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Plan for CARB, aimed at moving the nation toward the goals of the National Strategy through specific obectives, strategies, and milestones to be achieved within one, three, and five years.
The new National Action Plan for 2020-
maintains the original five goals of the National Strategy and includes new obectives and targets aimed at achieving those goals. fforts to reduce the effects of antibiotic resistance are working: from 2012 to 2017, the overall number of U.. deaths from antibiotic-resistant infections fell by percent, and the number of U.. deaths from resistant infections in hospitals fell by nearly 3 percent as a result of efforts to prevent infections and control their spread. owever, antibiotic resistance continues to harm too many Americans, and worrisome trends are emerging, including the discov- ery of new resistant pathogens, such as Candida auris, and an increase in resistant eisseria gonorrhoeae infections. Other drug-resistant, community- acuired bacterial infections from group A Streptococcus and ESBL-producing nterobacteriaceae, for eample, are also increasing. he U.. government is there- fore committed to sustained and enhanced work to combat antibiotic resistance. In eptember , the ask orce began developing an updated ational Action Plan for CARB, which would cover activities in the years through . he ask orce reviewed prior efforts and anticipated future challenges and oppor- tunities. he solicited and reported on public input, which the ask orce considered alongside perspectives from ederal eperts. he result is a set of coordinated, strategic actions aimed at changing the traectory of antibiotic resis- tance and improving the health and wellbe- ing of all Americans, as well as the health of animals, plants, and the environment. any of the actions build on and epand
evidence-based activities initiated under the 2015-2020 National Action Plan for CARB that have already shown impact, such as the appropriate use of antibiotics in human health, animal health, and in the environment. he ask orce continues to consider infection prevention and control, especially within healthcare facilities, to be high priorities, to both slow the spread of antibiotic-resistant infections and to reduce the need for antibiotic use. any actions focus on collecting data and turn- ing it into information that can be used to better understand where resistance is occurring, to support the development of new diagnostics and treatment options, and to advance international coordination.
8 he lan maintains the original five
goals of the ational trategy but establishes a new set of obectives to move the country toward those goals. here pos- sible, the lan has established targets to be achieved by , with some targets set for longer timeframes. ach annual report on this Plan will provide updated or added targets as relevant along with rationale for these changes. or eample, the first annual report might note that a target has been achieved and estab- lish a new target for that obective. has the full report at,
www.hhs.gov sitesdefaultfilescarb-national-action- plan--.pdf
Vizient launches Environmentally Preferred Advisory Services ith the growing interest of hospitals to improve their environmental footprint, izient, Inc. announced the launch of its Environmentally Preferred Advisory Services, a supply chain solution designed to integrate sustainability to drive envi- ronmental solutions and positive health impacts. he new service epands on Vizient’s environmentally preferred sourc- ing work, which includes the nation’s larg- est portfolio of environmentally preferred hospital furniture. Environmentally Preferred Advisory ervices pairs izient member hospitals with sustainability eperts who provide assessment and strategy services to elevate environmental initiatives. uch services may include gathering greenhouse gas data, an analysis of environmentally preferred purchasing volume, identifica- tion of opportunities for cost reductions and a forecast of energy reductions. he new service also provides a strategy that includes goal setting, metrics and key per- formance indicators as well as best practices for achieving a defined vision. inally, the service includes policy development, workshops, educational materials and other stakeholder engagement tools as well as integration with eisting processes through its comprehensive implementation services.
CDC updates “How COVID is Spread” webpage to include airborne spread
The Centers for Disease Control and Prevention (CDC) has issued updated guidance to its ow I- preads website, which includes information about the potential for airborne spread of the virus that causes I-. continues to believe, based on cur-
rent science, that people are more likely to become infected the longer and closer they are to a person with I-. he
November 2020 • HEALTHCARE PURCHASING NEWS •
hpnonline.com
update acknowledges the eistence of some published reports showing limited, uncommon circumstances where people with I- infected others who were more than si feet away or shortly after the I--positive person left an area. In these instances, transmission occurred in poorly ventilated and enclosed spaces that often involved activities that caused heavier breathing, like singing or eercise. uch environments and activities may contribute to the buildup of virus-carrying particles. The guidance includes:
• How easily a virus spreads from per- son to person can vary. he virus that causes I- appears to spread more efficiently than inuenza but not as efficiently as measles, which is among the most contagious viruses known to affect people.
ome infections can be spread by epo- sure to a virus in small droplets and par- ticles that can linger in the air for minutes to hours. hese viruses may be able to infect people who are further than si feet away from the person who is infected or after that person has left the space. • This kind of spread is referred to as air- borne transmission and is an important way that infections, like tuberculosis, measles, and chicken po, are spread. •There is evidence that under certain conditions, people with I- seem to have infected others who were more than si feet away. hese transmissions occurred within enclosed spaces that had inadeuate ventilation. ometimes the infected person was breathing heavily, for eample while singing or eercising.
Under these circumstances, scientists believe that the amount of infectious smaller droplets and particles produced by the people with I- became concentrated enough to spread the virus to other people. he people who were infected were in the same space during the same time or shortly after the person with I- had left.
vailable data indicate that it is much more common for the virus that causes I- to spread through close con- tact with a person who has I- than through airborne transmission.
I- spreads less commonly through contact with contaminated sur- faces. espiratory droplets can also land on surfaces and obects. It is possible that a person could get I- by touching a surface or obect that has the virus on it and then touching their own mouth, nose, or eyes.
has the report at
www.cdc.gov mediareleasess-how-spread-
covd.html HPN
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