Cargando…

Broad spectrum antibiotic stewardship by quality improvement methods

BACKGROUND: With the majority of antibiotics being prescribed in primary care it is of utmost importance that antimicrobial stewardship principles are adhered to in order to slow down the incidence of antimicrobial resistance. OBJECTIVE: Broad spectrum antibiotic prescribing is often seen as a proxy...

Descripción completa

Detalles Bibliográficos
Autores principales: Niazi-Ali, Saarah, Bircher, Joanna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: IOS Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9844069/
https://www.ncbi.nlm.nih.gov/pubmed/35871365
http://dx.doi.org/10.3233/JRS-227021
_version_ 1784870539579359232
author Niazi-Ali, Saarah
Bircher, Joanna
author_facet Niazi-Ali, Saarah
Bircher, Joanna
author_sort Niazi-Ali, Saarah
collection PubMed
description BACKGROUND: With the majority of antibiotics being prescribed in primary care it is of utmost importance that antimicrobial stewardship principles are adhered to in order to slow down the incidence of antimicrobial resistance. OBJECTIVE: Broad spectrum antibiotic prescribing is often seen as a proxy marker of increasing resistance within a population and so it is important that they are used sparingly, to avoid drug-resistant bacteria developing. METHOD: In Tameside and Glossop a novel approach, using quality improvement methods, was employed to allow the behaviour change to be sustained for a longer period. Practices submitted monthly broad spectrum usage data, and if over a set target they were required to submit a “deep dive”. RESULTS: A 10.6% reduction of broad spectrum antibiotic usage was seen over the 2019-20 financial year. CONCLUSION: Over time the number of practices submitting a deep dive reduced and clinicians saw the deep dive as method to peer review their prescribing. Putting the practice staff in control of their own prescribing, allowed for a better method to sustain the improvement.
format Online
Article
Text
id pubmed-9844069
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher IOS Press
record_format MEDLINE/PubMed
spelling pubmed-98440692023-01-30 Broad spectrum antibiotic stewardship by quality improvement methods Niazi-Ali, Saarah Bircher, Joanna Int J Risk Saf Med Research Article BACKGROUND: With the majority of antibiotics being prescribed in primary care it is of utmost importance that antimicrobial stewardship principles are adhered to in order to slow down the incidence of antimicrobial resistance. OBJECTIVE: Broad spectrum antibiotic prescribing is often seen as a proxy marker of increasing resistance within a population and so it is important that they are used sparingly, to avoid drug-resistant bacteria developing. METHOD: In Tameside and Glossop a novel approach, using quality improvement methods, was employed to allow the behaviour change to be sustained for a longer period. Practices submitted monthly broad spectrum usage data, and if over a set target they were required to submit a “deep dive”. RESULTS: A 10.6% reduction of broad spectrum antibiotic usage was seen over the 2019-20 financial year. CONCLUSION: Over time the number of practices submitting a deep dive reduced and clinicians saw the deep dive as method to peer review their prescribing. Putting the practice staff in control of their own prescribing, allowed for a better method to sustain the improvement. IOS Press 2022-12-02 /pmc/articles/PMC9844069/ /pubmed/35871365 http://dx.doi.org/10.3233/JRS-227021 Text en © 2022 – The authors. Published by IOS Press https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) License (https://creativecommons.org/licenses/by-nc/4.0/) , which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Niazi-Ali, Saarah
Bircher, Joanna
Broad spectrum antibiotic stewardship by quality improvement methods
title Broad spectrum antibiotic stewardship by quality improvement methods
title_full Broad spectrum antibiotic stewardship by quality improvement methods
title_fullStr Broad spectrum antibiotic stewardship by quality improvement methods
title_full_unstemmed Broad spectrum antibiotic stewardship by quality improvement methods
title_short Broad spectrum antibiotic stewardship by quality improvement methods
title_sort broad spectrum antibiotic stewardship by quality improvement methods
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9844069/
https://www.ncbi.nlm.nih.gov/pubmed/35871365
http://dx.doi.org/10.3233/JRS-227021
work_keys_str_mv AT niazialisaarah broadspectrumantibioticstewardshipbyqualityimprovementmethods
AT bircherjoanna broadspectrumantibioticstewardshipbyqualityimprovementmethods