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Review

Antimicrobial Stewardship in General Practice: A Scoping Review of the Component Parts

1
Department of General Practice, School of Primary and Allied Health Care, Monash University, Level 1, 270 Ferntree Gully Road, Notting Hill, Victoria 3168, Australia
2
National Centre for Antimicrobial Stewardship, The Peter Doherty Institute for Infection and Immunity, Level 5, 792 Elizabeth Street Melbourne, Victoria 3000, Australia
3
Acting Director, Victorian Infectious Diseases Service, Royal Melbourne Hospital, 300 Grattan St, Parkville, Victoria 3050, Australia
*
Author to whom correspondence should be addressed.
Antibiotics 2020, 9(8), 498; https://doi.org/10.3390/antibiotics9080498
Received: 9 July 2020 / Revised: 2 August 2020 / Accepted: 5 August 2020 / Published: 9 August 2020
(This article belongs to the Special Issue Antimicrobial Stewardship in Primary Care)
There is no published health-system-wide framework to guide antimicrobial stewardship (AMS) in general practice. The aim of this scoping review was to identify the component parts necessary to inform a framework to guide AMS in general practice. Six databases and nine websites were searched. The sixteen papers included were those that reported on AMS in general practice in a country where antibiotics were available by prescription from a registered provider. Six multidimensional components were identified: 1. Governance, including a national action plan with accountability, prescriber accreditation, and practice level policies. 2. Education of general practitioners (GPs) and the public about AMS and antimicrobial resistance (AMR). 3. Consultation support, including decision support with patient information resources and prescribing guidelines. 4. Pharmacist and nurse involvement. 5. Monitoring of antibiotic prescribing and AMR with feedback to GPs. 6. Research into gaps in AMS and AMR evidence with translation into practice. This framework for AMS in general practice identifies health-system-wide components to support GPs to improve the quality of antibiotic prescribing. It may assist in the development and evaluation of AMS interventions in general practice. It also provides a guide to components for inclusion in reports on AMS interventions. View Full-Text
Keywords: general practice; ambulatory care; general practitioner; family physician; antimicrobial stewardship; antibiotics; antibiotic prescriptions; health policy; framework general practice; ambulatory care; general practitioner; family physician; antimicrobial stewardship; antibiotics; antibiotic prescriptions; health policy; framework
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MDPI and ACS Style

Hawes, L.; Buising, K.; Mazza, D. Antimicrobial Stewardship in General Practice: A Scoping Review of the Component Parts. Antibiotics 2020, 9, 498. https://doi.org/10.3390/antibiotics9080498

AMA Style

Hawes L, Buising K, Mazza D. Antimicrobial Stewardship in General Practice: A Scoping Review of the Component Parts. Antibiotics. 2020; 9(8):498. https://doi.org/10.3390/antibiotics9080498

Chicago/Turabian Style

Hawes, Lesley, Kirsty Buising, and Danielle Mazza. 2020. "Antimicrobial Stewardship in General Practice: A Scoping Review of the Component Parts" Antibiotics 9, no. 8: 498. https://doi.org/10.3390/antibiotics9080498

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