This document discusses global and national responses to antimicrobial resistance (AMR). It summarizes various international initiatives in 2014 to address AMR, including a ministerial conference in the Netherlands and a meeting of the Global Health Security Agenda in Washington DC. It also outlines Australia's national response, including establishing a steering group, allocating funding, and developing a national strategy to improve surveillance, prevent infections, promote appropriate antibiotic use, and engage internationally. Gaps in addressing AMR in various settings are identified.
In the age of internet and social media, Dr. Carl Abelardo Antonio teaches us how to evaluate online health resources so we can tell which of them is gold and which of them is junk.
Antibiotic resistance is one of the biggest threats facing us today!
European Antibiotic Awareness Day (EAAD) is part of the UK 5 Year Antimicrobial Resistance Strategy 2013 to 2018, which focuses on antibiotics and sets out actions to slow the development and spread of antimicrobial resistance.
This year, to run in line with EAAD; Public Health England has established the Antibiotic Guardian pledge campaign. It calls on everyone in the UK, the public and healthcare community to become antibiotics guardian by choosing one simple pledge about how they will make better use of these vital medicines.
To ensure that the information and knowledge on Antibiotic Stewardship is disseminated to those practising healthcare across the nation, a series of awareness and educational events have been developed. These educational workshop events, to be held in Leeds, Birmingham and London, will provide guidance, resources and information for practitioners on topics associated with antibiotic awareness. The events will provide an opportunity to understand how you and your organisation can support combat the global challenge faced by antibiotic resistance whilst gaining advice, support and resources to inform patients and staff.
Dr. Jeff Bender - One Health Antibiotic Stewardship Science and Practice - Wh...John Blue
One Health Antibiotic Stewardship Science and Practice - What are the Major Gaps in Knowledge or Translation? How Do We Find the Answers to What We Don't Know? - Dr. Kerry Keffaber, Chief Veterinarian, Scientific Affairs and Policy, Elanco Animal Health; Dr. Jeff Bender, Professor, Environmental Sciences, University of Minnesota; Dr. Nora Schrag, Clinical Assistant Professor/Agricultural Practices, Kansas State University; Mr. Joe Swedberg, Chairman of the Board, Farm Foundation, Hormel Foods Corporation (retired); Dr. David G. White, Associate Dean for Research, University of Tennessee Institute of Agriculture, from the 2017 NIAA Antibiotic Symposium - Antibiotic Stewardship: Collaborative Strategy for Animal Agriculture and Human Health, October 31 - November 2, 2017, Herndon, Virginia, USA.
More presentations at http://www.swinecast.com/2017-niaa-antibiotic-symposium-antibiotic-stewardship
Dr. Julie Lyn Hall, WHO Country Representative for the Philippines, discusses the strategies of the WPRO in handling and preventing EIDs like Ebola and MERS-CoV in our region
Antibiotic Guardian London Workshop 20164 All of Us
Antibiotic resistance is one of the biggest threats facing us today.
Why it is relevant to you: without effective antibiotics many routine treatments will become increasingly dangerous. Setting broken bones, basic operations, even chemotherapy and animal health all rely on access to antibiotics that work.
What we want you to do: To slow resistance we need to cut the unnecessary use of antibiotics. We invite the public, students and educators, farmers, the veterinary and medical communities and professional organisations, to become Antibiotic Guardians.
Call to action: Choose one simple pledge about how you’ll make better use of antibiotics and help save these vital medicines from becoming obsolete.
In the age of internet and social media, Dr. Carl Abelardo Antonio teaches us how to evaluate online health resources so we can tell which of them is gold and which of them is junk.
Antibiotic resistance is one of the biggest threats facing us today!
European Antibiotic Awareness Day (EAAD) is part of the UK 5 Year Antimicrobial Resistance Strategy 2013 to 2018, which focuses on antibiotics and sets out actions to slow the development and spread of antimicrobial resistance.
This year, to run in line with EAAD; Public Health England has established the Antibiotic Guardian pledge campaign. It calls on everyone in the UK, the public and healthcare community to become antibiotics guardian by choosing one simple pledge about how they will make better use of these vital medicines.
To ensure that the information and knowledge on Antibiotic Stewardship is disseminated to those practising healthcare across the nation, a series of awareness and educational events have been developed. These educational workshop events, to be held in Leeds, Birmingham and London, will provide guidance, resources and information for practitioners on topics associated with antibiotic awareness. The events will provide an opportunity to understand how you and your organisation can support combat the global challenge faced by antibiotic resistance whilst gaining advice, support and resources to inform patients and staff.
Dr. Jeff Bender - One Health Antibiotic Stewardship Science and Practice - Wh...John Blue
One Health Antibiotic Stewardship Science and Practice - What are the Major Gaps in Knowledge or Translation? How Do We Find the Answers to What We Don't Know? - Dr. Kerry Keffaber, Chief Veterinarian, Scientific Affairs and Policy, Elanco Animal Health; Dr. Jeff Bender, Professor, Environmental Sciences, University of Minnesota; Dr. Nora Schrag, Clinical Assistant Professor/Agricultural Practices, Kansas State University; Mr. Joe Swedberg, Chairman of the Board, Farm Foundation, Hormel Foods Corporation (retired); Dr. David G. White, Associate Dean for Research, University of Tennessee Institute of Agriculture, from the 2017 NIAA Antibiotic Symposium - Antibiotic Stewardship: Collaborative Strategy for Animal Agriculture and Human Health, October 31 - November 2, 2017, Herndon, Virginia, USA.
More presentations at http://www.swinecast.com/2017-niaa-antibiotic-symposium-antibiotic-stewardship
Dr. Julie Lyn Hall, WHO Country Representative for the Philippines, discusses the strategies of the WPRO in handling and preventing EIDs like Ebola and MERS-CoV in our region
Antibiotic Guardian London Workshop 20164 All of Us
Antibiotic resistance is one of the biggest threats facing us today.
Why it is relevant to you: without effective antibiotics many routine treatments will become increasingly dangerous. Setting broken bones, basic operations, even chemotherapy and animal health all rely on access to antibiotics that work.
What we want you to do: To slow resistance we need to cut the unnecessary use of antibiotics. We invite the public, students and educators, farmers, the veterinary and medical communities and professional organisations, to become Antibiotic Guardians.
Call to action: Choose one simple pledge about how you’ll make better use of antibiotics and help save these vital medicines from becoming obsolete.
Webinar Series on Demystifying Phases in Clinical Trials & COVID-19 Updates organized by Institute for Clinical Research (ICR), NIH
Speaker: Dr. Cheah Wee Kooi, Physician & Geriatrician, Head of Medical Dept & Clinical Research Centre, Taiping Hospital
More information please visit: https://clinupcovid.mailerpage.com/resources/r0x8r9-webinar-series-on-demystifying-cl
Antibiotic resistance is one of the biggest threats facing us today.
Why it is relevant to you: without effective antibiotics many routine treatments will become increasingly dangerous. Setting broken bones, basic operations, even chemotherapy and animal health all rely on access to antibiotics that work.
What we want you to do: To slow resistance we need to cut the unnecessary use of antibiotics. We invite the public, students and educators, farmers, the veterinary and medical communities and professional organisations, to become Antibiotic Guardians.
Call to action: Choose one simple pledge about how you’ll make better use of antibiotics and help save these vital medicines from becoming obsolete.
Developing a national strategy to bring pathogen genomics into practiceExternalEvents
http://www.fao.org/about/meetings/wgs-on-food-safety-management/en/
Developing a national strategy to bring pathogen genomics into practice. Presentation from the Technical Meeting on the impact of Whole Genome Sequencing (WGS) on food safety management and GMI-9, 23-25 May 2016, Rome, Italy.
Antibiotic Guardian Leeds Workshop 20164 All of Us
Antibiotic resistance is one of the biggest threats facing us today.
Why it is relevant to you: without effective antibiotics many routine treatments will become increasingly dangerous. Setting broken bones, basic operations, even chemotherapy and animal health all rely on access to antibiotics that work.
What we want you to do: To slow resistance we need to cut the unnecessary use of antibiotics. We invite the public, students and educators, farmers, the veterinary and medical communities and professional organisations, to become Antibiotic Guardians.
Call to action: Choose one simple pledge about how you’ll make better use of antibiotics and help save these vital medicines from becoming obsolete.
Future Health Challenges: Developing Global Norms for Data and Results Sharin...ExternalEvents
http://www.fao.org/about/meetings/wgs-on-food-safety-management/en/
Future Health Challenges: Developing Global Norms for Data and Results Sharing during Public Health Emergencies. Presentation from the Technical Meeting on the impact of Whole Genome Sequencing (WGS) on food safety management and GMI-9, 23-25 May 2016, Rome, Italy.
Dr. James Hughes - Combating Antimicrobial Resistance: The Way ForwardJohn Blue
Combating Antimicrobial Resistance: The Way Forward - Dr. James Hughes, Professor of Medicine and Public Health with Joint Appointments in the School of Medicine and the Rollins School of Public Health at Emory University, from the 2014 NIAA Symposium on Antibiotics Use and Resistance: Moving Forward Through Shared Stewardship, November 12-14, 2014, Atlanta, Georgia, USA.
More presentations at http://www.swinecast.com/2014-niaa-antibiotics-moving-forward-through-shared-stewardship
Webinar Series on Demystifying Phases in Clinical Trials & COVID-19 Updates organized by Institute for Clinical Research (ICR), NIH
Speaker: Dr. Cheah Wee Kooi, Physician & Geriatrician, Head of Medical Dept & Clinical Research Centre, Taiping Hospital
More information please visit: https://clinupcovid.mailerpage.com/resources/r0x8r9-webinar-series-on-demystifying-cl
Antibiotic resistance is one of the biggest threats facing us today.
Why it is relevant to you: without effective antibiotics many routine treatments will become increasingly dangerous. Setting broken bones, basic operations, even chemotherapy and animal health all rely on access to antibiotics that work.
What we want you to do: To slow resistance we need to cut the unnecessary use of antibiotics. We invite the public, students and educators, farmers, the veterinary and medical communities and professional organisations, to become Antibiotic Guardians.
Call to action: Choose one simple pledge about how you’ll make better use of antibiotics and help save these vital medicines from becoming obsolete.
Developing a national strategy to bring pathogen genomics into practiceExternalEvents
http://www.fao.org/about/meetings/wgs-on-food-safety-management/en/
Developing a national strategy to bring pathogen genomics into practice. Presentation from the Technical Meeting on the impact of Whole Genome Sequencing (WGS) on food safety management and GMI-9, 23-25 May 2016, Rome, Italy.
Antibiotic Guardian Leeds Workshop 20164 All of Us
Antibiotic resistance is one of the biggest threats facing us today.
Why it is relevant to you: without effective antibiotics many routine treatments will become increasingly dangerous. Setting broken bones, basic operations, even chemotherapy and animal health all rely on access to antibiotics that work.
What we want you to do: To slow resistance we need to cut the unnecessary use of antibiotics. We invite the public, students and educators, farmers, the veterinary and medical communities and professional organisations, to become Antibiotic Guardians.
Call to action: Choose one simple pledge about how you’ll make better use of antibiotics and help save these vital medicines from becoming obsolete.
Future Health Challenges: Developing Global Norms for Data and Results Sharin...ExternalEvents
http://www.fao.org/about/meetings/wgs-on-food-safety-management/en/
Future Health Challenges: Developing Global Norms for Data and Results Sharing during Public Health Emergencies. Presentation from the Technical Meeting on the impact of Whole Genome Sequencing (WGS) on food safety management and GMI-9, 23-25 May 2016, Rome, Italy.
Dr. James Hughes - Combating Antimicrobial Resistance: The Way ForwardJohn Blue
Combating Antimicrobial Resistance: The Way Forward - Dr. James Hughes, Professor of Medicine and Public Health with Joint Appointments in the School of Medicine and the Rollins School of Public Health at Emory University, from the 2014 NIAA Symposium on Antibiotics Use and Resistance: Moving Forward Through Shared Stewardship, November 12-14, 2014, Atlanta, Georgia, USA.
More presentations at http://www.swinecast.com/2014-niaa-antibiotics-moving-forward-through-shared-stewardship
Presentation from the 3rd Joint Meeting of the Antimicrobial Resistance and Healthcare-Associated Infections (ARHAI) Networks, organised by the European Centre of Disease Prevention and Control - Stockholm, 11-13 February 2015
Tackling the U.S. Healthcare System’s Infectious Disease Management ProblemViewics
The United States healthcare system has a serious infectious disease management problem. The antibiotic resistance crisis is widespread, serious, costly, and deadly. Delays in pathogen identification lead to poor clinical outcomes, including increased mortality risk. And, optimally managing outbreaks is critical to health systems whose reimbursement is tied to the health of a population, such as ACOs.
Eleanor Herriman, MD, MBA, Chief Medical Informatics Officer at Viewics led an informative panel discussion with industry leaders on the issues surrounding the infectious disease management crisis. Margret Oethinger, MD, Ph.D., Medical Director of Providence Health & Services, and Susan E. Sharp, Ph.D., DABMM, FAAM, Regional Director of Microbiology and the Molecular Infectious Disease Laboratories, Department of Pathology, Kaiser Permanente and President-Elect, American Society for Microbiology cover the current state of infectious disease management in the U.S., and what can be done to improve it.
You’ll learn about:
• The magnitude of the U.S. health system’s infectious disease management problem
• The most serious concerns and trends for healthcare institutions and communities across the nation
• The most promising solutions to health systems’ most urgent infectious disease management challenges
For decades microbes, in particular bacteria, have become increasingly resistant to various antimicrobials.
The World Health Assembly’s endorsement of the Global Action Plan on Antimicrobial Resistance (AMR) in May 2015, and the Political Declaration of the High-Level Meeting of the General Assembly on AMR in September 2017, both recognize AMR as a global threat to public health.
These policy initiatives acknowledge overuse and misuse of antimicrobials as a main driver for development of resistance, as well as a need to optimize the use of antimicrobials.
The Global Action Plan on AMR sets out five strategic objectives as a blueprint for countries in developing national action plans (NAPs) on AMR:
Objective 1: Improve awareness and understanding of AMR through effective communication, education and training.
Objective 2: Strengthen the knowledge and evidence base through surveillance and research.
Objective 3: Reduce the incidence of infection through effective sanitation, hygiene and infection prevention measures.
Objective 4: Optimize the use of antimicrobial medicines in human and animal health.
Objective 5: Develop the economic case for sustainable investment that takes account of the needs of all countries, and increase investment in new medicines, diagnostic tools, vaccines and other interventions.
Antimicrobial stewardship programmes optimize the use of antimicrobials, improve patient outcomes, reduce AMR and health-care-associated infections, and save health-care costs amongst others.
Today, AMS is one of three “pillars” of an integrated approach to health systems strengthening. The other two are infection prevention and control (IPC) and medicine and patient safety.
Linking all three pillars to other key components of infection management and health systems strengthening, such as AMR surveillance and adequate supply of quality assured medicines, promotes equitable and quality health care towards the goal of achieving universal health coverage
CDC has defined “Antimicrobial stewardship” as-
The right antibiotic
for the right patient,
at the right time,
with the right dose, and
the right route, causing
the least harm to the patient and future patients
Why AMSP is needed?
Antimicrobial Resistance (AMR)
Misuse and Over-use of Antimicrobials
Widespread Use of Antimicrobials in Other Sectors
Poor Antimicrobial Research
IMPLEMENTATION OF ANTIMICROBIAL STEWARDSHIP PROGRAM
Administrative Support (Leadership)
Formulating AMS Team
Infrastructure Support
Framing Antimicrobial Policy
Implementing AMS strategies
Education and Training
Should be publicly committed to the program.
Provide necessary funding and infrastructure support.
Multidisciplinary committee - responsible for framing, implementing and monitoring the compliance to antimicrobial policy of the hospital.
Led by the antimicrobial steward - infectious disease physician or infection control officer or clinical microbiologist.
Other members of AMS team - stewardship nurses
Updates from the CDC - Michael Craig, Senior Advisor for Antibiotic Resistance Coordination and Strategy, National Center for Emerging and Zoonotic Infectious Diseases, CDC, from the 2016 NIAA Antibiotic Symposium - Working Together For Better Solutions, November 1 - 3, 2016, Herndon, Virginia, USA.
More presentations at http://www.swinecast.com/2016-niaa-symposium-antibiotic-use-working-together-for-better-solutions
Co-ordinated malaria research for better policy and practice: the role of res...ACT Consortium
Prof. David Schellenberg from the London School of Hygiene & Tropical Medicine presents on behalf of the ACT Consortium at the European Congress on Tropical Medicine and International Health in Basel, Switzerland, 8 September 2015
Antibiotic Guardian Birmingham Workshop4 All of Us
Antibiotic resistance is one of the biggest threats facing us today!
European Antibiotic Awareness Day (EAAD) is part of the UK 5 Year Antimicrobial Resistance Strategy 2013 to 2018, which focuses on antibiotics and sets out actions to slow the development and spread of antimicrobial resistance.
This year, to run in line with EAAD; Public Health England has established the Antibiotic Guardian pledge campaign. It calls on everyone in the UK, the public and healthcare community to become antibiotics guardian by choosing one simple pledge about how they will make better use of these vital medicines.
To ensure that the information and knowledge on Antibiotic Stewardship is disseminated to those practising healthcare across the nation, a series of awareness and educational events have been developed. These educational workshop events, to be held in Leeds, Birmingham and London, will provide guidance, resources and information for practitioners on topics associated with antibiotic awareness. The events will provide an opportunity to understand how you and your organisation can support combat the global challenge faced by antibiotic resistance whilst gaining advice, support and resources to inform patients and staff.
Antimicrobial stewardship programs (ASP) are an essential practice to prevent increasing
resistance against antibiotics. A successful ASP monitors not only prescribing patterns and
practices but also contributes in minimizing the toxic effects of antibiotics. Moreover, ASP
also facilitates the selection of disease specific antibiotics and enforces rules and regulations to rationalize the use of antibiotics. The aim of the study is to highlight the core
elements of Hospital Antibiotic Stewardship Programs in Karachi. The key elements proposed by center of disease control (CDC) such as; leadership, accountability, drug
expertise, actions to support optimal antibiotic use, tracking (monitoring antibiotic prescribing, use and resistance), reporting information to staff on improving antibiotic use
and resistance and education were evaluated on Yes/No scale. The data was collected
from 44 hospitals of different categories in Karachi and all the major elements were
studied. It was observed that all the hospitals in one setting failed to comply with all the
guidelines. It has been concluded that efforts should be made to design ASP at each
hospital and implemented through suitable policies and procedures.
Dr. Lauri Hicks - One Health Antibiotic Stewardship Human Health ExamplesJohn Blue
One Health Antibiotic Stewardship Human Health Examples - Dr. Dawn Sievert, Associate Director for Antimicrobial Resistance, Division of Foodborne, Waterborne, and Environmental Diseases, CDC; Dr. Edward J. Septimus, V.P. Research & Infectious Diseases, Hospital Corporation of America; Dr. Lauri Hicks, Director, Office of Antibiotic Stewardship, CDC, from the 2017 NIAA Antibiotic Symposium - Antibiotic Stewardship: Collaborative Strategy for Animal Agriculture and Human Health, October 31 - November 2, 2017, Herndon, Virginia, USA.
More presentations at http://www.swinecast.com/2017-niaa-antibiotic-symposium-antibiotic-stewardship
Improving malaria treatment and control through enhanced diagnostic practiceACT Consortium
Professor David Schellenberg, director of the ACT Consortium, presents at the European Congress on Tropical Medicine and International Health in Basel, Switzerland on 7 September 2015.
Welcome and the National Patient Safety Plan - Dr Mike Durkin (Chair), Director for Patient Safety, NHS England
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
To find out who will be receiving awards and a bit more about our winners and their thoughts on being a member of the Murdoch community visit our winners gallery.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
How to Make a Field invisible in Odoo 17Celine George
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How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
1. Global and National
Response to AMR
Chatham House/Murdoch
University
AMR Symposium
Chris Baggoley
8 December 2014
2. Drivers of AMR
Globalisation and
international
travel
Poor infection
prevention and
control
Collapse of
antibiotic research
and development
Poor and
unrestrained use
of antibiotics
Substandard
antibiotics
Antibiotic resistance
10. Total Outpatient antibiotic use in 26
European countries in 2002
35
30
25
20
15
10
5
0
FR GR LU PT IT BE SK HR PL IS IE ES FI BG CZ SI SE HU NO UK DK DE LV AT EE NL
DDD per 1000 inh. per day
Others
J01B+J01G+J01X
Sulfonamides and
trimethoprim
J01E
Quinolones
J01M
Macrolides, Lincosam.,
Streptogramins
J01F
Tetracyclines
J01A
Cephalosporins
J01D
Penicillins
J01C
Source: ESAC Website
AUS
11.
12. What is already in place?
• Strong regulatory systems to ensure safe, effective, high
quality medicines
• Most antibiotics available by prescription only
• National standards – Infection prevention and control,
antimicrobial stewardship in hospitals
• Some surveillance of AMR, and antibiotic use in hospitals
• BUT, some critical gaps, and no comprehensive national
strategy to guide action and ensure efforts are
coordinated
14. Standard 7
Blood and Blood
Products
Standard 10
Preventing Falls and
Harm from Falls
The NSQHS Standards
Standard 1
Governance for Safety and
Quality in Health
Service Organisations
Standard 2
Partnering with
Consumers
Standard 3
Healthcare
Associated
Infections
Standard 4
Medication
Safety
Standard 9
Recognising and
Responding to Clinical
Deterioration in Acute
Health Care
Standard 8
Preventing and
Managing Pressure
Injuries
Standard 5
Patient Identification
and Procedure
Matching
Standard 6
Clinical
Handover
18. Antimicrobial prescribing practice in
Australia: results of the 2013 National
Antimicrobial Prescribing Survey
www.safetyandquality.gov.au
19. National leadership to drive action
• Importance of strong leadership, commitment to
action, and funding to support development and
implementation of a national plan
• Australian AMR Prevention and Containment
Steering Group established February 2013
• $11.9 million allocated in 2013-14 Federal Budget
• Supported by an advisory group to provide expert
clinical and technical advice on AMR
20. National AMR Strategy
• Proposed goal: To slow the development and spread of
AMR and conserve the effectiveness of antimicrobials
• Objectives: To achieve this goal, we will focus our efforts
on:
improving surveillance
preventing infections and the spread of resistant
infections and
improving the appropriate use of antimicrobials
21. Developing a National Antimicrobial Resistance
Strategy for Australia – October 2014
ISBN: 978-1-74186-192-1
Online: ISBN: 978-1-74186-193-8
Publications approval number: 10917
22. Key elements
1. Infection prevention and control
2. Surveillance
3. Antimicrobial stewardship
4. Communication and Education
5. International engagement
6. Research and Development
7. Governance
23. Communication & Education
NPSMedicineWise
‘Resistance Fighter’ public
awareness campaign
• Training modules for medical students and junior hospital medical
staff
• Some education activities available for GPs, but not compulsory
• Gaps – very difficult to achieve sustained changes in consumer
attitudes and behaviours - continue with efforts to increase public
awareness of AMR, drivers, and appropriate use of antibiotics
28. Origin and Evolution of
Antibiotic Resistance
Source: Microbiol. Mol. Biol. Rev. 2010, 74(3):417. DOI: Julian Davies and Dorothy Davies
Resistance Origins and Evolution of Antibiotic
29.
30. ACSQHC: Elements of HAI Standard
Systems and governance
Infection prevention policies and protocols
Managing patients with infections
Antimicrobial stewardship
Cleaning, disinfection and sterilisation
Consumer information
31. Infection Prevention & Control
National Safety and Quality Health Service (NSQHS) Standards
• Standard 3: Preventing and Controlling Healthcare
Associated Infections
• Australian Guidelines for the Prevention and Control of Infection
in Healthcare
• National Hand Hygiene Initiative
• Gaps – general practice, aged care, veterinary practice, animal
health
32. Surveillance
Resistance
• AGAR is a collaboration of 30 public and private laboratories around
Australia which collects, analyses and reports on trends in the level of
AMR in bacteria causing important and life threatening infections in
humans.
Antibiotic Usage
• NAUSP collects data on antibiotic utilisation in Australian hospitals - 80%
national representation of principal referral hospital beds.
• DUSC collects and analyses data on medicines dispensed by community
pharmacies
Appropriateness
• NAPS – annual point prevalence survey on the appropriateness of
antimicrobial prescribing in hospitals
33. Surveillance
• Gaps - current initiatives not comprehensive/nationally representative.
Need data from general practice, aged care, as well as antibiotic use in
animals and agriculture
• New initiative to improve data on AMR and AU in human health,
including establishing passive and targeted surveillance systems for
AMR and AU across hospital, community and aged care settings and a
national alert system to inform clinicians and policy-makers about
emerging AMR trends.
• Agriculture – report on antimicrobial usage monitoring and resistance
surveillance activities in the animal and agriculture sector in Australia,
and overseas to inform future action
34. Surveillance of antibiotic usage
Community
– PBS, Pharmacies – usage data
– Medicare – no. of prescriptions
Animal - APVMA – antibiotic volumes
Hospital
– National Antibiotic Usage Surveillance Program (NAUSP) -covers 70%
of acute referral beds – pharmacy dispensing data
Appropriateness –
– National Antibiotic Prescribing Survey
Import and supply data
– Therapeutic Goods Administration and the Australian Pesticides and
Veterinary Medicines Authority
35. Antimicrobial Stewardship
• To date, efforts have focussed on hospital
settings
• National Safety and Quality Health Service
Standard 3 requires AMS programs to be
implemented
• Therapeutic Guidelines: Antibiotic
Gaps:
• No equivalent approach in general practice,
aged care or animal health
• Most antibiotics for humans are prescribed in
community settings, and evidence of increasing
AMR in the community
• Antibiotic use in animal health???
36. Key components of AMR Stewardship
Hospitals
Leadership
AMR team
Local formulary
Education and training
Prescriber feedback
Measure performance
Clinical microbiology service
Community / primary care
Leadership
Therapeutic guidelines
Practice clinical audit
Education and training
Liaison with local laboratory
Patient education
Prescriber feedback
37. Antimicrobial Resistance Global Action Plan
“Going Forward” Strategic Technical Advisory Group
14 April 2014 - Keiji Fukuda (Geneva)
38.
39. Strategic and Technical Advisory Group
for Addressing AMR
Dr Marie-Paule Kieny: 14-16 April 2014