March 19, 2019 - The Sinai Health System-University Health Network Antimicrobial Stewardship Program (SHS-UHN ASP), in collaboration with BD (Becton, Dickinson and Company), the National Centre for Antimicrobial Stewardship (NCAS), the Guidance Group, and the Public Health Agency of Canada (PHAC) is undertaking a pilot initiative in Canadian Hospitals to better understand how antimicrobials are prescribed in Canada.
Antimicrobial resistance (AMR) is a serious and growing global health threat. The loss of effective antimicrobials is reducing our ability to protect Canadians from infectious diseases, with profound impacts on our health care system, global trade, agriculture, environment and health sectors. One of the components of an effective AMR response is Antimicrobial Stewardship (AMS). AMS is one of four components of the Pan-Canadian Framework for Action on Antimicrobial Resistance and Antimicrobial Use (AMU). AMS includes coordinated interventions designed to promote, improve, monitor, and evaluate the judicious use of antimicrobials. In Canada, however, we have limited data on antimicrobial prescribing patterns, including indications for use and appropriateness. This information is critical for developing and implementing a range of actions to optimize the use of antimicrobials, both for an individual's health, and to reduce the development of AMR at the population level.
Late last summer 2018, the National Antimicrobial Prescribing Survey (NAPS) initiative recruited approximately 40 Canadian hospitals from provinces across the country. The pilot uses the Australian NAPS to help gain an understanding of how antimicrobials are prescribed in Canada. Beginning with acute care facilities, where the current infrastructure best lends itself to such a survey, this initiative will be a key catalyst to a national response to AMR, specifically as it relates to AMU. We hope successful implementation of this project will lead to opportunities for expansion to all hospitals, and other health care settings (including long-term care, primary care, and veterinary medicine).
The main objectives of the Canadian NAPS Initiative are to:
- Provide a tool to assist hospitals of any size and complexity to audit antimicrobial prescribing and facilitate local quality improvement initiatives
- Provide a national estimate of antimicrobial prescribing behaviour, including:
- prevalence of antimicrobial use
- appropriateness of antimicrobial prescribing
- Assist in identifying targets for antimicrobial stewardship interventions
The National Antimicrobial Prescribing Survey (NAPS) tool was developed in Australia, and has been used since 2011 to audit antimicrobial prescribing practices within Australian health care facilities. This survey tool provides a suite of web-based standardized data collection tools, allowing participating hospitals to audit antimicrobial prescribing within their facility and to receive facility/ward-specific reports, in addition to national benchmarking data. Hospitals have 24/7 access to their own data, which they can export for further analysis.
For further information, or if interested in participating in this initiative, please contact Yoshiko Nakamachi (firstname.lastname@example.org), Sinai Health System-University Health Network Antimicrobial Stewardship Program (SHS-UHN ASP).
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