2. Support Appropriate
Antibiotic Use
Everyone Can Help Keep Antibiotics
Working
• By using antibiotics only when needed
• Following good hygiene practices
3. What We’ll Learn...
• Why children have more illness.
• How are viruses and bacteria
different?
• How illness is spread.
• Myths and facts about antibiotics.
• Tips for for preventing the spread of
illness.
4. Streptococcus
Influenza Virus Pneumoniae Bacteria
Flu
•Ear infections
•Meningitis
•Pneumonia
A communicable disease is disease that can be
passed from one person to another. These
diseases are often caused by germs, such as
bacteria or viruses.
5. Some examples of contagious bacterial
diseases are:
-strep throat
-impetigo
-pertussis (whooping
cough)
-bacterial conjunctivitis
(pink eye)
Antibiotics Work
6. Some contagious viral infections include:
•varicella (chicken pox)
•rubella (German measles)
•the common cold
•hepatitis
•mumps
•infectious mononucleosis
•rubeola (measles)
Antibiotics Don’t Work
8. Infection can result from sharing towels,
dishes, or from handling contaminated objects.
Indirect contact or skin to skin contact can
also result in the spread of an illness.
9. Sometimes an illness is passed to others by
a carrier, or a person who has been infected
by a germ but does not look or feel sick. This
person may carry the germ in their nose,
throat, or stomach. They can pass the germ
to others by coughing, sneezing, or by not
washing their hands properly.
10. • Your hands carry
many germs even
if you can’t see
them.
• Many people don’t
wash their hands
because they look
clean.
• As you can see
Light patches indicate this is not always
germs carried on the the case.
hands
12. Viruses
• cause most common respiratory
illnesses, such as colds and coughs
• cause a variety of infections from
diarrhea to meningitis
• may take 2-3 weeks to resolve
completely
• some viruses can be prevented by
vaccines and immunizations
• antibiotics do not work for viruses
13. Viruses Cause...
• Most bronchitis/chest colds
• Green/yellow nasal discharge
• Flu
• Most sore throats
• Ear aches and some sinusitis
….viruses clear up on their
own - antibiotics won't help!
14. Bacteria
• make you sick when they are where
they don’t belong or grow more rapidly
than normal
• live in your mouth, nose and throat
• are necessary for normal body functions
like digestion
• are one of the oldest living things on
Earth
15. Bacteria Cause...
• Strep throat
• Some ear infections
• Some sinus infections
• Pneumonia
...these can be treated with antibiotics
16. Virus or Bacteria:
Who Knows?
• Let your healthcare provider
decide!
• It is often hard to tell if illnesses
are caused by a virus or bacteria
• Don't pressure healthcare
providers or parents for antibiotics
17. What are
Antibiotics?
Powerful medicines with one very
important job: to fight disease-causing
bacteria.
When used properly, antibiotics can save
lives.
18. Antibiotic Resistant
Bacteria Are:
Bacteria that mutate and are able
to resist the antibiotics that are
meant to kill them.
This is a normal process sped up
by the overuse and misuse of
antibiotics.
19.
20. What is Antibiotic Misuse?
• Taking antibiotics when they are not needed:
– for viral infections
• When needed, taking antibiotics incorrectly:
– stopping the medicine when you feel
better - not finishing the prescription
– saving antibiotics for a future illness
– sharing or using someone else’s medicine
21. Why is Antibiotic Misuse
a Problem?
1. Antibiotics become less effective and
may not work the next time you use
them.
2. Improper use of antibiotics leads to
more antibiotic resistant bacteria.
3. Antibiotic resistant bacteria can be
spread throughout the community and
from person to person.
22. Antibiotic Resistant Bacteria
• Require stronger antibiotics
• Are more common in people who
recently used antibiotics
• Can be spread within a family or a
community
• Can affect anyone
• Are becoming more common
23. Myths & Facts about
Antibiotics and
Respiratory Illness
24. Myths and Facts
• Myth: Taking antibiotics means I or
my child can return to work or childcare
sooner
• Fact: Antibiotics do not shorten the
duration of viral illnesses
Everyone should stay home until they
are fever-free and well enough to
participate in activities whether they
have a viral or bacterial illness.
25. Myths and Facts
• Myth: Cold and flu symptoms will feel
better or get better faster on antibiotics
• Fact: Antibiotics cannot ease the
symptoms of viral illnesses; these
infections resolve on their own
Children and adults need extra rest and
care, extra fluids…not antibiotics,
symptomatic relief is helpful
26. Myths and Facts
• Myth: Illnesses with the same symptoms
require antibiotics
• Fact: Illnesses with similar symptoms
can be caused by different germs
Let a healthcare provider decide if the
illness is caused by a virus or bacteria -
and if antibiotics are needed
27. Myths and Facts
• Myth: If I take an antibiotic, I won’t
spread my illness to others
• Fact: Viral illnesses (colds, flu, etc.)
usually spread from person to person
before the onset of symptoms; before a
person appears ill
Antibiotics cannot stop the spread of viral
illnesses
28. How do we Stop Antibiotic
Misuse?
• Don’t ask for antibiotics – let your
doctor decide if you need them
• Always take antibiotics exactly as
prescribed
• Finish the whole prescription - do not
stop when you feel better
• Never save antibiotics for a future
illness – or share with others
29. How Can You Keep
Yourself Well
Handwashing
Immunizations
30. Wash Your Hands...
• Upon arrival to and before leaving work
• Before and after handling food
• Before and after toileting
• After:
– working outside
– handling pets
– handling any body fluids
– wiping a child's nose or your own
– using play dough, sand or water tables
31. Hand Washing is Important
Because…
• 80% of disease is
spread by your hands.
• Hand washing is the
most effective way to
prevent the spread of
respiratory illness.
• Some germs can live
on dry surfaces for
several hours and
moist surfaces like,
sinks for 3 days.
32. Handwashing Guidelines
• Wet hands with warm, running water
• Add soap (preferably liquid), rub hands
together to make a lather, away from
water, for at least 15 seconds
• Rinse hands well
• Dry thoroughly with a clean, disposable
towel
• Use a hand sanitizer (alcohol-based)
when soap and running water is not
available (when outside or on trips,
wash hands upon return from trips)
34. Immunizations
• Immunizations are another
important part of infection
control for vaccine
preventable disease
• Make sure you and your
family is up-to-date on
immunizations
• Get an annual flu shot
35. Take Home Messages
•Viruses cause most common
respiratory illnesses
•Viral illness needs time to heal -
antibiotics cannot help
36. Take Home Messages
• Taking antibiotics for viral illnesses will
not:
– cure the infection
– keep others from getting the illness
– make you feel better
But it will make it more likely you
will have resistant bacteria in your
body.
37. Bottom Line
• Antibiotics are powerful medicines, but
they're not always the answer!
• Misusing antibiotics now means they
may not work when needed later to
fight a bacterial infection
• We all need to play a role to help keep
antibiotics working!
38. CONCLUSIONS
• The changing healthcare environment is diminishing
the boundaries between traditional community and
hospital-acquired infections.
• Inappropriate antimicrobial use and failure to fully
implement infection control recommendations are
leading to the emergence of antimicrobial-resistant
pathogens.
• Increased collaboration between clinicians, infectious
disease, infection control and microbiology personnel,
State public health authorities, and private industry
will be needed to reduce antimicrobial use, improve
infection control, and prevent the further emergence of
antimicrobial-resistant pathogens.
Notes de l'éditeur
Everyone has an important role in keeping antibiotics working.
Review slide.
Illnesses caused by bacteria, viruses, fungi and parasites are called infectious diseases. Communicable diseases are illnesses that can be spread from one person to another. We commonly refer to communicable diseases as contagious. Many illnesses are contagious before symptoms appear.
Bacterial Infections Are less common than viral infections. Do not spread as easily from one person to another. Cause infections such as pneumonia and strep throat. Antibiotics work against most bacteria.
Viral Infections Are more contagious than bacterial infections. If more than one person in your family has the same illness, it is most likely a viral infection. Can make you just a sick as bacterial infections. Usually get better in 7-10 days but it may take as long as three weeks to fully recover. About 80% of all respiratory infections are viral. Antibiotics do not work against viruses.
Anyone at any age can be infected with a communicable disease, but young children are at greater risk because: They have not been exposed to many of the most common germs and have no immunity to these illnesses. They have many habits which promote the spread of disease.
The germs that cause infectious diseases may be spread from person to person by indirect contact with objects or materials that are contaminated , such as, clothing, bedding or eating utensils. Young children are especially likely to share personal items. This increases the chances of spreading germs.
Many respiratory illnesses are spread through the inhalation of germs in the air and direct contact with infected saliva or mucus.
Illness is also spread through body fluids, blood and and hands contaminated with fecal matter or saliva and nasal discharge. Behaviors that promote the spread of disease in this way are not washing hands after toileting or blowing your nose. Infection can result from touching someone’s hand after they have used their hand to cover a sneeze.
Let’s now take a look at some of the differences between bacterial and viral infections. An important note about bacteria and viruses is that the diseases they cause can have the same symptoms, for instance cough or diarrhea, can be bacterial or viral. The treatment of each one will be different and how they are spread for person to person may be different.
Viral Illness Viruses are among the smallest microbes, much smaller even than bacteria. Viruses are not cells. Unlike most bacteria, most viruses do cause disease because they invade living, normal cells, such as those in the human body. They then multiply and produce other viruses like themselves. Viruses cause a variety of infectious diseases, among them the common cold, diarrhea, chicken pox, yellow fever, most childhood respiratory diseases and the majority of infections of the upper respiratory passages. Antibiotics do not work against viruses.
There are two main causes of respiratory infections: viruses and bacteria. Viruses cause colds, flu, bronchitis/cough, and most sore throats. More than 80% of sore throats are caused by viruses. Did you know that bronchitis is another word for cough illness?
Bacterial Illness Bacteria are minute life forms made up of only one cell which can cause infections in humans. Life in any form on Earth could not exist without these tiny cells. Bacteria have the ability to adapt quickly to their surroundings. Their goal is to survive and multiply. This ability to adapt to their surroundings is the basis of antibiotic resistance. Surviving contact with antibiotics allows the bacteria to resist the antibiotic the next time it is used. Antibiotics work against most bacteria.
Bacteria is the second main cause of respiratory infections. They cause strep throat and some ear infections. Ear infections and sinus infections can be caused by either a virus or a bacteria. If a virus is the cause, antibiotics will not work. Many ear infections and sinus infections will clear up on their own. A doctor may wait to prescribe an antibiotic. It’s important to work with your doctor to monitor your symptoms so that your doctor can make the best decision about whether an antibiotic is needed or not.
Let’s start by understanding what antibiotics can do. Review slide.
Bacteria are very clever and very easily adapt to their environment. Many bacteria have already adapted to resist antibiotics. This means the antibiotic will no longer be able to kill the bacteria that causes the illness. These bacteria are called antibiotic resistant bacteria . We all have bacteria living in our bodies called normal flora. When you take an antibiotic for a viral infection, these normal bacteria are being overexposed to antibiotics and can become resistant. Also, if you don’t finish the medication some bacteria remain and develop resistance to the medication, they then can continue to grow and mutate.
The usefulness of antibiotics is slowly being eroded by misuse. Already there are bacteria which are completely resistant to the penicillin group of drugs. As resistant bacteria spread, treating minor bacterial illnesses can take longer and require medicines that have more side-effects and take longer to work. The consequences of using antibiotics inappropriately affect everyone.
Each one of us has a role to play in protecting the usefulness of antibiotics. We have a tendency to take antibiotics for granted, but here are some simple measures you can use to protect yourself and your community.
These two things will to reduce the chance of becoming sick.
Antibiotics do not work against viruses.
Antibiotic resistant infections are more serious and harder to treat! People who take antibiotics frequently are more likely to have resistant bacteria and to be infected with resistant bacteria.