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Exploring stakeholders' perspectives on antibiogram use, development, and implementation in residential aged care

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Summary

Residential aged care facilities (RACFs) need better understanding and implementation of antibiograms for appropriate antibiotic prescribing. Solutions include data sharing and tailored presentation to improve antimicrobial stewardship.

Keywords:
Aged careAntibiogramAntibioticFramework analysisImplementationi-PARIHS

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Area of Science:

  • Healthcare Management
  • Infectious Diseases
  • Antimicrobial Resistance

Background:

  • Antibiograms (cumulative-antimicrobial-susceptibility-tests) provide crucial local antibiotic resistance data.
  • This data aids prescribers in selecting appropriate empirical antibiotic treatments.

Purpose of the Study:

  • To explore stakeholder perceptions and knowledge regarding antibiograms in residential aged care facilities (RACFs).
  • To identify barriers and enablers for developing and implementing antibiograms in RACFs.

Main Methods:

  • Qualitative study using semi-structured interviews with 20 aged-care health professionals and antibiogram content experts in Queensland, Australia (2023).
  • Framework thematic analysis aligned with the 'Integrated Promoting Action on Research Implementation in Health Services' framework.

Main Results:

  • Identified themes revealed a lack of knowledge on antibiogram use and availability among end-users.
  • Content experts cited insufficient data as a barrier to annual antibiograms.
  • Proposed solutions include data pooling, extended data frequency, using local hospital antibiograms, and user-preferred data formats.

Conclusions:

  • Clinicians acknowledge antibiograms' role in improving empirical antibiotic prescribing.
  • Baseline knowledge assessment is key for targeted education on antibiogram use.
  • Practical recommendations focus on presentation and uptake of antibiograms as antimicrobial stewardship tools in RACFs.