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Antimicrobial Stewardship in Australian Hospitals and Other Settings

Australia’s model of antimicrobial stewardship (AMS) has evolved significantly over recent years, from a long-standing national approach of antimicrobial prescribing guidelines and antimicrobial prescribing restrictions to recent advances including the first National Antimicrobial Resistance Strateg...

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Detalles Bibliográficos
Autores principales: Cairns, Kelly A., Roberts, Jason A., Cotta, Menino O., Cheng, Allen C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Healthcare 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4569646/
https://www.ncbi.nlm.nih.gov/pubmed/26362294
http://dx.doi.org/10.1007/s40121-015-0083-9
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author Cairns, Kelly A.
Roberts, Jason A.
Cotta, Menino O.
Cheng, Allen C.
author_facet Cairns, Kelly A.
Roberts, Jason A.
Cotta, Menino O.
Cheng, Allen C.
author_sort Cairns, Kelly A.
collection PubMed
description Australia’s model of antimicrobial stewardship (AMS) has evolved significantly over recent years, from a long-standing national approach of antimicrobial prescribing guidelines and antimicrobial prescribing restrictions to recent advances including the first National Antimicrobial Resistance Strategy and incorporating mandatory AMS as part of hospital accreditation standards. AMS programs are most commonly found in the hospital setting. Various models are used throughout the country based on the local context and resources available. Programs implemented at Alfred Health and the Royal Brisbane and Women’s Hospital represent two successful models in tertiary referral settings that accommodate a general ward setting as well as specialized areas with a high infection burden. Measurement of outcomes related to AMS activities remains poorly standardized, with process indicators such as antimicrobial utilization forming a large proportion of outcome measurement. Presently there is no requirement for any AMS outcome measurements to be reported externally. Point prevalence surveys of appropriateness of prescribing and compliance with prescribing guidelines are widely used at a national level. Despite this, there is still a paucity of published Australian data to support the effect of AMS on patient clinical outcomes. Private hospitals, the community, veterinary medicine and aged care sectors represent an important area for future AMS expansion within Australia. The AMS focus has traditionally been on prescribing restrictions (through the Commonwealth funding agencies); however, recent work has described other areas for improvement and development in both settings. AMS in Australia continues to evolve. The recent development of an Australian strategic plan to link antimicrobial utilization and resistance surveillance with policy represents an important step forward for the future of AMS in Australia.
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spelling pubmed-45696462015-09-18 Antimicrobial Stewardship in Australian Hospitals and Other Settings Cairns, Kelly A. Roberts, Jason A. Cotta, Menino O. Cheng, Allen C. Infect Dis Ther Review Australia’s model of antimicrobial stewardship (AMS) has evolved significantly over recent years, from a long-standing national approach of antimicrobial prescribing guidelines and antimicrobial prescribing restrictions to recent advances including the first National Antimicrobial Resistance Strategy and incorporating mandatory AMS as part of hospital accreditation standards. AMS programs are most commonly found in the hospital setting. Various models are used throughout the country based on the local context and resources available. Programs implemented at Alfred Health and the Royal Brisbane and Women’s Hospital represent two successful models in tertiary referral settings that accommodate a general ward setting as well as specialized areas with a high infection burden. Measurement of outcomes related to AMS activities remains poorly standardized, with process indicators such as antimicrobial utilization forming a large proportion of outcome measurement. Presently there is no requirement for any AMS outcome measurements to be reported externally. Point prevalence surveys of appropriateness of prescribing and compliance with prescribing guidelines are widely used at a national level. Despite this, there is still a paucity of published Australian data to support the effect of AMS on patient clinical outcomes. Private hospitals, the community, veterinary medicine and aged care sectors represent an important area for future AMS expansion within Australia. The AMS focus has traditionally been on prescribing restrictions (through the Commonwealth funding agencies); however, recent work has described other areas for improvement and development in both settings. AMS in Australia continues to evolve. The recent development of an Australian strategic plan to link antimicrobial utilization and resistance surveillance with policy represents an important step forward for the future of AMS in Australia. Springer Healthcare 2015-09-11 2015-09 /pmc/articles/PMC4569646/ /pubmed/26362294 http://dx.doi.org/10.1007/s40121-015-0083-9 Text en © The Author(s) 2015 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits any noncommercial use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Review
Cairns, Kelly A.
Roberts, Jason A.
Cotta, Menino O.
Cheng, Allen C.
Antimicrobial Stewardship in Australian Hospitals and Other Settings
title Antimicrobial Stewardship in Australian Hospitals and Other Settings
title_full Antimicrobial Stewardship in Australian Hospitals and Other Settings
title_fullStr Antimicrobial Stewardship in Australian Hospitals and Other Settings
title_full_unstemmed Antimicrobial Stewardship in Australian Hospitals and Other Settings
title_short Antimicrobial Stewardship in Australian Hospitals and Other Settings
title_sort antimicrobial stewardship in australian hospitals and other settings
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4569646/
https://www.ncbi.nlm.nih.gov/pubmed/26362294
http://dx.doi.org/10.1007/s40121-015-0083-9
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