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

HIRaCAARI 项目：通过可获取的健康信息帮助社区阻止抗生素耐药性感染的传播

• 批准号: 9811684
• 负责人: Lilly Hsi-Chih Immergluck
• 金额: $ 14.93万
• 依托单位: MOREHOUSE SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-05 至 2022-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9811684
• 关键词: Address; Antibiotic Resistance; Area; Athletic; Awareness; Behavior Therapy; Blood Circulation; Centers for Disease Control and Prevention (U.S.); Characteristics; Child; Church; Communities; Community Health; Community Services; Community Workers; County; Custom; Databases; Disaster Planning; Disease; Educational Curriculum; Educational Intervention; Educational workshop; Environmental Health; Genus staphylococcus; Geographic Information Systems; Germ; Health; Health Personnel; High School Faculty; Home environment; Hot Spot; Household; Incidence; Infection; Information Resources; Internet; Intervention; Intervention Studies; Knowledge; Librarians; Libraries; Maps; Methods; Morehouse School of Medicine; Neighborhoods; Online Systems; Outpatients; Patients; Population; Prevention; Primary Prevention; Public Health; Race; Resistance; Resources; Risk; School Nursing; Schools; Science; Site; Skin; Skin Care; Skin Tissue; Social Sciences; Soft Tissue Infections; Staphylococcal Infections; Staphylococcus aureus infection; Statistical Data Interpretation; Statistical Models; Students; Surveillance Program; Technology; Training Support; Translating; United States National Library of Medicine; Universities; Woman; Work; base; bone; clinical practice; community burden; design; empowered; evidence based guidelines; faculty community; health disparity; health literacy; high risk; improved; inner city; innovation; medical schools; member; methicillin resistant Staphylococcus aureus; metropolitan; model design; outreach services; prevent; programs; racial and ethnic; racial diversity; service providers; socioeconomics; surveillance data; transmission process; trend; user centered design; web site; wound

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.

摘要 健康信息资源和社区相关抗生素耐药性感染项目 （项目HIRaCAARI）是一个计划，旨在促进国家图书馆的使用， 消费者健康信息和其他健康信息数据库， 亚特兰大地区社区确定与社区相关的最普遍的情况 耐抗生素皮肤和软组织感染，也称为耐甲氧西林 金黄色葡萄球菌（MRSA）。通过空间统计建模， 大亚特兰大地区社区相关MRSA皮肤和软组织感染疾病 大都市地区使用两个不同的监测计划，并结合社会， 环境（包括社区一级的空间概况）和社会经济特征 病人的社区，我们将优先考虑特定的亚特兰大社区与高MRSA皮肤 和软组织感染负担进行社区干预。提高身体 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.确定抗生素耐药风险最高的社区的创新方法 MRSA皮肤和软组织感染，使用NLM的社区健康地图计划和空间 对亚特兰大市20个县的现有监测数据进行统计分析 统计区。 2.使用以用户为中心的设计模型来教育和告知医疗保健的定制工具包 供应商，患者和其他非专业社区成员面临抗生素耐药MRSA皮肤的风险 和软组织感染。该工具包将以现有信息为基础， 由埃默里大学疾病控制与预防中心NLM提供。 医学和莫尔豪斯医学院的主题专家对小学的最佳实践 预防，早期识别，伤口管理和治疗可能的MRSA皮肤， 软组织感染; 3.由莫尔豪斯医学院（MSM）图书馆员和NLM社区领导的研讨会 健康地图计划的工作人员，为健康提供者，病人，社区图书馆员和选定的 高风险地区的社区服务提供者对NLM资源的访问，内容和一般 评价信息资源、网站和定制抗生素的方法 耐药金黄色葡萄球菌预防工具包。