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...
Autores principales: | , |
---|---|
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 |