[Emily Bailey]

Dear Cath (and AICA list)

Thank you for your comments below on the ACSQHC report on AMR. In regards to the cost/burden of antimicrobial resistance in Australia, I agree re the need for a better understanding of the burden of AMR in our local context to support resource allocation decisions in Infection Prevention and Control programs.

It may interest you to know that our Centre of Research Excellence group (CRE in Reducing Healthcare Associated Infections), which is funded by the NHMRC and operates out of QUT in Brisbane, currently has an active research project modelling the health economic impact of antimicrobial resistance in Australia. This work is being led by Dr Kate Halton and Dr Teresa Wozniak.

We hope to be able to provide meaningful results from this work to the College, the ACSQHC, the federal DOH and the wider IPC community in 2017. An abstract will be submitted to present the project methodology and interim findings at the ACIPC conference in November this year.

Kind regards
Emily

Emily Bailey | Centre Manager
Centre of Research Excellence in Reducing Healthcare Associated Infections
Institute of Health and Biomedical Innovation | School of Public Health & Social Work
Queensland University of Technology | 60 Musk Ave, Kelvin Grove, QLD 4059 | Australia
E: e5.bailey@qut.edu.au | http://www.cre-rhai.org.au
CRICOS No. 00213J

The CRE-RHAI is funded by the National Health and Medical Research Council (NHMRC) of Australia (Grant 1030103). The work conducted by the CRE-RHAI is solely the responsility of the Administering and Participating Institutions and individual researchers, and do not reflect the views of the NHMRC.

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Dr Cathryn Murphy
Sent: Friday, 17 June 2016 5:45 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Media Release: Australia’s most comprehensive report on antibiotic resistance released

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

[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 <communications@safetyandquality.gov.au>
Date: 16 June 2016 at 10:09
Subject: Media Release: Australia’s most comprehensive report on antibiotic resistance released
To:

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[Australian Commission on Safety and Quality in Health Care]

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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