062421/56649de95503460f94ae4c68/html5/thumbnails/8.jpg)
Nevadans for Antibiotic Awareness
Stakeholders Clark County School District Health Plans Hospital systems (HCA, Universal, Washoe,
Carson/Tahoe) Laboratories Nevada Board of Pharmacy Pharmaceutical Houses SNF’s
![Page 9: Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May 15, 2003](https://reader035.vdocuments.net/reader035/viewer/2022062421/56649de95503460f94ae4c68/html5/thumbnails/9.jpg)
Nevadans for Antibiotic Awareness
Stakeholders (continued) State and County Health Districts State PRO (Health Insight) UNSOM (medical school) Virgen Advertising Agency
![Page 10: Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May 15, 2003](https://reader035.vdocuments.net/reader035/viewer/2022062421/56649de95503460f94ae4c68/html5/thumbnails/10.jpg)
Nevadans for Antibiotic Awareness
Committees Executive Public Awareness Provider Education Surveillance/Infection Control
![Page 11: Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May 15, 2003](https://reader035.vdocuments.net/reader035/viewer/2022062421/56649de95503460f94ae4c68/html5/thumbnails/11.jpg)
Nevadans for Antibiotic Awareness
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
![Page 12: Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May 15, 2003](https://reader035.vdocuments.net/reader035/viewer/2022062421/56649de95503460f94ae4c68/html5/thumbnails/12.jpg)
Nevadans for Antibiotic Awareness
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)
![Page 13: Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May 15, 2003](https://reader035.vdocuments.net/reader035/viewer/2022062421/56649de95503460f94ae4c68/html5/thumbnails/13.jpg)
![Page 14: Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May 15, 2003](https://reader035.vdocuments.net/reader035/viewer/2022062421/56649de95503460f94ae4c68/html5/thumbnails/14.jpg)
Nevadans for Antibiotic Awareness
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
![Page 15: Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May 15, 2003](https://reader035.vdocuments.net/reader035/viewer/2022062421/56649de95503460f94ae4c68/html5/thumbnails/15.jpg)
Nevadans for Antibiotic Awareness
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.
![Page 16: Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May 15, 2003](https://reader035.vdocuments.net/reader035/viewer/2022062421/56649de95503460f94ae4c68/html5/thumbnails/16.jpg)
Nevadans for Antibiotic Awareness
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
![Page 17: Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May 15, 2003](https://reader035.vdocuments.net/reader035/viewer/2022062421/56649de95503460f94ae4c68/html5/thumbnails/17.jpg)
![Page 18: Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May 15, 2003](https://reader035.vdocuments.net/reader035/viewer/2022062421/56649de95503460f94ae4c68/html5/thumbnails/18.jpg)
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
![Page 19: Nevadans for Antibiotic Awareness Christine Petersen, MD Bill Berliner, MD School of Pharmacy May 15, 2003](https://reader035.vdocuments.net/reader035/viewer/2022062421/56649de95503460f94ae4c68/html5/thumbnails/19.jpg)
Nevadans for Antibiotic Awareness
Next steps Involve the School of Pharmacy and Dental
School. Refresh Media Spots Web Site Development Find Additional Funding!!!