Influences on antimicrobial prescribing behaviour of veterinary practitioners in cattle practice in Ireland

2012 ◽  
Vol 172 (1) ◽  
pp. 14-14 ◽  
Author(s):  
J. F. Gibbons ◽  
F. Boland ◽  
J. F. Buckley ◽  
F. Butler ◽  
J. Egan ◽  
...  
Keyword(s):  
Antimicrobial Prescribing ◽  
Prescribing Behaviour

scholarly journals A Multidisciplinary Hospital-based Antimicrobial Use Program: Impact on Hospital Pharmacy Expenditures and Drug Use

1996 ◽  
Vol 7 (2) ◽  
pp. 104-109 ◽  
Author(s):  
Suzette Salama ◽  
Coleman Rotstein ◽  
Lionel Mandell
Keyword(s):  
Quality Assurance ◽  
Hospital Pharmacy ◽  
Cost Savings ◽  
Antimicrobial Use ◽  
Canadian Hospital ◽  
Drug Budget ◽  
Program Impact ◽  
Use Patterns ◽  
Antimicrobial Prescribing ◽  
Prescribing Behaviour

The authors’ hospital embarked on a three-component, multidisciplinary, hospital-based antimicrobial use program to cut costs and reduce inappropriate antimicrobial use. Initially, antimicrobial use patterns and costs were monitored for 12 months. For the next two years, an antimicrobial use program was implemented consisting of three strategies: automatic therapeutic interchanges; antimicrobial restriction policies; and parenteral to oral conversion. The program resulted in a reduction in the antimicrobial portion of the total pharmacy drug budget from 41.6% to 28.2%. Simultaneously, the average cost per dose per patient day dropped from $11.88 in 1991 to $10.16 in 1994. Overall, mean monthly acquisition cost savings rose from $6,810 in 1992 to $27,590 in 1994. This study demonstrates that a multidisciplinary antimicrobial use program in a Canadian hospital can effect dramatic cost savings and serve as a quality assurance activity of physician antimicrobial prescribing behaviour.

Influences on independent nurse prescribers' antimicrobial prescribing behaviour: a systematic review

2016 ◽  
Vol 25 (9-10) ◽  
pp. 1206-1217 ◽  
Author(s):  
Valerie Ness ◽  
Lesley Price ◽  
Kay Currie ◽  
Jacqueline Reilly
Keyword(s):  
Systematic Review ◽  
Antimicrobial Prescribing ◽  
Prescribing Behaviour

scholarly journals Trends and correlates of antimicrobial use in broiler and turkey farms: a poultry company registry-based study in Italy

2019 ◽  
Vol 74 (9) ◽  
pp. 2784-2787 ◽  
Author(s):  
Claudia Caucci ◽  
Guido Di Martino ◽  
Alessandro Dalla Costa ◽  
Manuel Santagiuliana ◽  
Monica Lorenzetto ◽  
...  
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Antimicrobial Resistance ◽  
Geographical Area ◽  
Antimicrobial Use ◽  
Poultry Production ◽  
Structural Interventions ◽  
Antimicrobial Prescribing ◽  
Prescribing Behaviour ◽  
Antimicrobial Treatments

Abstract Background Antimicrobial usage (AMU) in livestock plays a key role in the emergence and spread of antimicrobial resistance. Analysis of AMU data in livestock is therefore relevant for both animal and public health. Objectives To assess AMU in 470 broiler and 252 turkey farms of one of Italy’s largest poultry companies, accounting for around 30% of national poultry production, to identify trends and risk factors for AMU. Methods Antimicrobial treatments administered to 5827 broiler and 1264 turkey grow-out cycles in 2015–17 were expressed as DDDs for animals per population correction unit (DDDvet/PCU). A retrospective analysis was conducted to examine the effect of geographical area, season and prescribing veterinarian on AMU. Management and structural interventions implemented by the company were also assessed. Results AMU showed a 71% reduction in broilers (from 14 to 4 DDDvet/PCU) and a 56% reduction in turkeys (from 41 to 18 DDDvet/PCU) during the study period. Quinolones, macrolides and polymyxins decreased from 33% to 6% of total AMU in broilers, and from 56% to 32% in turkeys. Broiler cycles during spring and winter showed significantly higher AMU, as well as those in densely populated poultry areas. Different antimicrobial prescribing behaviour was identified among veterinarians. Conclusions This study evidenced a decreasing trend in AMU and identified several correlates of AMU in broilers and turkeys. These factors will inform the design of interventions to further reduce AMU and therefore counteract antimicrobial resistance in these poultry sectors.

scholarly journals Understanding surgical antimicrobial prescribing behaviour in the hospital setting: a systematic review and meta-ethnography protocol

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Hazel Parker ◽  
Julia Frost ◽  
Nicky Britten ◽  
Sophie Robinson ◽  
Karen Mattick
Keyword(s):  
Systematic Review ◽  
Contextual Factors ◽  
Research Question ◽  
Hospital Setting ◽  
Cochrane Library ◽  
Phase Method ◽  
Clear Understanding ◽  
Antimicrobial Prescribing ◽  
Key Concepts ◽  
Prescribing Behaviour

Abstract Background Surgical specialities use extensive amounts of antimicrobials, and misuse has been widely reported, making them a key target for antimicrobial stewardship initiatives. Interventions informed by, and tailored to, a clear understanding of the contextual barriers to appropriate antimicrobial use are more likely to successfully improve practice. However, this approach has been under utilised. Our aim is to synthesise qualitative studies on surgical antimicrobial prescribing behaviour (APB) in hospital settings to explain how and why contextual factors act and interact to influence APB amongst surgical teams. We will develop new theory to advance understanding and identify knowledge gaps to inform further research. Methods The meta-ethnography will follow the seven-phase method described by Noblit and Hare. We will conduct a comprehensive search using eight databases (AMED, CINAHL, EMBASE, MEDLINE, MEDLINE-in-process, Web of Science, Cochrane Library and PsycINFO) with no date restrictions; forwards and backwards citation searches; and contacting first authors of relevant papers. Studies will be dual screened and included if they use recognised qualitative methods and analysis; focus on contextual factors associated with surgical APB within hospital settings; are available in full in English; and are relevant to the research question. Any disagreements between reviewers will be resolved through discussion to reach consensus. Included studies will be read repeatedly to illuminate key concepts and the relationship between key concepts across studies. Then, key concepts will be sorted into conceptual categories or ‘piles’ which will be further abstracted to form a conceptual framework explaining surgical APB. During the synthesis, emerging interpretations will be discussed with stakeholders (including authors of included studies where possible; surgical and stewardship practitioners; and patient representatives) to ensure new knowledge is meaningful. Discussion This research has several strengths: (1) the protocol has been written with reference to established guidance maximising rigour and transparency; (2) the multi-disciplinary research team bring varied interpretative repertoires and relevant methodological skills; and (3) stakeholders will be involved to ensure that findings are relevant, and disseminated via suitable channels, to support improved patient care. Systematic review registration PROSPERO CRD42020184343

scholarly journals Understanding surgical antimicrobial prescribing behaviour in the hospital setting: a systematic review and meta-ethnography protocol

2020 ◽  
Author(s):  
Hazel Parker ◽  
Julia Frost ◽  
Nicky Britten ◽  
Sophie Robinson ◽  
Karen Mattick
Keyword(s):  
Systematic Review ◽  
Contextual Factors ◽  
Research Question ◽  
Hospital Setting ◽  
Cochrane Library ◽  
Phase Method ◽  
Clear Understanding ◽  
Antimicrobial Prescribing ◽  
Key Concepts ◽  
Prescribing Behaviour

Abstract Background Surgical specialities use extensive amounts of antimicrobials, and misuse has been widely reported, making them a key target for antimicrobial stewardship initiatives. Interventions informed by, and tailored to, a clear understanding of the contextual barriers to appropriate antimicrobial use are more likely to successfully improve practice. However, this approach has been under-utilised. Our aim is to synthesise qualitative studies on surgical antimicrobial prescribing behaviour (APB) in hospital settings to explain how and why contextual factors act and interact to influence APB among surgical teams. We will develop new theory to advance understanding and identify knowledge gaps to inform further research. Methods The meta-ethnography will follow the seven-phase method described by Noblit and Hare. We will conduct a comprehensive search using eight databases (AMED, CINAHL, EMBASE, MEDLINE, MEDLINE-in-process, Web of Science, Cochrane Library and PsycINFO) with no date restrictions; forwards and backwards citation searches; and contacting first authors of relevant papers. Studies will be dual screened and included if they use recognised qualitative methods and analysis; focus on contextual factors associated with surgical APB within hospital settings; are available in full in English; and are relevant to the research question. Any disagreements between reviewers will be resolved through discussion to reach consensus. Included studies will be read repeatedly to illuminate key concepts and the relationship between key concepts across studies. Then, key concepts will be sorted into conceptual categories or ‘piles’ which will be further abstracted to form a conceptual framework explaining surgical APB. During the synthesis, emerging interpretations will be discussed with stakeholders (including authors of included studies where possible; surgical and stewardship practitioners; and patient representatives) to ensure new knowledge is meaningful. Discussion This research has several strengths: (1) the protocol has been written with reference to established guidance maximising rigour and transparency; (2) the multi-disciplinary research team bring varied interpretative repertoires and relevant methodological skills; and (3) stakeholders will be involved to ensure that findings are relevant, and disseminated via suitable channels, to support improved patient care. Systematic review registrationThe meta-ethnography has been registered with the International Prospective Register of Systematic Reviews (PROSPERO); registration number CRD42020184343.

scholarly journals Understanding Surgical Antimicrobial Prescribing Behaviour in the Hospital Setting: A Systematic Review and Meta-ethnography Protocol

2020 ◽  
Author(s):  
Hazel M Parker ◽  
Julia Frost ◽  
Nicky Britten ◽  
Sophie Robinson ◽  
Karen Mattick
Keyword(s):  
Systematic Review ◽  
Contextual Factors ◽  
Research Question ◽  
Hospital Setting ◽  
Cochrane Library ◽  
Phase Method ◽  
Clear Understanding ◽  
Antimicrobial Prescribing ◽  
Key Concepts ◽  
Prescribing Behaviour

Abstract Background Surgical specialities use extensive amounts of antimicrobials, and misuse has been widely reported, making them a key target for antimicrobial stewardship initiatives. Interventions informed by, and tailored to, a clear understanding of the contextual barriers to appropriate antimicrobial use are more likely to successfully improve practice. However, this approach has been under-utilised. Our aim is to synthesise qualitative studies on surgical antimicrobial prescribing behaviour (APB) in hospital settings to explain how and why contextual factors act and interact to influence APB among surgical teams. We will develop new theory to advance understanding and identify knowledge gaps to inform further research. Methods The meta-ethnography will follow the seven-phase method described by Noblit and Hare. We will conduct a comprehensive search using eight databases (AMED, CINAHL, EMBASE, MEDLINE, MEDLINE-in-process, Web of Science, Cochrane Library and PsycINFO) with no date restrictions; forwards and backwards citation searches; and contacting first authors of relevant papers. Studies will be dual screened and included if they use recognised qualitative methods and analysis; focus on contextual factors associated with surgical APB within hospital settings; are available in full in English; and are relevant to the research question. Any disagreements between reviewers will be resolved through discussion to reach consensus. Included studies will be read repeatedly to illuminate key concepts and the relationship between key concepts across studies. Then, key concepts will be sorted into conceptual categories or ‘piles’ which will be further abstracted to form a conceptual framework explaining surgical APB. During the synthesis, emerging interpretations will be discussed with stakeholders (including authors of included studies where possible; surgical and stewardship practitioners; and patient representatives) to ensure new knowledge is meaningful. Discussion This research has several strengths: (1) the protocol has been written with reference to established guidance maximising rigour and transparency; (2) the multi-disciplinary research team bring varied interpretative repertoires and relevant methodological skills; and (3) stakeholders will be involved to ensure that findings are relevant, and disseminated via suitable channels, to support improved patient care. Systematic review registration The meta-ethnography has been registered with the International Prospective Register of Systematic Reviews (PROSPERO); registration number CRD42020184343.

scholarly journals Development and Pilot of an Interactive Online Course on Antimicrobial Stewardship in Companion Animals

Antibiotics ◽  
2021 ◽  
Vol 10 (5) ◽  
pp. 610
Author(s):  
Nonke E. M. Hopman ◽  
Jaap A. Wagenaar ◽  
Ingeborg M. van Geijlswijk ◽  
Els M. Broens
Keyword(s):  
Antimicrobial Stewardship ◽  
Behavioural Change ◽  
Companion Animals ◽  
Holistic Approach ◽  
Companion Animal ◽  
Online Course ◽  
Pilot Phase ◽  
Face To Face ◽  
Antimicrobial Prescribing ◽  
Prescribing Behaviour

A holistic approach to antimicrobial use (AMU) and prescribing is needed to combat the problem of antimicrobial resistance (AMR). Previously, an antimicrobial stewardship programme (ASP) was developed, introduced, and evaluated in 44 Dutch companion animal clinics, which resulted in an optimization of AMU. As a follow-up to this, an online course was developed to promote awareness of AMU, AMR, and responsible antimicrobial prescribing. The aim of this paper is to describe the development and pilot, including evaluation, of this course, which will be disseminated more widely among Dutch companion animal veterinarians. The interactive programme consists of a major e-learning component and two online, face-to-face meetings. The course comprises five different parts corresponding with five consecutive weeks. Theory on several topics is offered, for example on AMU and AMR in general, Dutch regulations and guidelines on veterinary AMU, behavioural change, and possible methods to quantify AMU. Additionally, several assignments are offered, for example to reflect upon one’s own current antimicrobial prescribing behaviour. Interactive discussion and peer-to-peer learning are promoted. Since September 2020, the course has been offered in a pilot phase, and the feedback is promising. Evaluation of the pilot phase will result in recommendations for further optimization and dissemination.

Sign in / Sign up

Export Citation Format

Share Document