Improving feedback of surveillance data on antimicrobial consumption, resistance and stewardship in England: putting the data at your Fingertips

Abstract

The provision of better access to and use of surveillance data is a key component of the UK 5 Year Antimicrobial Resistance (AMR) Strategy. Since April 2016, PHE has made data on practice (infection prevention and control; antimicrobial stewardship) and outcome (prevalence of AMR, antibiotic use and healthcare-associated infections) available through Fingertips, a publicly accessible web tool (https://fingertips.phe.org.uk/profile/amr-local-indicators). Fingertips provides access to a wide range of public health data presented as thematic profiles, with the above data being available through the 'AMR local indicators' profile. Local data on a range of indicators can be viewed at the level of National Health Service acute trusts, Clinical Commissioning Groups or general practitioner practices, all of which can be compared with the corresponding aggregate values for England to allow benchmarking. The data can be viewed in a range of formats including an overview showing counts and rates, interactive maps, spine charts and graphs that show temporal trends over a range of time scales or allow correlations between pairs of indicators. The aim of the AMR local indicators profile on Fingertips is to support the development of local action plans to optimize antibiotic prescribing and reduce AMR and healthcare-associated infections. Provision of access to relevant information in an easy to use format will help local stakeholders, including healthcare staff, commissioners, Directors of Public Health, academics and the public, to benchmark relevant local AMR data and to monitor the impact of local initiatives to tackle AMR over time.

Antimicrobial consumption in five adult intensive care units: a 33-month surveillance study

“…Estimating the baseline antimicrobial consumption may serve multiple stewardship purposes; to identify hospital units/wards of highest consumption, to monitor the impact for future interventions, and to feedback prescribing physicians with the prescription patterns. The latter by itself has been proven very beneficial in reducing antimicrobial consumption [13]. Therefore, the objective of this study was to quantify service-specific antimicrobial consumption using different metrics in intensive care settings.…”

Proxy indicators to estimate appropriateness of antibiotic prescriptions by general practitioners: a proof-of-concept cross-sectional study based on reimbursement data, north-eastern France 2017

“…Our PIs could finally be integrated into an existing public reporting system. In France, however, there is no public reporting of indicators at the GP practice level, but this does exist in England, with the Public Health England’s Fingertips initiative [ 21 , 30 ].…”

Programas de optimización del uso de antimicrobianos en Perú: Un acuerdo sobre lo fundamental

“…La generación de información local a través de la vigilancia epidemiológica de la RAM y los patrones de consumo de antimicrobianos son los componentes claves para orientar las estrategias de restricción, preautorización, o incluso de los algoritmos o flujogramas de terapia empírica, de acuerdo con el programa nacional de promoción del uso adecuado de antimicrobianos del Reino Unido 23 . Sin embargo, en el contexto latinoamericano, el diagnóstico microbiológico de las infecciones no siempre cuenta con la mejor evidencia mientras que los datos representativos sobre la prevalencia de la RAM son escasos 24 .…”