Project HIRaCAARI: Empowering Communities to Stop the Spread of Antibiotic Resistant Infections through Accessible Health Information

摘要 项目卫生信息资源与社区相关抗生素耐药感染 (项目HIRaCAARI)是一项旨在促进使用国家图书馆的计划 医药(NLM)消费者健康信息和其他健康信息数据库 亚特兰大地区社区被确认为最流行的社区相关病例 耐抗生素皮肤和软组织感染，也称为甲氧西林耐药 金黄色葡萄球菌(MRSA)。通过空间统计建模的方法研究了大气污染的发生 大亚特兰大地区社区相关性MRSA皮肤和软组织感染性疾病 大都会地区使用两个不同的监控计划并纳入社会- 环境(包括社区一级的空间概况)和社会经济特征 患者的社区，我们将优先考虑具有高MRSA皮肤的特定亚特兰大社区 并对软组织感染负担进行社区层面干预。提高体能 获得相关的卫生信息，以防止抗生素耐药性感染的进一步传播； 我们的团队将部署： 1.一种创新的方法来确定哪些社区具有最高的抗生素耐药性风险 MRSA皮肤和软组织感染，使用NLM的社区健康地图计划和空间 亚特兰大20县市现有监测数据的统计分析 统计区。 2.使用以用户为中心的设计模式定制工具包，为医疗保健提供教育和信息 提供者、患者和其他非专业社区成员面临耐抗生素MRSA皮肤的风险 和软组织感染。此工具包将基于可通过调整内容获得的信息 由NLM，疾病控制和预防中心，埃默里大学学院提供 医学和莫尔豪斯医学院关于小学最佳实践的主题专家 预防、早期识别、伤口处理和治疗可能的MRSA皮肤和 软组织感染； 3.由莫尔豪斯医学院(MSM)图书馆员和NLM社区领导的工作坊 面向卫生服务提供者、患者、社区图书馆员和选定人员的健康地图计划工作人员 高危地区社区服务提供者对NLM资源的获取、内容和一般情况 信息资源、网站和定制抗生素的评估方法 耐药MRSA预防工具包。

ABSTRACT Project Health Information Resources and Community-Associated Antibiotic Resistant Infections (Project HIRaCAARI) is a program designed to promote the use of the National Library of Medicine (NLM) consumer health information and other health information databases among Atlanta area communities identified with the most prevalent cases of community-associated antibiotic resistant skin and soft tissue infections, also known as methicillin resistant Staphylococcus aureus (MRSA). Through spatial statistical modeling of the occurrence of community-associated MRSA skin and soft tissue infection disease in the greater Atlanta metropolitan area using two distinct surveillance programs and incorporating socio- environmental (including community level spatial profiles) and socio-economic characteristics of patients’ neighborhoods, we will prioritize specific Atlanta neighborhoods with high MRSA skin and soft tissue infection burden for the community level intervention. To improve physical access to relevant health information to prevent further spread of antibiotic resistant infections, our team will deploy: 1. An innovative approach to identify those communities at highest risk for antibiotic resistant MRSA skin and soft tissue infections, using NLM’s community health maps program and spatial statistical analyses with existing surveillance data of the 20 county Atlanta metropolitan statistical area. 2. A customized toolkit using a user-centered design model to educate and inform healthcare providers, patients and other lay community members at risk for antibiotic resistant MRSA skin and soft tissue infections. This toolkit will be based on information available by adapting content supplied by the NLM, Centers for Disease Control & Prevention, Emory University School of Medicine and Morehouse School of Medicine subject matter experts on best practice for primary prevention, early recognition, and wound management and treatment of likely MRSA skin and soft tissue infections; 3. Workshops led by Morehouse School of Medicine (MSM) librarians and NLM’s Community Health Maps Program staff for health providers, patients, community librarians and selected community service providers in high risk areas on NLM resources access, contents, and general methods for assessment of information resources, websites and the customized antibiotic resistant MRSA prevention toolkit.