00:00 We've had no new antibiotics developed since the 1980s.
00:07 We won't have anything to be able to manage infection of any type if we continue to overuse
00:14 them.
00:15 If we don't look at it seriously now, we are in a very dark place.
00:20 I'm a full-time working mum.
00:34 I've got three children, Isla, who's seven, Finn, five and Ivy, four.
00:39 I ended up having three sections really close together.
00:43 Finn was a really, really good baby.
00:44 I couldn't just cuddle him because I was getting sort of stabbing pains still in the scar.
00:49 I was just in so much pain and quickly identified that I had a wound infection.
00:53 I ended up on antibiotics.
00:55 When Finn was eight months old and I found out I was pregnant with Ivy, my consultant
00:59 was alarmed.
01:01 It made me feel worried.
01:02 It was really terrifying knowing that that was going to stretch.
01:06 You get scared of being poorly as a mum.
01:11 You worry that if you get too ill, you're going to end up in hospital and you're going
01:13 to have to leave them behind.
01:19 I'm Karen Uzi.
01:20 I'm a professor of skin integrity at the University of Huddersfield.
01:24 I like the fact that we're able to research in areas that really make a difference to
01:28 patients, but also to patients' families.
01:31 AMR is an umbrella term and it stands for antimicrobial resistance.
01:36 And we're talking about that bacteria, those bugs being resistant to antibiotics, antimicrobials,
01:43 antifungals and antivirals.
01:45 Our whole aim of wound management is to prevent wound infection.
01:49 When a patient develops a wound infection, it becomes quite painful.
01:54 It can really be quite life-changing.
01:56 We can't always prevent it, but we can identify it at an early stage.
02:00 In the fight against antimicrobial resistance, we're using strategies that we call antimicrobial
02:04 stewardship strategies.
02:12 We've got a range of non-medicated wound dressings that we're able to use in our toolkits.
02:17 One of those is Sawbat technology.
02:19 What it does is it binds, inhibits and removes bacteria off the wound bed, which makes it
02:24 a really good thing to use in the fight against antimicrobial resistance because it's not
02:29 donating an active antimicrobial into the wound bed itself.
02:34 We developed the wound infection framework as a way of trying to standardise care and
02:40 support clinicians in their decision-making.
02:42 We chose Sawbat dressings initially because we wanted to be able to use them on all patients
02:47 across our organisation.
02:49 We needed a product that had no contraindications and that was perfectly safe for anybody.
02:54 The results of the framework were really encouraging.
02:56 We saw a significant reduction in the use of bactericidal wound dressing products.
03:01 Remember the function, it binds, inhibits and then removes the bacteria.
03:05 We treat the local infection.
03:07 The patient doesn't need antibiotics and that is the ultimate aim of antimicrobial
03:11 stewardship, to just keep the antibiotics for the patients that really need them.
03:16 When developing an antimicrobial stewardship strategy, the two key areas you need to remember
03:21 is to educate everybody and then implement that strategy.
03:26 We need to think about antibiotics as being like a diamond.
03:29 They will be very rare if we don't look after them now and don't take action and have serious
03:35 interventions.
03:37 They applied the dressing in theatres.
03:38 I didn't give it a second thought.
03:40 It was what appeared to be a comfortable dressing.
03:42 It was really reassuring that when the dressing came off I could see straight away it wasn't
03:46 red.
03:47 It was a really neat, nearly invisible scar.
03:50 No signs of infection.
03:51 I felt different.
03:52 I felt well.
03:53 It was a really good experience.
03:54 I genuinely didn't have to worry.
03:56 I could just forget about it and carry on with making sure I could be the absolute best
04:00 mum that I could be to my babies.
04:02 [music]
04:03 [music]
04:05 [music]
04:07 [BLANK_AUDIO]
Comments