The Long-Term Outcomes of an Antibiotic Control Program with and without Education

Apisarnthanarak, Anucha; Srichomkwun, Panudda; Sutepvarnon, Apisada; Bailey, Thomas C.; Fraser, Victoria J.

doi:10.1086/522279

Cited by 7 publications

(5 citation statements)

References 4 publications

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“…This education and training role is a key strategy to tackle the inappropriate antimicrobial prescribing behaviours of physicians [33]. This can be done, as part of a hospital-wide multifaceted approach, through dissemination of educational material [34], audit and feedback on performance [35], and manual and automated reminders [36].…”

Section: Discussionmentioning

confidence: 99%

Barriers to implementing antimicrobial stewardship programmes in three Saudi hospitals: Evidence from a qualitative study

Alghamdi

Atef-Shebl

Aslanpour

et al. 2019

Journal of Global Antimicrobial Resistance

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Section: Discussionmentioning

confidence: 99%

Barriers to implementing antimicrobial stewardship programmes in three Saudi hospitals: Evidence from a qualitative study

Alghamdi

Atef-Shebl

Aslanpour

et al. 2019

Journal of Global Antimicrobial Resistance

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“…The use of antibiotics to treat PDR A. baumannii colonization and infection was determined by chart reviews conducted by an IDC after excluding other possible indications. The antibiotic use categories were modified from Kunin et al [21] and were strictly observed using a checklist [16,17]. Costs, rather than charges, were used for each patient.…”

Section: Setting and Patients Thammasat Universitymentioning

confidence: 99%

“…An antibiotic-control program was established in this hospital in July 2004 for 4 major classes of antibiotics (thirdgeneration cephalosporins, b-lactam/b-lactamase inhibitors, glycopeptides, and carbapenems) [16]. The antibiotic-control program did not change during the study [17]. No other protocols aimed at influencing the rates of PDR A. baumannii were introduced during the study.…”

mentioning

confidence: 99%

A Multifaceted Intervention to Reduce Pandrug‐ResistantAcinetobacter baumanniiColonization and Infection in 3 Intensive Care Units in a Thai Tertiary Care Center: A 3‐Year Study

et al. 2008

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“…Many types of behaviour change interventions have been developed to improve doctors’ antimicrobial prescribing practice—ranging from’ distribution of educational materials, 11–13 lectures and seminars 1 4 15 audit and feedback on performance 1 3 16 to manual and automated reminders. 17 18 However, very few have been specifically tailored to the needs of doctors in training.…”

Section: Introductionmentioning

confidence: 99%

Interventions to improve antimicrobial prescribing of doctors in training: the IMPACT (IMProving Antimicrobial presCribing of doctors in Training) realist review

et al. 2015

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IntroductionAntimicrobial resistance has been described as a global crisis—more prudent prescribing is part of the solution. Behaviour change interventions are needed to improve prescribing practice. Presently, the literature documents that context impacts on prescribing decisions, yet insufficient evidence exists to enable researchers and policymakers to determine how local tailoring should take place. Doctors in training are an important group to study, being numerically the largest group of prescribers in UK hospitals. Unfortunately very few interventions specifically targeted this group.Methods and analysisOur project aims to understand how interventions to change antimicrobial prescribing behaviours of doctors in training produce their effects. We will recruit a project stakeholder group to advise us throughout. We will synthesise the literature using the realist review approach—a form of theory-driven interpretive systematic review approach often used to make sense of complex interventions. Interventions to improve antimicrobial prescribing behaviours are complex—they are context dependent, have long implementation chains, multiple non-linear interactions, emergence and depend on human agency. Our review will iteratively progress through 5 steps: step 1—Locate existing theories; step 2—Search for evidence; step 3—Article selection; step 4—Extracting and organising data; and step 5—Synthesising the evidence and drawing conclusions. Data analysis will use a realist logic of analysis to describe and explain what works, for whom, in what circumstances, in what respects, how and why to improve antimicrobial prescribing behaviour of doctors in training.Ethics and disseminationEthical approval was not required for our review. Our dissemination strategy will be participatory and involve input from our stakeholder group. Tailored project outputs will be targeted at 3 audiences: (1) doctors in training; (2) clinical supervisors/trainers and medical educators; and (3) policy, decision makers, regulators and royal societies.

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The Long-Term Outcomes of an Antibiotic Control Program with and without Education

Cited by 7 publications

References 4 publications

Barriers to implementing antimicrobial stewardship programmes in three Saudi hospitals: Evidence from a qualitative study

Barriers to implementing antimicrobial stewardship programmes in three Saudi hospitals: Evidence from a qualitative study

A Multifaceted Intervention to Reduce Pandrug‐ResistantAcinetobacter baumanniiColonization and Infection in 3 Intensive Care Units in a Thai Tertiary Care Center: A 3‐Year Study

Interventions to improve antimicrobial prescribing of doctors in training: the IMPACT (IMProving Antimicrobial presCribing of doctors in Training) realist review

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