Antibiotic Stewardship
Not all bugs need drugs
Not all bugs need drugs
What impacts antibiotic resistance?
a. Using antibiotics to treat viral infections
b. Infection control and prevention practices
c. The use of antibiotics for growth promotion in livestock
d. All of the above
What is d. All of the above?
When cleaning an area, the flow of work should go from:
a. clean areas to dirty areas
b. dirty areas to clean areas
c. either is fine depending on your cleaning product
(T suggestion) This activity requires that work starts in the cleanest area and ends with the most contaminated.
What is b. dirty areas to clean areas?
(T suggestion) What is cleaning and disinfecting.
This is the percentage of Oregon hospitals meeting all 7 core elements in 2024. (Hint: it was 98% in 2023)
What is 100%?
True or False: Antibiotic resistance can spread between different species of bacteria.
True
The percentage of HAI team members who started their OHA career during the COVID-19 pandemic.
What is XX%
What percent of antibiotics prescribed in acute care hospitals are unnecessary or suboptimal?
a. 30%
b. 50%
c. 70%
What is a. 30%?
This preventive care approach in childhood has the greatest impact on reducing antibiotic use:
What are immunizations?
True or False: Oregon healthcare workers have higher influenza vaccination rates compared to those nationwide
What is False?
(In Oregon we have seen a declining trend in our healthcare worker influenza vaccination rates with 54% vaccinated in the 2024 – 2025 season. Nationally 79% of hospital workers were vaccinated compared to 60% in OR, and 42% of nursing home workers were vaccinated compared to 30% in OR.)
Which infection type is most likely to involve multidrug-resistant pathogens in hospitalized patients?
A. Otitis media
B. Surgical site infection
C. Ventilator-associated pneumonia
D. Cellulitis
C. Ventilator-associated pneumonia
VAP often involves Pseudomonas, Acinetobacter, and MRSA due to prolonged antibiotic exposure and invasive devices.
Team members not living without feline or canine companions.
Who are Heather, Liz, Adel, Dat, Elizabeth (?), Val (?)
What infection is most associated with inappropriate antibiotics use the US?
a. Urinary tract infections (UTIs)
b. Chlamydia
c. Acute respiratory tract infections
What is c. Acute respiratory tract infections?
The method used when hands are visibly soiled.
What is washing your hands with soap and water?
This is the year healthcare facilities began using the National Healthcare Safety Network (NHSN) to monitor patient safety. (Hint: This is the year Youtube was founded and Million Dollar Baby won the Academy Award for Best Picture)
What is 2005?
(Beginning in 2005 with just 300 hospitals, NHSN is now accessed by more than 170,000 users across 39,000 U.S. healthcare facilities.)
Which pathogen group is included in the CDC’s “Urgent Threat” category for antibiotic resistance?
A. ESBL-producing Enterobacterales
B. MRSA
C. Carbapenem-resistant Acinetobacter
D. VRE
C. Carbapenem-resistant Acinetobacter
HAI team members not having the benefit of living in the beautiful PNW.
Who are Mike, Angela, Lisa?
Over the last decade (2014-2024) the rate of outpatient antibiotic prescribing per person in Oregon has:
a. Increased by 4.5%
b. Remained the same
c. Decreased by 17%
d. Decreased by 30%
What is c. Decreased by 17%?
This is the amount of time a product has to be on a surface in order for it to be affective against germs.
What is contact time?
This healthcare facility type is required to report respiratory illness data to NHSN, including COVID-19, influenza, and RSV
What are skilled nursing facilities?
(Starting in 2025, they are required to report on resident vaccination status for COVID-19, influenza, and RSV, confirmed resident cases of COVID-19, influenza, and RSV (overall and by vaccination status), and hospitalized residents with confirmed cases of COVID-19, influenza, and RSV (overall and by vaccination status)).
Each year in the U.S., resistant infections cause about 2.8 million infections and 35,000 deaths. What is the global annual death toll?
a. 580,000
b. 960,000
c. 1,270,000
Antibiotic resistant infections kill at least 1.27 million people worldwide and are associated with nearly 5 million deaths annually
One/Two of the 2.9 million Oregonians on the HAI team member(s) born in Oregon.
Who is Liz (maybe Elizabeth, double check)
Penicillin was discovered in 1928, and was first to treat a human infection in 1941. In what year did the first penicillin resistant infection occur?
What is 1942?
The series of actions that include: conducting hand hygiene, using personal protective equipment whenever needed, using respiratory hygiene/cough etiquette, following proper patient placement, following environmental infection control, following safe injection practices, handling textile and linens appropriately is called.
What are standard precautions?
What is the number of healthcare-associated infections reported in 2024 among Oregon hospitals?
a. 535
b. 704
c. 970
c. 970 infections.
This class of beta-lactam antibiotics are typically reserved as a “last resort” for the treatment of multidrug-resistant gram-negative organisms.
Carbapenems
These HAI Team members have lived in 5 or more states
Who are Mike, Roza, Therese, Pam, Heather, Kristen