Under the category of surveillance, it seems that most facilities are leaning towards molecular testing as the gold star for identifying and isolating the strain of antibiotic resistant bacteria. Buford et al., the Report to the President on Combatting Antibiotic Resistant Bacteria, McArthur et al., and Perez et al. all seem to agree upon the necessity for an antibiotic resistant bacteria database. This database would contain genome sequences for bacterial infections that are both multidrug resistant or have a functional effective antibiotic. It would allow medical professionals to upload data from his/her own patient, compare the genome sequences, and see if there are any effective treatments for this strain. This method would allow the spread of resistance to be tracked in addition to the observance of a new genetic mutation in a bacteria. In addition to this, people in the field believe that an increase in properly trained medical technologists in a healthcare facility would be useful in driving down resistance rates. Medical technologists are trained in identifying and isolating the specific strand of bacteria, so without them the genome website is not efficient. Basically, research efforts and funding need to be focused on proper identification and observance of antibiotic resistant bacteria in order to decrease resistance.
Infection control measures such as gowning and gloving between every patient can help to reduce the spr...
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...rise, it is clear that time, research, and money needs to be spent on the creation and development of surveillance mechanisms, new antibiotics, new antibiotic alternatives, and a standard for infection control measures in healthcare facilities. The most important thing is to discover how these bacteria are able to mutate around the antibiotics and create resistant strains. Without this knowledge, the bacteria might be able to adapt to the new treatments and grow strength. This information, however, cannot be obtained unless standard precautions to reduce transmission are in place as well as an increase in the surveillance and correct identification of the current strains of antibiotic resistant bacteria. Antibiotic resistance is a growing problem, and without the tools developed through research and funding, a small papercut or scraped knee could prove to be deadly.
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