Where to from here? Identifying and prioritising future directions for addressing drug-resistant infection in Australia

Antimicrobial Resistance & Infection Control

Trent Yarwood¹  Mieke van Driel²  Gregory Merlo³  Bonnie Smith⁴  Lisa Hall⁵  Minyon Avent⁶ 

[1]Cairns Clinical School, College of Medicine and Dentistry, James Cook University, Douglas, Australia

[2]Rural Clinical School, Faculty of Medicine, University of Queensland, Brisbane, Australia

[3]Primary Care Clinical Unit, Faculty of Medicine, Royal Brisbane & Women’s Hospital, University of Queensland, Level 8 Health Sciences Building, Building 16/910, 4029, Brisbane, QLD, Australia

[4]Primary Care Clinical Unit, Faculty of Medicine, Royal Brisbane & Women’s Hospital, University of Queensland, Level 8 Health Sciences Building, Building 16/910, 4029, Brisbane, QLD, Australia

[5]School of Public Health, Faculty of Medicine, University of Queensland, Brisbane, Australia

[6]Queensland Statewide Antimicrobial Stewardship Program, Brisbane, Australia

[7]School of Public Health, Faculty of Medicine, University of Queensland, Brisbane, Australia

[8]UQ Centre for Clinical Research, Faculty of Medicine, University of Queensland, Brisbane, Australia

[9]Queensland Statewide Antimicrobial Stewardship Program, Brisbane, Australia

关键词: World café;    Antimicrobial stewardship;    Antibiotic resistance;    Implementation;    Forum;   

DOI  :  10.1186/s13756-021-00953-4

来源: Springer

【 摘 要 】

BackgroundThe Australian National Antimicrobial Resistance Strategy calls for a collaborative effort to change practices that have contributed to the development of drug-resistance and for implementation of new initiatives to reduce antibiotic use.MethodsA facilitated workshop was undertaken at the 2019 National Australian Antimicrobial Resistance Forum to explore the complexity of antimicrobial stewardship (AMS) implementation in Australia and prioritise future action. Participants engaged in rotating rounds of discussion using a world café format addressing six topics relating to AMS implementation. Once all tables had discussed all themes the discussion concluded and notes were summarised. The documents were independently openly coded by two researchers to identify elements relating to the implementation of antimicrobial stewardship.ResultsThere were 39 participants in the facilitated discussions, including pharmacists, infectious disease physicians, infection prevention nurses, and others. Participants discussed strategies they had found successful, including having a regular presence in clinical areas, adapting messaging and implementation strategies for different disciplines, maintaining positivity, and being patient-focused. Many of the recommendations for the next step involved being patient focussed and outcomesdriven. This involves linking data to practice, using patient stories, using data to celebrate wins and creating incentives.DiscussionRecommendations from the workshop should be included in priority setting for the implementation of AMS initiatives across Australia.

【 授权许可】

CC BY