Ottawa charter applied to AMR
Build personal skills
: community and prescriber awareness around appropriate prescribing and harms from inappropriate use, provide feedback to prescribers on their Abx use.
Create supportive environments
: improve awareness and understanding of AMR, its implications and processes to combat it, strengthen international partnerships and collaborations, establish clear governance arrangements.
Strengthen community action
Build health public policy
: nationally coordinated One Health Surveillance of AMR and Abx use, agree on a national research agenda and promote investment in discovery and development of new products.
Reorientate health services
: improve data collection around Abx use and resistance, implement effective Antimicrobial stewardship practices, improve infection prevention and control measures in human and animal care settings
What is AMS (Antimicrobial Stewardship)
Approach to addressing and improving antimicrobial use, reduce adverse outcomes in an organised fashion
AMS is a hospital accreditation requirement, outlinined by the National Safety and Quality Health Service
Microbiology reporting should align with TG
Clinical guidelines should align with therapeutic guidelines
formulatory restriction and approval systems for broad-spectrum, later generation Abx
Reviewing and feeding back to prescribers
Auditing Abx use against indicators
AURA: Antibiotics Usage and resistance Australia coordinate multiple data sources
Brings together data from NAPS (National Antimicrobial Prescribing Survey in hospitals and aged care), PBS, NPS Medicine Wise, NNDSS, National Neisseria Network
GP strategies proposed in recent MJA article
Strategies: Australian Antimicrobial Resistance Strategy 2015-19