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Antibiotics 2017, 6(3), 16; doi:10.3390/antibiotics6030016

Self-Assessment of Antimicrobial Stewardship in Primary Care: Self-Reported Practice Using the TARGET Primary Care Self-Assessment Tool

1
Public Health England, Gloucester GL50 2QJ, UK
2
Department of Primary Care and Population Sciences, Aldermoor Health Centre Southampton, University of Southampton, Southampton SO16 5ST, UK
3
Royal College of General Practitioners, London NW1 2FB, UK
*
Author to whom correspondence should be addressed.
Academic Editor: Leonard Amaral
Received: 8 June 2017 / Revised: 9 August 2017 / Accepted: 11 August 2017 / Published: 16 August 2017
(This article belongs to the Special Issue Top 35 of Antibiotics Travel Awards 2017)
View Full-Text   |   Download PDF [816 KB, uploaded 16 August 2017]   |  

Abstract

Multifaceted antimicrobial stewardship (AMS) interventions including: antibiotic guidance, reviews of antibiotic use using audits, education, patient facing materials, and self-assessment, are successful in improving antimicrobial use. We aimed to measure the self-reported AMS activity of staff completing a self-assessment tool (SAT). The Royal College of General Practitioners (RCGP)/Public Health England (PHE) SAT enables participants considering an AMS eLearning course to answer 12 short questions about their AMS activities. Questions cover guidance, audit, and reflection about antibiotic use, patient facing materials, and education. Responses are recorded digitally. Data were collated, anonymised, and exported into Microsoft Excel. Between November 2014 and June 2016, 1415 users completed the SAT. Ninety eight percent reported that they used antibiotic guidance for treating common infections and 63% knew this was available to all prescribers. Ninety four percent of GP respondents reported having used delayed prescribing when appropriate, 25% were not using Read codes, and 62% reported undertaking a practice-wide antibiotic audit in the last two years, of which, 77% developed an audit action plan. Twenty nine percent had undertaken other antibiotic-related clinical courses. Fifty six percent reported sharing patient leaflets covering infection. Many prescribers reported undertaking a range of AMS activities. GP practice managers should ensure that all clinicians have access to prescribing guidance. Antibiotic audits should be encouraged to enable GP staff to understand their prescribing behaviour and address gaps in good practice. Prescribers are not making full use of antibiotic prescribing-related training opportunities. Read coding facilitates more accurate auditing and its use by all clinicians should be encouraged. View Full-Text
Keywords: TARGET; antimicrobial resistance; antimicrobial stewardship; primary care; self-assessment; general practice TARGET; antimicrobial resistance; antimicrobial stewardship; primary care; self-assessment; general practice
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Owens, R.; Jones, L.F.; Moore, M.; Pilat, D.; McNulty, C. Self-Assessment of Antimicrobial Stewardship in Primary Care: Self-Reported Practice Using the TARGET Primary Care Self-Assessment Tool. Antibiotics 2017, 6, 16.

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