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Establishment of RCPA national guidelines for selective reporting of antimicrobials: processes, challenges and
Maryza Graham1,2,3, Debra Graves4, Louise Cooley5
1Department of Microbiology and Infectious Diseases, Monash Health, Clayton, Victoria, Australia.
Objectives:
In 2016, The Royal College of Pathologists of Australasia (RCPA) initiated the formation of a working group comprising medical microbiologists to establish guidelines to assist Australian laboratories to implement selective and cascade reporting of antimicrobials-the first guidelines of this type in the world.
Methods:
A 2017 audit of antimicrobial reporting in Australian and New Zealand laboratories identified significant opportunities for improvement and standardization of selective reporting.
Results:
The first draft of the RCPA Selective Reporting Guidelines was circulated to all RCPA Microbiology fellows for feedback in August 2018 and the first version was published in February 2019. Subsequently, version two of the guidelines has recently been published in Australia, and New Zealand adapted these guidelines for formulation of their own national guidelines to accommodate local needs.
Conclusions:
Here we describe the processes, acceptance and challenges associated with the establishment of these guidelines and measurement of their impact.
Insights
The Royal College of Pathologists of Australasia developed the world's first guidelines for selective and cascade antimicrobial reporting. These guidelines aim to improve reporting consistency in Australian and New Zealand laboratories.
Area of Science:
- Medical Microbiology
- Clinical Pathology
Background:
- The Royal College of Pathologists of Australasia (RCPA) identified a need for standardized antimicrobial reporting.
- A 2017 audit revealed significant opportunities for improvement in Australian and New Zealand laboratories.
Purpose of the Study:
- To establish guidelines for selective and cascade reporting of antimicrobials.
- To assist Australian laboratories in implementing these reporting strategies.
Main Methods:
- Formation of a working group of medical microbiologists by the RCPA in 2016.
- Circulation of the draft guidelines for feedback in August 2018.
- Publication of the first version in February 2019.
Main Results:
- The first global guidelines for selective and cascade antimicrobial reporting were established.
- Version one was published in February 2019, with a second version recently released.
- New Zealand adapted the guidelines for their national use.
Conclusions:
- The processes, acceptance, and challenges of guideline establishment were documented.
- The impact of these guidelines on antimicrobial reporting was measured.
- These guidelines represent a significant advancement in antimicrobial stewardship.
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