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"MRSA was acquired more frequently in ...
"MRSA was acquired more frequently in the hospital starting in the 1980s," explains Stephen Parodi, M.D., an infectious disease specialist at Kaiser Permanente in Vacaville and Vallejo.
"C. diff is largely acquired in the hospital and becomes an infection after someone has been exposed to antibiotics," Parodi
"We can safely say that over the last 10 years, we've reduced the amount of antimicrobials we prescribe, both in the hospital and in the medical office/clinic setting," Parodi
"In an inpatient setting, we're able to contact the team that's taking care of the patient and help them modify, change or discontinue antibiotic use," Parodi
has seen similar results at Kaiser, where resistance rates have stabilized over the past five years, thanks to the stewardship program in conjunction with control efforts such as increased hand washing and infection isolation.
"That tells me that we do have a way to control the spread of infection and prevent more of these resistant superbugs from infecting us," he
But the fight is hardly over.
Vaccination opponents have jeopardized the progress of these programs, says Parodi
"A critical part of our work is to make sure people understand the individual benefits of vaccines and the benefit to their loved ones and the general community," he
"If you look at influenza, for example, when we have a good match with the vaccine, we're seeing the reduction of individuals hospitalized and, with that, a reduction in the number of secondary bacterial infections.
Vaccines are an adjunct to stewardship."
The removal of antibiotics from our food is another hot topic.
"At a White House conference last year, we discussed antibiotic prescribing in animals-not just to treat infections, but to promote growth," Parodi
Dr. Stephen ...
Dr. Stephen Parodi
Kaiser Permanente Infectious Disease Specialist
Moderator bios | Clostridium difficile Educational and Consensus Conference
Stephen Parodi, MD
Stephen is chief of Infectious Disease for the Kaiser Permanente (KP) Napa Solano Service Area and serves as the chair of the Infectious Disease Chiefs for the Permanente Medical Group, as well as co-chair of the Northern California Kaiser Foundation Hospital Regional Infection Control Committee.
has been involved with several performance-improvement projects, which have included reduction of catheter-associated urinary tract infections, prevention of healthcare-acquired Clostridium difficile infection, and avoidance of surgical-site infections.
has an interest in hospital epidemiology and has assisted in KP Northern California responses to pandemic influenza, tuberculosis, and other infectious disease outbreaks.
He currently is a member of the Public Policy and Government Affairs Committee for the Society of Healthcare Epidemiology of America.
Trained staff are using protective ...
Trained staff are using protective equipment, coordinated with infectious disease specialists, to provide care for the patient, said Dr. Stephen M. Parodi, director of hospital operations at Kaiser Permanente Northern California, in a statement.
"We don't typically see measles cases, ...
"We don't typically see measles cases, and that's required a fair amount of education of our physicians, nurses, emergency departments, so they're prepared and know what to look for," said Dr. Stephen Parodi, director of hospital operations for Kaiser Northern California.