An action plan to enhance antimicrobial stewardship in rural hospitals: maximising connections
This action plan by Dr. Jaclyn Bishop outlines strategies to improve antimicrobial stewardship in rural hospitals by maximizing connections. The plan focuses on practical and sustainable approaches to optimize the use of antimicrobials, aiming to enhance patient care outcomes while minimizing antimicrobial resistance risks. Through effective communication and collaboration, rural healthcare facilities can strengthen their stewardship efforts and contribute to better health outcomes for their communities.
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An action plan to enhance antimicrobial stewardship in rural hospitals: maximising connections Dr Jaclyn Bishop BPharm (Hons), GradCert(Mgt), MPH, PhD jaclyn.bishop@eghs.net.au University of Melbourne, Faculty of Medicine, Dentistry and Health Sciences Department of Medicine- Royal Melbourne Hospital National Centre for Antimicrobial Stewardship East Grampians Health Service & Grampians Health 4 August 2022
Recommended strategies to optimise Antimicrobial Stewardship programs in Australian rural hospitals Recommendations Expand the role of existing centralised organisations to better share resources and support networking Use accreditation to drive direct resource allocation for AMS programs Provide greater support for rural hospitals to develop AMS network arrangements Continued refinement of traditional roles within AMS programs to create new partnerships, particularly with aged and primary care (framework) Focus on priority areas (high-risk infections, especially sepsis, cellulitis, ceftriaxone) Develop a national repository of resources on infectious diseases and antibiotic therapies designed with appropriate rigour and consumer co-design Greater utilisation of implementation science to improve the adoption and integration of evidence-based practices, policies and interventions
Action plan There is a real opportunity to adopt a one health approach to improve antimicrobial prescribing in rural communities Rural connections Framework for an integrated AMS program across human primary, aged & acute care and veterinary practice This Photo by Unknown Author is licensed under CC BY-SA
Action plan Evaluate different models for AMS in Australian regional hospitals Define the organisational conditions and intensity of input required
Action plan Reduce duplication across health sectors through a national repository of resources
Conclusion The need to improve antibiotic use is universal, but the approach to stewardship need not be the same. Adaptation, not imitation, is the key to success Livorsi, 2019 Livorsi DJ, Reisinger HS, Stenehjem E. Adapting Antibiotic Stewardship to the Community Hospital. JAMA Netw Open. 2019;2(8):e199356. doi:10.1001/jamanetworkopen.2019.9356
