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CALIFORNIA SENATE

BILL-43
ANTIMICROBIAL RESISTANT INFECTIONS- REPORTING

Tanya Simbra
Antimicrobial-Resistant Infections
AKA SUPERBUG
Background
Currently within California only 3
antimicrobial-resistant infections that
hospitals are required to report, and
reporting is only required if these
infections are acquired within a hospital.

The Center for Disease Control and


Prevention recognizes that there are 15
superbugs that are eminent and require
immediate attention to be stopped.

Without intervention, it is estimated that


by the year 2050, more deaths across
the world will be attributed to superbugs,
than cancer at a rate of 10 million
people world wide
California Statistics

In California alone,
260,000 people are
infected with
antimicrobial-resistant
infections annually,
resulting in 3,000
Californians dying from
antibiotic-resistant
infections

Insufficient data to
battle superbugs
Antibiograms from Hospitals and Clinical
facilities starting July 1, 2018 to list the types of super

California bugs that were present, submission to the CDPH

Death Certificates- to incorporate superbugs


Senate Bill if they were relevant to the cause of death for tracking
purposes

43
CDPH Annual Reports July 1, 2019, based
on death certificates. Classification includes facility
type, type of resistant infection and geography
Policy Analysis

There are 25 national health organizations that


support surveillance on super bugs

The bill was going to be voted on today April 5,


at 1:30PM in Sacramento, however the
committee has postponed the hearing

Majority ruling is required to put this into effect

Information regarding bill is available through


the Senators website and various news articles
that have been published since
Is This Ethical?

That which does not kill me, makes me stronger


Utilitarianism Theory
To do the greatest good for the greatest number

Greatest Numbers: General


Population of California
37,253,956 (2017)

Greatest Good: New


Advancements in Research to
Fight Against Superbugs
Through Tracking.
Beneficence
Moral obligation to act for the benefit of others

Positively impacting death


rates

Overall Health Status


Improvements

Economical Benefits
Justice
Issues that affect large volumes of people through catastrophic social conditions-
particular, famine, poverty, and epidemic disease, would be a global theory within
justice

The access to health care and the advancements that come from tracking
superbugs could be reserved for the wealthy or those with insurance policy to cover
it
Nursing
Provision 3|| The nurse promotes,
advocates for, and protects the rights,
health and safety of the patient

Provision 2||The nurses primary


commitment is the patient, whether an
individual, family, group, community or
population
Personal Opinion
References
American Nurses Association. (2015). Code of ethics for nurses: With interpretive
statements. ANA: Silver Springs, Maryland
Beauchamp, T.L. & Childress, J. F. (2013). Principles of biomedical ethics 7th ed.
Oxford Press: NY.
Branswell, H. (2017, January 17). Think antibiotic-resistant 'super-bugs' are only a
distant threat? Think again. Public Radio International. Retreived from
https://www.pri.org/stories/2017-01-17/think-antibiotic-resistant-super-bugs- are-only-distant-threat-think-again
CA SB43 2017-2018 | Regular Session. (2017, March 30). LegiScan. Retrieved
fromhttps://legiscan.com/CA/bill/SB43/2017
Center for Disease Dynamics, Economics & Policy. (2016). Joint statement on antibiotic
resistance from 25 national health organization and the centers for disease control and
prevention. Retrieved from
https://www.cddep.org/sites/default/files/3._consensus_statement-1_8.pdf
Coughlin Steven, S. (2006). Ethical issues in epidemiologic research and public health practice.
Emerging Themes In Epidemiology, Vol 3, Iss 1, P 16 (2006), (1), 16. doi:10.1186/1742-
7622-3-16
Ladenheim, D., Rosembert, D., Hallam, C., & Micallef, C. (2013). Antimicrobial stewardship:
the role of the nurse. Nursing Standard, (6), 46.
Lavender, G. (2017, January 20). Bill aims to track number of CA 'superbug' infections and
deaths. Southern California Public Radio. Retrieved from http://www.scpr.org/news/2017/01/20/68309/bill-aims-to-track-number-of-ca-
superbug-infection/
McNeil, R., Nelson, D., Abutaleb, Y. (2016, September 7).Superbug scourge spreads as U.S.
fails to track rising human toll. Reuters Investigate. Retrieved from
http://www.reuters.com/investigates/special-report/usa-uncounted-surveillance/
Nealy, K. L., McCarty, D. J., & Woods, A. J. (2016). Managing drug-resistant organisms in
acute care. The Nurse Practitioner, (2), 38.
Olausson, J., & Ferrell, B. R. (2013). Care of the body after death. Clinical journal of oncology
nursing, 17(6).
ONeill, J. (2014). Antimicrobial Resistance: Tackling a crisis for the health and wealth of
nations. Review on Antimicrobial Resistance. London: HM Government.
Orlando, J. (2013). Disclosure of Deceased Persons Medical Records. OLR Research Report
. Retrieved from https://www.cga.ct.gov/2013/rpt/2013-R-0124.htm
References
Peate, I. (2015). Antimicrobial resistance: the nurses essential role. British Journal Of Nursing,
24(1), 5. doi:10.12968/bjon.2015.24.1.5
Petersen, M.(2016, December 5 ). Superbug infections must be listed on death certificate under
proposed bill. LA Times. Retrieved from http://www.latimes.com/business/la-fi-superbug-death-certificate-bill-20161205-story.html
Posses, S. (2016, December 6) Calif. Lawmaker Floats Superbug Infection Tracking Bill. Law
360. Retrieved from https://www.law360.com/articles/869632/calif-lawmaker-floats-s uperbug-infection-tracking-bill
Smith-Stoner, M., & Hand, M. W. (2012). Expanding the concept of patient care: analysis of
postmortem policies in California hospitals. Medsurg Nursing, 21(6), 360.
The American Nurse (2017, April 4). The war on super bugs: addressing the issue of antibiotic
resistance. Official American Nurses Association. Retreived from http://www.theamericannurse.org/2014/03/03/the-war-on-superbugs/
Vaage, R. (2016). CA will would require enhanced reporting of antibiotic-resistant infections
Law Offices of Robert Vaage: San Diego Personal INjury Law Firm. Retrieved fromhttp://www.vaagelaw.com/Blog/2016/December/CA-Bill-Would-Require-Enhanced-Reporting-
of-Anti.aspx
Grading Rubric for Presentation

4 5 points 3 points 2 points 1 point

Clear, 10 slides, stays within time limit, includes all 3 of the criteria met 2 of the criteria met None of the criteria met
elements of paper, quality of presentation/discussion