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: 10133152
• 负责人: Lilly Hsi-Chih Immergluck
• 金额: $ 14.61万
• 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 2023-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10133152
• 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; Ethnic group; Genus staphylococcus; Geographic Information Systems; Germ; Health; Health Personnel; High School Faculty; Home environment; Hot Spot; Household; Incidence; Information Resources; Internet; Intervention; Intervention Studies; Knowledge; Librarians; Libraries; Maps; Methods; Morehouse School of Medicine; Neighborhoods; Online Systems; Outpatients; Patients; Prevention; Primary Prevention; Public Health; Race; Resistance; Resources; Risk; School Nursing; Schools; Science; Site; Skin; Skin Care; Skin Tissue; Social Environment; 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; antibiotic resistant infections; 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 diversity; service providers; socioeconomics; surveillance data; transmission process; trend; user centered design; web site; wound care; wound treatment

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.

抽象的 项目健康信息资源和社区相关抗生素耐药性感染 （HIRaCAARI 项目）是一项旨在促进国家图书馆使用的计划 医学（NLM）消费者健康信息和其他健康信息数据库 亚特兰大地区社区相关病例最常见 抗生素耐药性皮肤和软组织感染，也称为甲氧西林耐药性 通过空间统计建模金黄色葡萄球菌 (MRSA) 的发生。 大亚特兰大地区与社区相关的 MRSA 皮肤和软组织感染病 大都市区使用两种不同的监测计划并纳入社会 的环境（包括社区层面的空间概况）和社会经济特征 患者社区，我们将优先考虑 MRSA 皮肤高的亚特兰大特定社区 和软组织感染负担进行社区一级干预以改善体质。 获取相关健康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. 采用创新方法来识别抗生素耐药性风险最高的社区 MRSA 皮肤和软组织感染，使用 NLM 的社区健康地图程序和空间 对亚特兰大大都市 20 个县的现有监测数据进行统计分析 统计区。 2. 定制工具包，使用以用户为中心的设计模型来教育和告知医疗保健 提供者、患者和其他有抗生素耐药性 MRSA 皮肤风险的非专业社区成员 该工具包将基于通过调整内容获得的信息。 由 NLM、疾病控制与预防中心、埃默里大学医学院提供 医学和莫尔豪斯医学院主题专家探讨小学最佳实践 预防、早期识别、伤口管理和治疗可能的 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 社区主持的研讨会 健康地图计划工作人员为医疗服务提供者、患者、社区图书馆员和选定的人员 高风险地区的社区服务提供商关于 NLM 资源获取、内容和一般情况的信息 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。