Re: Tools to Assess Complance with Antimicrobial Stewardship

Dear Ruth and Co

I came across these tools yesterday below from Scotland- Peter Davey was in Sydney this week
They audit every ward every week across all hospitals- just 5 patients per ward per week
Theyve had a massive impact reducing their targeted 4 Cs (cephs, cipro, clinda, coamoxyclav (augmentin) across hospital and community settings
And this has lead to significant reductions in C diff mrsa and MRGN
A great example of change implementation

Perhaps we are way too conservative with our national antibiotic guidelines and we should revisit reliance on Bactrim, doxcycline, amoxil and gentamicin etc in the way of the Scots
For an example guideline see- http://www.nhsgrampian.org/nhsgrampian/GJF_general_new.jsp?pContentID=5784&p_applic=CCC&pElementID=1225&pMenuID=464&p_service=Content.show&

I have copies of Peter Daveys talks; but much is evident on the web

A useful discussion group / blog run by ISC is here – http://inventory.infectionnet.org/forums#/discussion/5/restricted-antimicrobials

Regards
John

[Cindy, can you please cross-post to the SHPA List thanks

Dr John Ferguson
Director, Infection Prevention & Control, Hunter New England Health
Locked Bag 1, Newcastle Mail Centre, NSW 2310
Tel 61 2 4921 4444 | Fax 61 2 4921 4440 | Mob +61 428 885 573 | john.ferguson@hnehealth.nsw.gov.au | http://www.hicsiganz.org
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Craig Boutlis
Sent: Monday, 25 February 2013 10:50 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Tools to Assess Complance with Antimicrobial Stewardship

Hi Ruth,

There is a fellow named Rod James who is part of the Guidance MS team in Melbourne who has been involved with point prevalence survey audits (including measures of compliance with guidelines and appropriateness) in public hospitals. They are also part of a research team that is looking at the challenges/opportunities in implementing stewardship programs in private hospitals. They have a presence on the web in terms of contact emails etc.

Craig Boutlis

Competing interests: We have been involved in the audits and use the Guidance MS software but I am not promoting it in any way here.

Craig Boutlis

Department Head, Infectious Diseases | IMACS
LMB 8808, SCMC, NSW, 2521
Tel. 02 4222 5898 | craig.boutlis@sesiahs.health.nsw.gov.au

[http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Illawarra-Shoalhaven-LHD.jpg]

________________________________
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Dalrymple, Ruth
Sent: Friday, 22 February 2013 12:08 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Tools to Assess Complance with Antimicrobial Stewardship
Dear All,
I was wondering if anyone would have a good Audit Tool to access the compliance of Doctors with the Antimicrobial Stewardship Policy of the hospital which complies with Standard 3 of the National Standards?
Regards

Ruth Dalrymple
Quality Risk/Infection Control Co-Ordinator
Hurstville Private Hospital
37 Gloucester Road, Hurstville NSW 2220, Australia
T 9579 7773 F 9586 2311
E Ruth.Dalrymple@healthecare.com.au W
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