6 results on '"Mendelson, Marc"'
Search Results
2. The elephant in the room: Exploring the influence and participation of patients in infection‐related care across surgical pathways in South Africa and India.
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Nampoothiri, Vrinda, Mbamalu, Oluchi, Surendran, Surya, Bonaconsa, Candice, Pennel, Timothy, Boutall, Adam, Gopal, Kirun, Castro Sanchez, Enrique, Dhar, Puneet, Holmes, Alison, Singh, Sanjeev, Mendelson, Marc, Tarrant, Carolyn, and Charani, Esmita
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SURGERY & psychology ,ANTIBIOTICS ,CROSS infection prevention ,CAREGIVER attitudes ,CULTURE ,ANTIMICROBIAL stewardship ,RESEARCH ,PATIENT participation ,SCIENTIFIC observation ,ECONOMIC impact ,ATTITUDES of medical personnel ,RESEARCH methodology ,POSTOPERATIVE care ,INTERVIEWING ,PATIENT-centered care ,MEDICAL personnel ,PATIENTS ,PATIENTS' attitudes ,INFECTION control ,ETHNOLOGY research ,HEALTH literacy ,PATIENTS' families ,SURGICAL site infections ,DECISION making ,SURGICAL site ,RESEARCH funding ,UNOBTRUSIVE measures ,FIELD notes (Science) ,COMMUNICATION ,STATISTICAL sampling ,DATA analysis software ,DRUG resistance in microorganisms ,PATIENT-professional relations - Abstract
Objective: The irrational use of antibiotics is a leading contributor to antibiotic resistance. Antibiotic stewardship (AS) interventions predominantly focus on prescribers. This study investigated the influence and participation of inpatients in infection‐related care, including antibiotic decision‐making, within and across two tertiary hospitals in South Africa (Cape Town) and India (Kerala). Methods: Through ethnographic enquiry of clinical practice in surgical pathways, including direct nonparticipant observation of clinical practices, healthcare worker (HCW), patient and carer interactions in surgical ward rounds and face‐to‐face interviews with participants (HCWs and patients), we sought to capture the implicit and explicit influence that patients and carers have in infection‐related care. Field notes and interview transcripts were thematically coded, aided by NVivo 12® Pro software. Results: Whilst observational data revealed the nuanced roles that patients/carers play in antibiotic decision‐making, HCWs did not recognize these roles. Patients and carers, though invested in patient care, are not routinely involved, nor are they aware of the opportunities for engagement in infection‐related decision‐making. Patients associated clinical improvement with antibiotic use and did not consider hospitalization to be associated with infection acquisition or transmission, highlighting a lack of understanding of the threat of infection and antibiotic resistance. Patients' economic and cultural positionalities may influence their infection‐related behaviours. In the study site in India, cultural norms mean that carers play widespread but unrecognized roles in inpatient care, participating in infection prevention activities. Conclusion: For patients to have a valuable role in AS and make informed decisions regarding their infection‐related care, a mutual understanding of their role in this process among HCWs and patients is crucial. The observed differences between the two study sites indicate the critical need for understanding and addressing the contextual drivers that impact effective patient‐centred healthcare delivery. Patient or Public Contribution: Ethnographic observations and interviews conducted in this study involved patients as participants. Patients were recruited for interviews after obtaining signed informed consent forms. Patients' identities were completely anonymized when presenting the study findings. [ABSTRACT FROM AUTHOR]
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- 2023
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3. White Paper: Bridging the gap between surveillance data and antimicrobial stewardship in the animal sector-practical guidance from the JPIAMR ARCH and COMBACTE-MAGNET EPI-Net networks
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Compri, Monica, Mader, Rodolphe, Mazzolini, Elena, de Angelis, Giulia, Mutters, Nico T, Babu Rajendran, Nithya, Galia, Liliana, Tacconelli, Evelina, Schrijver, Remco, Adegnika, Ayola Akim, Arieti, Fabiana, Rajendran, Nithya Babu, Bielicki, Julia, Borrmann, Steffen, Carrara, Elena, Cauda, Roberto, De Angelis, Giulia, Filippitzi, Maria-Eleni, Frost, Isabel, Giske, Christian, Göpel, Siri, Guardabassi, Luca, Heuvelink, Annet, Kahlmeter, Gunnar, Kanj, Souha S, Kostyanev, Tomislav, Leibovici, Leonard, Lucet, Jean-Christophe, López-Cerero, Lorena, Mazzaferri, Fulvia, Mendelson, Marc, Murri, Rita, Paul, Mical, Pezzani, Maria Diletta, Presterl, Elisabeth, Renk, Hanna, Song, Le Huu, Sanguinetti, Maurizio, Scudeller, Luigia, Sharland, Mike, Sibani, Marcella, Torumkuney, Didem, Velavan, Thirumalaisamy P, and Voss, Andreas
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Pharmacology ,Microbiology (medical) ,0303 health sciences ,Infection Control ,030306 microbiology ,040301 veterinary sciences ,ANTIBIOTIC-RESISTANCE ,04 agricultural and veterinary sciences ,Anti-Bacterial Agents ,0403 veterinary science ,03 medical and health sciences ,Antimicrobial Stewardship ,Infectious Diseases ,AcademicSubjects/MED00290 ,Anti-Infective Agents ,ESCHERICHIA-COLI ,Supplement Papers ,Magnets ,HEALTHMETRICS ,Animals ,AcademicSubjects/MED00740 ,Pharmacology (medical) ,ANTIBIOTIC-RESISTANCE,ESCHERICHIA-COLI,HEALTHMETRICS ,AcademicSubjects/MED00230 - Abstract
BackgroundThe JPIAMR ARCH and COMBACTE-MAGNET EPI-Net networks have joined efforts to formulate a set of target actions to link the surveillance of antimicrobial usage (AMU) and antimicrobial resistance (AMR) with antimicrobial stewardship (AMS) activities in four different settings. This White Paper focuses on the veterinary setting and embraces the One Health approach.MethodsA review of the literature was carried out addressing research questions in three areas: AMS leadership and accountability; AMU surveillance and AMS; and AMR surveillance and AMS. Consensus on target actions was reached through a RAND-modified Delphi process involving over 40 experts in infectious diseases, clinical microbiology, AMS, veterinary medicine and public health, from 18 countries.Results/discussionForty-six target actions were developed and qualified as essential or desirable. Essential actions included the setup of AMS teams in all veterinary settings, building government-supported AMS programmes and following specific requirements on the production, collection and communication of AMU and AMR data. Activities of AMS teams should be tailored to the local situation and capacities, and be linked to local or national surveillance systems and infection control programmes. Several research priorities were also identified, such as the need to develop more clinical breakpoints in veterinary medicine.ConclusionsThis White Paper offers a practical tool to veterinary practitioners and policy makers to improve AMS in the One Health approach, thanks to surveillance data generated in the veterinary setting. This work may also be useful to medical doctors wishing to better understand the specificities of the veterinary setting and facilitate cross-sectoral collaborations.
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- 2020
4. Investigating infection management and antimicrobial stewardship in surgery: a qualitative study from India and South Africa.
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Singh, Sanjeev, Mendelson, Marc, Surendran, Surya, Bonaconsa, Candice, Mbamalu, Oluchi, Nampoothiri, Vrinda, Boutall, Adam, Hampton, Mark, Dhar, Puneet, Pennel, Tim, Tarrant, Carolyn, Leather, Andy, Holmes, Alison, and Charani, Esmita
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ANTIMICROBIAL stewardship , *MEDICAL personnel , *NURSING leadership , *PHARMACISTS , *QUALITATIVE research - Abstract
To investigate the drivers for infection management and antimicrobial stewardship (AMS) across high-infection-risk surgical pathways. A qualitative study—ethnographic observation of clinical practices, patient case studies, and face-to-face interviews with healthcare professionals (HCPs) and patients—was conducted across cardiovascular and thoracic and gastrointestinal surgical pathways in South Africa (SA) and India. Aided by Nvivo 11 software, data were coded and analysed until saturation was reached. The multiple modes of enquiry enabled cross-validation and triangulation of findings. Between July 2018 and August 2019, data were gathered from 190 hours of non-participant observations (138 India, 72 SA), interviews with HCPs (44 India, 61 SA), patients (six India, eight SA), and case studies (four India, two SA). Across the surgical pathway, multiple barriers impede effective infection management and AMS. The existing implicit roles of HCPs (including nurses and senior surgeons) are overlooked as interventions target junior doctors, bypassing the opportunity for integrating infection-related care across the surgical team. Critically, the ownership of decisions remains with the operating surgeons, and entrenched hierarchies restrict the inclusion of other HCPs in decision-making. The structural foundations to enable staff to change their behaviours and participate in infection-related surgical care are lacking. Identifying the implicit existing HCP roles in infection management is critical and will facilitate the development of effective and transparent processes across the surgical team for optimized care. Applying a framework approach that includes nurse leadership, empowering pharmacists and engaging surgical leads, is essential for integrated AMS and infection-related care. [ABSTRACT FROM AUTHOR]
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- 2021
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5. Optimizing infection control and antimicrobial stewardship bedside discussion: a scoping review of existing evidence on effective healthcare communication in hospitals.
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Bonaconsa, Candice, Mbamalu, Oluchi, Surendran, Surya, George, Anu, Mendelson, Marc, and Charani, Esmita
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INTENSIVE care units , *INFECTION control , *ANTIMICROBIAL stewardship , *INFECTION prevention , *LENGTH of stay in hospitals , *HIGH-income countries - Abstract
The link between healthcare worker (HCW) communication, teamwork and patient safety is well-established. Infection prevention and control (IPC) and antimicrobial stewardship (AMS) require multidisciplinary teamwork and communication. We conducted a scoping review of published evidence on effective mechanisms of HCW team communication in hospitals with the intention of transferring and tailoring learning to IPC and AMS team communication. PubMed, Scopus, Web of Science, and CINAHL were searched for studies that investigated HCW team communication across in-hospital patient pathways. Studies published between 2000 and 2021 that provided evidence on/or described the effect of communication on team and patient outcomes in hospital were included. Through a process of inductive qualitative content analysis, key themes in the included studies were identified. Of 537 studies identified, 53 (from high-income countries) were included in the data extraction. Fifty one percent (27/53) of studies were conducted in high acuity settings e.g., intensive care units. Standardizing or structuring the content and/or process of team communication was the most common goal of interventions (34/53, 64%). The key outcome measures were either team communication focused (25/34,74%) or patient and process outcome focused (8/34, 24%), such as reduced length of mechanical ventilation days, length of hospital stay, and shorter empiric antibiotic duration. Four studies (4/53, 8%) associated improved communication with positive IPC and AMS outcome measures. Mixed method intervention studies primarily facilitated collaborative input from HCWs and applied structures to standardize the content of patient care discussions, whereas observational studies describe component of team communication. A communication strategy that formalizes input from multidisciplinary team members can lead to optimized and consistent clinical discussion including in IPC and AMS-related care. Although we were unable to assess the effectiveness of interventions, the existing evidence suggests that optimizing team communication can have a positive effect on infection-related patient outcomes. [ABSTRACT FROM AUTHOR]
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- 2024
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6. International Society for Infectious Diseases – Sustained and continuous funding for WHO.
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Pollack, Marjorie, Madoff, Lawrence C., Tambyah, Paul A., Mendelson, Marc, and Holmes, Alison
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COMMUNICABLE diseases , *MEDICAL personnel , *COVID-19 pandemic , *INFECTION prevention , *INFECTION control - Published
- 2020
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