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Antimicrobial Stewardship Programmes in Community Healthcare Organisations in England: A Cross-Sectional Survey to Assess Implementation of Programmes and National Toolkits

Objective: The aim of this study was to assess antimicrobial stewardship activities in Community Healthcare Organisations (CHOs) with focus on the implementation of the two national antimicrobial stewardship toolkits, TARGET (Treat Antibiotics Responsibly, Guidance, Education, Tools) and SSTF (Start...

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Autores principales: Ashiru-Oredope, Diane, Doble, Anne, Akpan, Mary Richard, Hansraj, Sejal, Shebl, Nada Atef, Ahmad, Raheelah, Hopkins, Susan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6316239/
https://www.ncbi.nlm.nih.gov/pubmed/30405004
http://dx.doi.org/10.3390/antibiotics7040097
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author Ashiru-Oredope, Diane
Doble, Anne
Akpan, Mary Richard
Hansraj, Sejal
Shebl, Nada Atef
Ahmad, Raheelah
Hopkins, Susan
author_facet Ashiru-Oredope, Diane
Doble, Anne
Akpan, Mary Richard
Hansraj, Sejal
Shebl, Nada Atef
Ahmad, Raheelah
Hopkins, Susan
author_sort Ashiru-Oredope, Diane
collection PubMed
description Objective: The aim of this study was to assess antimicrobial stewardship activities in Community Healthcare Organisations (CHOs) with focus on the implementation of the two national antimicrobial stewardship toolkits, TARGET (Treat Antibiotics Responsibly, Guidance, Education, Tools) and SSTF (Start Smart, then Focus). The study utilised a web-based survey comprising 34 questions concerning antimicrobial policies and awareness and implementation of antimicrobial stewardship toolkits. This was distributed to pharmacy teams in all 26 CHOs in England. Twenty CHOs (77%) responded. An antimicrobial stewardship (AMS) committee was active in 50% of CHOs; 25% employed a substantive pharmacist post and 70% had a local antibiotic policy. Fourteen of the responding CHOs were aware of both AMS toolkits, five organisations were aware of either SSTF or TARGET, and one organisation was not aware of either toolkit. Of the organisations aware of SSTF and TARGET, eight had formally reviewed both toolkits, though three had not reviewed either. Less than half of the respondents had developed local action plans for either toolkit. National guidance in England has focused attention on initiatives to improve AMS implementation in primary and secondary care; more work is required to embed AMS activities and the implementation of national AMS toolkit recommendations within CHOs.
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spelling pubmed-63162392019-01-11 Antimicrobial Stewardship Programmes in Community Healthcare Organisations in England: A Cross-Sectional Survey to Assess Implementation of Programmes and National Toolkits Ashiru-Oredope, Diane Doble, Anne Akpan, Mary Richard Hansraj, Sejal Shebl, Nada Atef Ahmad, Raheelah Hopkins, Susan Antibiotics (Basel) Article Objective: The aim of this study was to assess antimicrobial stewardship activities in Community Healthcare Organisations (CHOs) with focus on the implementation of the two national antimicrobial stewardship toolkits, TARGET (Treat Antibiotics Responsibly, Guidance, Education, Tools) and SSTF (Start Smart, then Focus). The study utilised a web-based survey comprising 34 questions concerning antimicrobial policies and awareness and implementation of antimicrobial stewardship toolkits. This was distributed to pharmacy teams in all 26 CHOs in England. Twenty CHOs (77%) responded. An antimicrobial stewardship (AMS) committee was active in 50% of CHOs; 25% employed a substantive pharmacist post and 70% had a local antibiotic policy. Fourteen of the responding CHOs were aware of both AMS toolkits, five organisations were aware of either SSTF or TARGET, and one organisation was not aware of either toolkit. Of the organisations aware of SSTF and TARGET, eight had formally reviewed both toolkits, though three had not reviewed either. Less than half of the respondents had developed local action plans for either toolkit. National guidance in England has focused attention on initiatives to improve AMS implementation in primary and secondary care; more work is required to embed AMS activities and the implementation of national AMS toolkit recommendations within CHOs. MDPI 2018-11-07 /pmc/articles/PMC6316239/ /pubmed/30405004 http://dx.doi.org/10.3390/antibiotics7040097 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ashiru-Oredope, Diane
Doble, Anne
Akpan, Mary Richard
Hansraj, Sejal
Shebl, Nada Atef
Ahmad, Raheelah
Hopkins, Susan
Antimicrobial Stewardship Programmes in Community Healthcare Organisations in England: A Cross-Sectional Survey to Assess Implementation of Programmes and National Toolkits
title Antimicrobial Stewardship Programmes in Community Healthcare Organisations in England: A Cross-Sectional Survey to Assess Implementation of Programmes and National Toolkits
title_full Antimicrobial Stewardship Programmes in Community Healthcare Organisations in England: A Cross-Sectional Survey to Assess Implementation of Programmes and National Toolkits
title_fullStr Antimicrobial Stewardship Programmes in Community Healthcare Organisations in England: A Cross-Sectional Survey to Assess Implementation of Programmes and National Toolkits
title_full_unstemmed Antimicrobial Stewardship Programmes in Community Healthcare Organisations in England: A Cross-Sectional Survey to Assess Implementation of Programmes and National Toolkits
title_short Antimicrobial Stewardship Programmes in Community Healthcare Organisations in England: A Cross-Sectional Survey to Assess Implementation of Programmes and National Toolkits
title_sort antimicrobial stewardship programmes in community healthcare organisations in england: a cross-sectional survey to assess implementation of programmes and national toolkits
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6316239/
https://www.ncbi.nlm.nih.gov/pubmed/30405004
http://dx.doi.org/10.3390/antibiotics7040097
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