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Active promotion of antibiotic guidelines: an intensive program
Susan M Tiley1, Jennifer J MacDonald, Paula L Doherty
1Department of Microbiology, Hunter Area Pathology Service, John Hunter Hospital, New Lambton, New South Wales. stiley@hunter.health.nsw.gov.au
Communicable Diseases Intelligence Quarterly Report
|June 17, 2003
Summary
John Hunter Hospital improved antimicrobial prescribing through a dedicated working party and accessible guidelines. This initiative significantly increased appropriate use of third-generation cephalosporins.
Area of Science:
- Hospital Administration
- Infectious Disease Management
- Clinical Pharmacy
Background:
- John Hunter Hospital established an antimicrobial working party to oversee antimicrobial use.
- The working party includes representatives from pharmacy, microbiology, and infectious diseases.
Purpose of the Study:
- To develop, implement, and evaluate guidelines for appropriate antimicrobial use.
- To promote a restricted antimicrobial policy and specific infection management guidelines.
Main Methods:
- Guidelines were disseminated via intranet, hard copies, and identification tags.
- Active promotion included orientation, intensive periods, meetings, and non-compliance follow-up.
- Drug utilization evaluations and antimicrobial resistance monitoring were conducted.
Main Results:
- Appropriate prescribing of third-generation cephalosporins increased from 21% to 52% (p=0.008) between December 1999 and June 2001.
- A campaign encouraged the use of oral antibiotics when indicated.
Conclusions:
- A multidisciplinary antimicrobial working party can effectively improve antimicrobial prescribing practices.
- Accessible guidelines and active promotion are key to successful implementation and improved patient outcomes.