Course Access
Hi Cath (et al)
It’s an interesting and challenging question. You’re right – there is some
data about from overseas, examples including:
http://www.rand.org/randeurope/research/projects/antimicrobial-resistance-costs.html
http://cid.oxfordjournals.org/content/49/8/1175.long
http://www.thelancet.com/journals/laninf/article/PIIS1473-3099(15)00270-4
http://www.bmj.com/content/346/bmj.f1493
but a definite paucity of Australian data; hopefully now that AURA is up
and running we’ll be able to use the longitudinal data to estimate some of
these things (ie: resistance increased by this much and model based on
overseas data on length of stay etc).
Equally frustrating, however, is the fact that talking about economic costs
completely turns the public off. There was great research published by
Wellcome Trust (blog post is here:
https://blog.wellcome.ac.uk/2015/07/29/antimicrobial-resistance-still-widely-misunderstood/
; unfortunately, they’ve redone their website, so the link to the full
report is broken) that pretty clearly shows that if we say “AMR will cost
eleventy trillion dollars” that the public don’t understand, don’t really
care and just think that HCWs are lobbying for more funding. The report
went on to suggest that we need to personalise the stories to patient /
family / relative. Following on your email:
“Grandpa Jack went to hospital to have a knee replacement so he could
still go an play bowls on the group visit from the nursing home. Because
he’d been on antibiotics for more than six months, he got a resistant
infection and spent 4 months in hospital and never played bowls again”.
(Obviously this is a bit too much of a scare campaign, but you get the idea)
We’re finally getting some government action; now we need to engage the
public.
Cheers,
Trent Yarwood
Infectious Diseases Physician – Antimicrobial Stewardship
Cairns Hospital
(no conflicts)
—
Trent Yarwood
trentyarwood@gmail.com
PGP Key: 246AF263
On 17 June 2016 at 05:44, Dr Cathryn Murphy wrote:
> Dear Ramon
>
>
>
> Thank you for sharing this work and thanks also to whoever was the
> Colleges representative on this Committee. Their output in terms of the
> Report are impressive and at the same time very concerning.
>
>
>
> I have only had a chance to glean this Report at this stage but am struck
> by two issues. Firstly, the extent of antimicrobial misuse in residential
> long-term care settings with approximately 50% of the almost 10% of
> residents being treated having no confirmed or suspected infection. Having
> just lost my remaining parent in aged care and watching such antimicrobial
> misuse first hand I am especially passionate about learning how the
> Colleges response to the Report will address this issue.
>
>
>
> Secondly, Section 1.3 of the Report addresses the cost of antimicrobial
> resistance and is completely devoid of any local Australian costings or
> estimates. Instead it refers to a very few reports all of which are from
> the United Kingdom. Readers are given estimated extrapolations which
> suggest the cost of AMR per episode of care ranges from ($10 to $41, 200).
>
>
>
> Given the increasing need for IC&P staff to cost justify almost every
> aspect of their program and in particular capital costs for new
> technologies and equipment proven to reduce HAIs including cases of AMR is
> it not time we Australian IC&Ps started lobbying for timely access to
> reliable HAI costing data even at just a local level. It saddens me that
> after 50 years of formal infection control programs in this country we are
> still unable to truly demonstrate the return on our investment. Few other
> industries would survive such circumstances and I wonder if we will.
>
>
>
> Would love to hear the opinions of others on these issues and as always I
> am willing to assist the College or individual members in strategizing ways
> to address them.
>
>
>
> Warm regards
>
> Cath
>
>
>
>
>
> Cathryn Murphy MPH PhD CIC
>
> Chief Executive Officer
>
> Infection Control Plus Pty Ltd
>
> PO Box 3079
>
> Burleigh Town 4220
>
>
>
> E: Cath@infectioncontrolplus.com.au
>
> M: +61 428 154154
>
> W: infectioncontrolplus.com.au
>
>
>
>
>
>
>
>
>
>
>
> *From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
> Behalf Of *Professor Ramon Shaban, ACIPC President
> *Sent:* Thursday, 16 June 2016 11:24 AM
> *To:* AICALIST@AICALIST.ORG.AU
> *Subject:* Fwd: Media Release: Australia’s most comprehensive report on
> antibiotic resistance released
>
>
>
> Colleagues
>
> Please note release of the *First Australian report on antimicrobial
> resistance in human health *by the Australian Commission on Safety and
> Quality in Health Care.
>
>
>
> More information is available at the following link.
>
>
>
> http://www.safetyandquality.gov.au/antimicrobial-use-and-resistance-in-australia/
>
>
> Kind regards,
>
> Ramon
>
>
>
> [image: ACIPC_Logo_Colour_RGB_Hi_Res.jpg]
>
>
> *Professor Ramon Z Shaban PRESIDENT*
>
> Australasian College for Infection Prevention and Control
>
> GPO Box 3254, Brisbane Qld 4001
> Tel: +61 7 3735 6463 Mobile: 0478 312 668
>
> Email: president@acipc.org.au
>
> Web: https://www.acipc.org.au
>
>
>
> ———- Forwarded message ———-
> From: *ACSQHC Communications*
> Date: 16 June 2016 at 10:09
> Subject: Media Release: Australia’s most comprehensive report on
> antibiotic resistance released
> To:
>
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> [image: Australian Commission on Safety and Quality in Health Care]
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>
> Thursday 16 June
> Media Release: Australias most comprehensive report on antibiotic
> resistance released
>
>
>
> *THURSDAY 16 JUNE 2016*
>
>
>
> *The Australian Commission on Safety and Quality in Health Care (the
> Commission) has released a landmark report outlining the most comprehensive
> picture of antimicrobial resistance, antimicrobial use and appropriateness
> of prescribing in Australia to date.*
>
>
>
> *Antimicrobial Use and Resistance in Australia (AURA) 2016: First
> Australian report on antimicrobial use and resistance in human health*
> highlights antimicrobial use and resistance as a critical and immediate
> challenge to health systems in Australia and around the world.
>
>
>
> *AURA 2016* contains valuable data on antimicrobial use in the community,
> hospitals and residential aged care facilities; key emerging issues for
> antimicrobial resistance; and a comparison of Australias situation with
> other countries.
>
>
>
> Commission Senior Medical Advisor Professor John Turnidge said that *AURA
> 2016 *sets a baseline that will allow trends to be monitored over time
> and highlights areas where future work will inform action to prevent the
> spread of antimicrobial resistance.
>
>
>
> Antimicrobial resistance is one of the most significant challenges for
> the delivery of safe, high-quality health services, and has a direct impact
> on patient care and patient outcomes.
>
>
>
> Antibiotic resistance has developed because of the overuse and misuse of
> antibiotics, and now, bacterial infections that were once easily cured with
> antibiotics are becoming harder to treat. In 2014, nearly half the people
> in Australia were prescribed antimicrobials so the threat of
> antimicrobial resistance has the potential to affect every individual.
>
>
>
> Read the media release in full.
>
>
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