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The Problem of Antimicrobial Resistance

Up to 50% of antimicrobial prescribing in hospitals Australia wide and internationally is inappropriate  which has lead to the emergence of multidrug resistant organisms such as Methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococcus (VRE). Antimicrobial resistance results in increased healthcare costs and considerable increases in morbidity and mortality. The development of new more effective antimicrobial agents is declining and to ensure availability of effective antimicrobials in the future it is imperative we employ effective strategies to reduce inappropriate use.  An effective approach to improving antimicrobial use in hospitals is an organised antimicrobial management program known as antimicrobial stewardship (AMS).

Antimicrobial Stewardship

The primary goal of AMS programs is to improve patient care through promoting judicious use of antimicrobials and appropriate antimicrobial drug selection, dosage, route, and duration of treatment .   This is achieved by incorporating multiple strategies within the hospital setting including education (both passive and active), clinical guidelines, pre-prescription approval, post-prescription review, and computer-based decision support.  A multi modal approach is recommended for positive outcomes. 
Antimicrobial Stewardship programs require a multidisciplinary team to ensure the change in prescribing behaviour. The optimal AMS team should include at least an infectious disease physician, clinical microbiologist or nominated lead clinician (lead doctor) and a pharmacist who are responsible for the implementation of the AMS program. The expertise and resources of the team members should be utilised in conjunction with the support and collaboration of the hospital executive to ensure success in improving antimicrobial prescribing.

OPTIMISE

The need to optimise antimicrobial use within the hospital setting is clearly evident.  The actions and behaviours of prescribers is where the ultimate change must occur. To assist local AMS programs, CHRISP have created a tagline and associated resources to assist in the implementation of AMS programs within Qld Health facilities.
OPTIMISE- Your prescribing aims to target antimicrobial resistance through the identification of the steps to insure the most appropriate prescribing behaviour.
OPTIMISE- Your prescribing is about communicating a positive message to prescribers that focuses on the necessary behaviours and actions that will improve their prescribing and ultimately patient outcomes.  Optimise resources can be utilised to promote and raise awareness of antimicrobial resistance and educate healthcare workers of the public health threat antimicrobial resistance poses. We encourage the tagline to be used on all communication that is associated with an AMS program.

Posters

Click on image to download PDF version of each poster

 Click on image to download PDF of Poster 1  Click on image to download PDF of Poster 2  Click on image to download PDF of Poster 3  Click on image to download PDF of Poster 4  Click on image to download PDF of Poster 5

Other Promotional Resources

Useful Links

Go to Toptop of page



AMS-QH Forum

The ams-qh mailing list has been created by CHRISP to provide Queensland Health (QH) employed staff involved in, or who have an interest in, antimicrobial stewardship (AMS) the opportunity for multidirectional communication between one another.

Members of the list are encouraged to ask and respond to questions posted by members of the list and discuss issues and information relating to the implementation and maintenance of an AMS program. The ams-qh forum will also provide a platform for the sharing of effective and successful resources to aid in the development of Antimicrobial Stewardship programs.

This is a private list where the list owner can add members or approve subscription requests. 

For more information and the features of ams-qh forum (mailing list) please read the attached fact sheet.

Members who would like to send a message or ask a question to the list email: ams-qh@lists.slq.qld.gov.au


Last Updated: 12 September 2011
Last Reviewed: 12 September 2011