TY - JOUR
T1 - Scottish Antimicrobial Prescribing Group (SAPG)
T2 - development and impact of the Scottish National Antimicrobial Stewardship Programme
AU - Nathwani, Dilip
AU - Sneddon, Jacqueline
AU - Malcolm, William
AU - Wiuff, Camilla
AU - Patton, Andrea
AU - Hurding, Simon
AU - Eastaway, Anne
AU - Seaton, R. Andrew
AU - Watson, Emma
AU - Gillies, Elizabeth
AU - Davey, Peter
AU - Bennie, Marion
AU - Scottish Antimicrobial Prescribing
PY - 2011/7
Y1 - 2011/7
N2 - In 2008, the Scottish Management of Antimicrobial Resistance Action Plan (ScotMARAP) was published by the Scottish Government. One of the key actions was initiation of the Scottish Antimicrobial Prescribing Group (SAPG), hosted within the Scottish Medicines Consortium, to take forward national implementation of the key recommendations of this action plan. The primary objective of SAPG is to co-ordinate and deliver a national framework or programme of work for antimicrobial stewardship. This programme, led by SAPG, is delivered by NHS National Services Scotland (Health Protection Scotland and Information Services Division), NHS Quality Improvement Scotland, and NHS National Education Scotland as well as NHS board Antimicrobial Management Teams. Between 2008 and 2010, SAPG has achieved a number of early successes, which are the subject of this review: (i) through measures to optimise prescribing in hospital and primary care, combined with infection prevention measures, SAPG has contributed significantly to reducing Clostridium difficile infection rates in Scotland; (ii) there has been engagement of all key stakeholders at local and national levels to ensure an integrated approach to antimicrobial stewardship within the wider healthcare-associated infection agenda; (iii) development and implementation of data management systems to support quality improvement; (iv) development of training materials on antimicrobial stewardship for healthcare professionals; and (v) improving clinical management of infections (e. g. community-acquired pneumonia) through quality improvement methodology. The early successes achieved by SAPG demonstrate that this delivery model is effective and provides the leadership and focus required to implement antimicrobial stewardship to improve antimicrobial prescribing and infection management across NHS Scotland. (C) 2011 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved.
AB - In 2008, the Scottish Management of Antimicrobial Resistance Action Plan (ScotMARAP) was published by the Scottish Government. One of the key actions was initiation of the Scottish Antimicrobial Prescribing Group (SAPG), hosted within the Scottish Medicines Consortium, to take forward national implementation of the key recommendations of this action plan. The primary objective of SAPG is to co-ordinate and deliver a national framework or programme of work for antimicrobial stewardship. This programme, led by SAPG, is delivered by NHS National Services Scotland (Health Protection Scotland and Information Services Division), NHS Quality Improvement Scotland, and NHS National Education Scotland as well as NHS board Antimicrobial Management Teams. Between 2008 and 2010, SAPG has achieved a number of early successes, which are the subject of this review: (i) through measures to optimise prescribing in hospital and primary care, combined with infection prevention measures, SAPG has contributed significantly to reducing Clostridium difficile infection rates in Scotland; (ii) there has been engagement of all key stakeholders at local and national levels to ensure an integrated approach to antimicrobial stewardship within the wider healthcare-associated infection agenda; (iii) development and implementation of data management systems to support quality improvement; (iv) development of training materials on antimicrobial stewardship for healthcare professionals; and (v) improving clinical management of infections (e. g. community-acquired pneumonia) through quality improvement methodology. The early successes achieved by SAPG demonstrate that this delivery model is effective and provides the leadership and focus required to implement antimicrobial stewardship to improve antimicrobial prescribing and infection management across NHS Scotland. (C) 2011 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved.
KW - Antimicrobial stewardship
KW - Antibiotic prescribing quality indicators
KW - Scotland
KW - Clostridium difficile
KW - Unintended consequences
KW - CLOSTRIDIUM-DIFFICILE INFECTION
KW - PROMOTE QUALITY IMPROVEMENT
KW - ANTIBIOTIC USE
KW - ACCOUNTABILITY MEASURES
KW - HOSPITALIZED-PATIENTS
KW - HYPERVIRULENT STRAIN
KW - CARE
KW - INDICATORS
KW - RESISTANCE
KW - RISK
U2 - 10.1016/j.ijantimicag.2011.02.005
DO - 10.1016/j.ijantimicag.2011.02.005
M3 - Review article
C2 - 21515030
SN - 0924-8579
VL - 38
SP - 16
EP - 26
JO - International Journal of Antimicrobial Agents
JF - International Journal of Antimicrobial Agents
IS - 1
ER -