Advancing antimicrobial stewardship: Summary of the 2015 CIDSC Report

Khan, Faheem M.; Arthur, Jacqueline; Maidment, L; Blue, Dean; Communicable,

doi:10.14745/ccdr.v42i11a04

Cited by 8 publications

(9 citation statements)

References 7 publications

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“…The CIDSC Stewardship Task Group conducted a scan of best practices in stewardship and developed recommendations to promote stewardship (18). Recommendations include the promotion of stewardship across jurisdictions by instituting a national infrastructure; advancing best practices for education and awareness; developing evidence-based audit and feedback tools; collecting, sharing and mobilizing evidence about prescribing professionals to implement specific targeted interventions; and changing healthcare practitioners' practice regulations.…”

Section: Best Practices In Antimicrobial Stewardshipmentioning

confidence: 99%

How is an international public health threat advanced in Canada? The case of antimicrobial resistance

et al. 2016

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Section: Best Practices In Antimicrobial Stewardshipmentioning

confidence: 99%

How is an international public health threat advanced in Canada? The case of antimicrobial resistance

et al. 2016

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“…Infections caused by resistant microorganisms are responsible for an estimated 700 000 deaths annually worldwide. 1 If no action is taken, it has been estimated that this rate may rise to more than 10 million deaths annually by 2050. 2 The global and economic impact of antibiotic resistance among humans is described as having the potential to be catastrophic.…”

Section: Introductionmentioning

confidence: 99%

Nurse prescriber’s understanding of their antimicrobial stewardship role: a qualitative study

Lim

Marshall

Roberts

et al. 2023

J. Prim. Health Care

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Introduction Antimicrobial resistance is an infectious disease threat to public health globally, and antimicrobial stewardship among healthcare professionals is one key way to address this potential problem. Registered nurse designated prescribers are the newest group of health professionals to gain prescribing authority in Aotearoa New Zealand, yet little is known about their understanding of their antimicrobial stewardship role. Aim The aim of this study was to explore registered nurse designated prescribers’ understanding of their antimicrobial stewardship role through their prescribing practices and approaches to clinical reasoning. Methods This exploratory descriptive qualitative study used individual semi-structured interviews with six registered nurse designated prescribers. Thematic analysis was used to analyse the interviews. Results Four themes were identified: antibiotic prescribing practices and antimicrobial resistance; clinical indicators for prescribing antibiotics, with the sub-themes of history taking, presence of infection and bacterial versus viral infection; patient education; and safety and monitoring. These themes provide insight into registered nurse designated prescribers’ understanding of their antimicrobial stewardship role and prescribing of antibiotics. Discussion This research found that the registered nurse designated prescribers had an awareness of the importance of their antimicrobial stewardship role in relation to antibiotic prescribing and reducing antimicrobial resistance. Education about antimicrobial resistance and antimicrobial stewardship for this professional group can be effective, but further research is needed to understand their ongoing educational needs.

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“…7 AS strategies in LTCFs have shown a 14% decrease in antimicrobial use, with the 3 most common strategies being educational materials, educational meetings and guideline implementation 8 ; however, there is little evidence that AS strategies are sustainable. 9,10 AS in LTCFs requires addressing a complex set of behaviours of several health care professionals with differing levels of experience at various time points across the continuum of care. 11,12 Behavioural and social influences are not routinely considered in the design and evaluation of AS programs, 13 which can hinder the implementation of best practice.…”

Section: Introductionmentioning

confidence: 99%

Barriers and facilitators of implementing an antimicrobial stewardship intervention for urinary tract infection in a long-term care facility

et al. 2021

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Background: Fifty percent of antibiotic courses in long-term care facilities (LTCFs) are unnecessary, leading to increased risk of harm. Most studies to improve antibiotic prescribing in LTCFs showed modest and unsustained results. We aimed to identify facilitators, barriers and strategies in implementing a urinary tract infection (UTI)–focused antimicrobial stewardship (AS) intervention at a LTCF, with the secondary objective of exploring the pharmacist’s potential roles. Methods: The study used a qualitative descriptive design. Participants attended either a focus group or one-on-one interview. Data were analyzed inductively using a codebook modified in an iterative analytic process. Barrier and facilitator themes were mapped using the capability, opportunity, motivation and behaviour (COM-B) model. Similarly, themes were identified from the transcripts regarding the pharmacist’s roles. Results: Sixteen participants were interviewed. Most barriers and facilitators mapped to the opportunities domain of the COM-B model. The main barrier themes were lack of access, lack of knowledge, ineffective communication, lack of resources and external factors, while the main facilitator themes were education, effective collaboration, good communication, sufficient resources and access. For the pharmacist’s role, the barrier themes were ineffective collaboration and communication. Conclusion: This study supports the importance of tailoring interventions to target factors underlying barriers to behaviour change. At this LTCF, an effective antimicrobial stewardship intervention should incorporate strategies to improve access, knowledge, communication and collaboration in its design, having sufficient resources and addressing external factors to optimize its success and long-term sustainability. Can Pharm J (Ott) 2021;154:xx-xx.

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Advancing antimicrobial stewardship: Summary of the 2015 CIDSC Report

Cited by 8 publications

References 7 publications

How is an international public health threat advanced in Canada? The case of antimicrobial resistance

How is an international public health threat advanced in Canada? The case of antimicrobial resistance

Nurse prescriber’s understanding of their antimicrobial stewardship role: a qualitative study

Barriers and facilitators of implementing an antimicrobial stewardship intervention for urinary tract infection in a long-term care facility

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