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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
Evaluation of antimicrobial resistance surveillance data sources in primary care setting: a scoping review
Vimrata Mori1, Gary Grant1, Laetitia Hattingh1,2,3
1Department of School of Pharmacy and Medical Sciences, Griffith University, 1 Parklands Drive, Southport, Gold Coast, Queensland 4215, Australia.
Background:
Antimicrobial resistance (AMR) is a global health warning that increases mortality, morbidity, and medical expenses. Effective AMR surveillance is essential to guide interventions and maintain treatment efficacy. While AMR surveillance is studied in various healthcare settings, data sources in primary care settings need to be evaluated.
Aim:
To identify the value of utilizing AMR surveillance data in primary care settings to inform community antimicrobial stewardship (AMS) practices.
Methods:
Eligibility criteria included primary studies, randomized and nonrandomised controlled trials, observational studies, surveys, qualitative studies, mixed-method studies, and grey literature in primary care published worldwide from 2001 to 2024.
Results:
Our review of 21 included studies emphasized the significance of utilizing AMR surveillance data to enhance clinical care. Clinicians need to better understand the local AMR pattern when prescribing primary care antibiotics. Despite limitations, educational interventions can change prescribing behaviour. AMR increased because local susceptibility data frequently did not inform empirical antibiotic treatment. Digital and geospatial platforms could enhance surveillance with institutional support and standardized data integration.
Conclusion:
This analysis highlights the need for user-friendly, real-time, and easily accessible data visualization platforms to improve AMR surveillance and AMS in primary care. Addressing data accessibility and providing training and education are crucial elements. Standardising data and utilizing digital technologies can improve decision-making and antibiotic prescribing. These elements must be incorporated into a consistent and adaptive plan for effective AMS interventions and public health outcomes.
Insights
Antimicrobial resistance (AMR) surveillance in primary care is vital for effective antimicrobial stewardship (AMS). Improving data accessibility and utilizing digital tools can enhance antibiotic prescribing and public health outcomes.
Area of Science:
- Public Health
- Infectious Diseases
- Primary Care Medicine
Background:
- Antimicrobial resistance (AMR) poses a significant global health threat, increasing mortality, morbidity, and healthcare costs.
- Effective AMR surveillance is crucial for guiding interventions and preserving antibiotic efficacy.
- Data sources for AMR surveillance in primary care settings require thorough evaluation.
Purpose of the Study:
- To determine the value of AMR surveillance data in primary care for informing community antimicrobial stewardship (AMS) practices.
- To assess how primary care AMR data can improve antibiotic prescribing behaviors.
Main Methods:
- Systematic review of primary studies, including randomized controlled trials, observational studies, surveys, qualitative, and mixed-method studies.
- Inclusion of grey literature in primary care published globally from 2001 to 2024.
- Analysis of 21 included studies focusing on AMR surveillance and its impact on clinical care.
Main Results:
- Utilizing AMR surveillance data significantly enhances clinical care and antibiotic prescribing in primary settings.
- Lack of local susceptibility data often contributes to increased AMR due to uninformed empirical antibiotic treatment.
- Educational interventions can modify prescribing behavior, and digital/geospatial platforms can improve surveillance.
Conclusions:
- User-friendly, real-time data visualization platforms are essential for improving AMR surveillance and AMS in primary care.
- Enhancing data accessibility, providing training, and standardizing data are critical for effective interventions.
- Digital technologies and standardized data integration are key to improving decision-making and antibiotic prescribing for better public health outcomes.
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