Handling the challenge of antimicrobial resistant superbugs in the clinical setting: nursing staff as a pivotal player

Bacterial resistance to antibiotics (antimicrobial resistance, AMR) is spreading globally among major Gram-positive and Gram-negative bacterial pathogens (including staphylococci, enterococci, Enterobacterales, Pseudomonas aeruginosa and Bacterial resistance to antibiotics (antimicrobial resistance...

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Main Authors: Marco Coppi, Ilaria Baccani, Claudia Niccolai, Alberto Antonelli, Tommaso Giani, Gian Maria Rossolini
Format: Article
Language:English
Published: Firenze University Press 2022-12-01
Series:Infermieristica Journal
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Online Access:https://riviste.fupress.net/index.php/if/article/view/1906
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author Marco Coppi
Ilaria Baccani
Claudia Niccolai
Alberto Antonelli
Tommaso Giani
Gian Maria Rossolini
author_facet Marco Coppi
Ilaria Baccani
Claudia Niccolai
Alberto Antonelli
Tommaso Giani
Gian Maria Rossolini
author_sort Marco Coppi
collection DOAJ
description Bacterial resistance to antibiotics (antimicrobial resistance, AMR) is spreading globally among major Gram-positive and Gram-negative bacterial pathogens (including staphylococci, enterococci, Enterobacterales, Pseudomonas aeruginosa and Bacterial resistance to antibiotics (antimicrobial resistance, AMR) is rapidly spreading globally among major Gram-positive and Gram-negative bacterial pathogens (including staphylococci, enterococci, Enterobacterales, Pseudomonas aeruginosa, and Acinetobacter baumannii); this phenomenon has a remarkable impact on morbidity, mortality and healthcare-associated costs. Evolution and dissemination of AMR can be counteracted with a combined strategy based on i) antimicrobial stewardship programs aimed at a prudent and appropriate use of antibiotics to improve clinical outcomes and reduce the selective pressure for resistance; and ii) infection prevention and control (IPC) practices, to limit the spread of resistant pathogens within the healthcare settings. In this scenario, the nursing staff plays a pivotal role, since these figures are involved in the enforcement and supervision of IPC bundles (e.g., contact precautions, hand, and environmental hygiene, active surveillance, patient isolation, or cohorting), which are essential to limit the spread of resistant pathogens among different patients. 
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series Infermieristica Journal
spelling doaj-art-1e44c077f2e1484b995cd8484d59adaf2025-08-20T03:12:58ZengFirenze University PressInfermieristica Journal2785-70182022-12-011210.36253/if-19061733Handling the challenge of antimicrobial resistant superbugs in the clinical setting: nursing staff as a pivotal playerMarco Coppi0Ilaria Baccani1Claudia Niccolai2Alberto Antonelli3Tommaso GianiGian Maria Rossolini4Department of Experimental and Clinical Medicine, University of Florence, and Microbiology and Virology Unit, Careggi University Hospital, Florence, ItalyDepartment of Experimental and Clinical Medicine, University of Florence, and Microbiology and Virology Unit, Careggi University Hospital, Florence, ItalyDepartment of Experimental and Clinical Medicine, University of Florence, and Microbiology and Virology Unit, Careggi University Hospital, Florence, ItalyDepartment of Experimental and Clinical Medicine, University of FlorenceDepartment of Experimental and Clinical Medicine, University of Florence, and Microbiology and Virology Unit, Careggi University Hospital, Florence, Italy Bacterial resistance to antibiotics (antimicrobial resistance, AMR) is spreading globally among major Gram-positive and Gram-negative bacterial pathogens (including staphylococci, enterococci, Enterobacterales, Pseudomonas aeruginosa and Bacterial resistance to antibiotics (antimicrobial resistance, AMR) is rapidly spreading globally among major Gram-positive and Gram-negative bacterial pathogens (including staphylococci, enterococci, Enterobacterales, Pseudomonas aeruginosa, and Acinetobacter baumannii); this phenomenon has a remarkable impact on morbidity, mortality and healthcare-associated costs. Evolution and dissemination of AMR can be counteracted with a combined strategy based on i) antimicrobial stewardship programs aimed at a prudent and appropriate use of antibiotics to improve clinical outcomes and reduce the selective pressure for resistance; and ii) infection prevention and control (IPC) practices, to limit the spread of resistant pathogens within the healthcare settings. In this scenario, the nursing staff plays a pivotal role, since these figures are involved in the enforcement and supervision of IPC bundles (e.g., contact precautions, hand, and environmental hygiene, active surveillance, patient isolation, or cohorting), which are essential to limit the spread of resistant pathogens among different patients.  https://riviste.fupress.net/index.php/if/article/view/1906AMRMDRInfection Prevention and ControlAntimicrobial ResistanceNursing Staff.
spellingShingle Marco Coppi
Ilaria Baccani
Claudia Niccolai
Alberto Antonelli
Tommaso Giani
Gian Maria Rossolini
Handling the challenge of antimicrobial resistant superbugs in the clinical setting: nursing staff as a pivotal player
Infermieristica Journal
AMR
MDR
Infection Prevention and Control
Antimicrobial Resistance
Nursing Staff.
title Handling the challenge of antimicrobial resistant superbugs in the clinical setting: nursing staff as a pivotal player
title_full Handling the challenge of antimicrobial resistant superbugs in the clinical setting: nursing staff as a pivotal player
title_fullStr Handling the challenge of antimicrobial resistant superbugs in the clinical setting: nursing staff as a pivotal player
title_full_unstemmed Handling the challenge of antimicrobial resistant superbugs in the clinical setting: nursing staff as a pivotal player
title_short Handling the challenge of antimicrobial resistant superbugs in the clinical setting: nursing staff as a pivotal player
title_sort handling the challenge of antimicrobial resistant superbugs in the clinical setting nursing staff as a pivotal player
topic AMR
MDR
Infection Prevention and Control
Antimicrobial Resistance
Nursing Staff.
url https://riviste.fupress.net/index.php/if/article/view/1906
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