Antimicrobial Stewardship: Leveraging the “Butterfly Effect” of Hand Hygiene

dc.contributor.authorBrink, Adrian John
dc.contributor.authorRichards, Guy Antony
dc.date.accessioned2024-04-29T10:29:16Z
dc.date.available2024-04-29T10:29:16Z
dc.date.issued2022-10-03
dc.date.updated2022-10-26T11:07:58Z
dc.description.abstractIt is vital that there are coordinated, collaborative efforts to address the threat of antimicrobial resistance (AMR) and to prevent and control the spread of hospital-onset infections, particularly those due to multidrug-resistant (MDR) pathogens. The butterfly effect is a concept in which metaphorically speaking, small, seemingly trivial events ultimately cascade into something of far greater consequence, more specifically by having a non-linear impact on very complex systems. In this regard, antimicrobial stewardship programs (ASP), when implemented alongside infection prevention control (IPC) interventions in hospitals, particularly hand hygiene (HH), are significantly more effective in reducing the development and spread of AMR bacteria than implementation of ASP alone. In this perspective, we briefly review the evidence for the combined effect, and call for closer collaboration between institutional IPC and ASP leadership, and for well-functioning IPC programs to ensure the effectiveness of ASP.
dc.identifierdoi: 10.3390/antibiotics11101348
dc.identifier.apacitationBrink, A. J., & Richards, G. A. (2022). Antimicrobial Stewardship: Leveraging the “Butterfly Effect” of Hand Hygiene. http://hdl.handle.net/11427/39476en_ZA
dc.identifier.chicagocitationBrink, Adrian John, and Guy Antony Richards "Antimicrobial Stewardship: Leveraging the “Butterfly Effect” of Hand Hygiene." (2022) http://hdl.handle.net/11427/39476en_ZA
dc.identifier.citationAntibiotics 11 (10): 1348 (2022)
dc.identifier.ris TY - Journal Article AU - Brink, Adrian John AU - Richards, Guy Antony AB - It is vital that there are coordinated, collaborative efforts to address the threat of antimicrobial resistance (AMR) and to prevent and control the spread of hospital-onset infections, particularly those due to multidrug-resistant (MDR) pathogens. The butterfly effect is a concept in which metaphorically speaking, small, seemingly trivial events ultimately cascade into something of far greater consequence, more specifically by having a non-linear impact on very complex systems. In this regard, antimicrobial stewardship programs (ASP), when implemented alongside infection prevention control (IPC) interventions in hospitals, particularly hand hygiene (HH), are significantly more effective in reducing the development and spread of AMR bacteria than implementation of ASP alone. In this perspective, we briefly review the evidence for the combined effect, and call for closer collaboration between institutional IPC and ASP leadership, and for well-functioning IPC programs to ensure the effectiveness of ASP. DA - 2022-10-03 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PY - 2022 T1 - Antimicrobial Stewardship: Leveraging the “Butterfly Effect” of Hand Hygiene TI - Antimicrobial Stewardship: Leveraging the “Butterfly Effect” of Hand Hygiene UR - http://hdl.handle.net/11427/39476 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/39476
dc.identifier.vancouvercitationBrink AJ, Richards GA. Antimicrobial Stewardship: Leveraging the “Butterfly Effect” of Hand Hygiene. 2022; http://hdl.handle.net/11427/39476.en_ZA
dc.titleAntimicrobial Stewardship: Leveraging the “Butterfly Effect” of Hand Hygiene
dc.typeJournal Article
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