RESOURCES FOR PRACTICE
Resisting resistance: Practical decision tools for choosing antimicrobials safely
Article first published online: 29 MAR 2012
©2012 The Author(s) Journal compilation ©2012 American Academy of Nurse Practitioners
Journal of the American Academy of Nurse Practitioners
Volume 24, Issue 5, pages 324–330, May 2012
How to Cite
Hannigan, N. S., Tolman, D. R. and Larson, E. L. (2012), Resisting resistance: Practical decision tools for choosing antimicrobials safely. Journal of the American Academy of Nurse Practitioners, 24: 324–330. doi: 10.1111/j.1745-7599.2012.00696.x
- Issue published online: 3 MAY 2012
- Article first published online: 29 MAR 2012
- Received: April 2010; accepted: November 2010
- nurse practitioner;
- evidence-based practice;
- point-of-care technology
Purpose: The purpose of this article is to provide, in a concise format, information about evidence-based decision-making strategies and support tools available for appropriate antimicrobial prescribing. A brief review of the current status of antimicrobial resistance, prescribing practices of nurse practitioners (NPs), and factors associated with inappropriate prescribing practices is included to further explicate the need for such support tools.
Data sources: Journal articles, Internet websites, reference texts.
Conclusions: Many microorganisms have developed resistance to previously standard treatments, and resistant strains continue to emerge. One factor associated with increasing resistance is inappropriate or overprescribing of antimicrobials sometimes related to lack of easy accessibility to clinical decision-making tools. Some practical evidence-based tools and decision-making strategies are presented here to foster making optimal antimicrobial choices in clinical practice.
Implications for practice: Evidence-based decision-making strategies and tools can be used at the point of care to maximize appropriate antimicrobial prescribing by NPs.