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Implementation of antimicrobial stewardship interventions recommended by national toolkits in primary and secondary healthcare sectors in England: TARGET and Start Smart Then Focus

Ashiru-Oredope, D; Budd, EL; Bhattacharya, A; Din, N; McNulty, CAM; Micallef, C; Ladenheim, D; ... Hopkins, S; + view all (2016) Implementation of antimicrobial stewardship interventions recommended by national toolkits in primary and secondary healthcare sectors in England: TARGET and Start Smart Then Focus. Journal of Antimicrobial Chemotherapy , 71 (5) pp. 1408-1414. 10.1093/jac/dkv492. Green open access

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Abstract

Objectives: To assess and compare the implementation of antimicrobial stewardship (AMS) interventions recommended within the national AMS toolkits, TARGET and Start Smart Then Focus, in English primary and secondary healthcare settings in 2014, to determine the prevalence of cross-sector engagement to drive AMS interventions and to propose next steps to improve implementation of AMS. / Methods: Electronic surveys were circulated to all 211 Clinical Commissioning Groups (CCGs; primary sector) and to 146 (out of the 159) Acute Trusts (secondary sector) in England. Response rates were 39% and 68% for the primary and secondary sectors respectively. / Results: The majority of CCGs and Acute Trusts reported reviewing national AMS toolkits formally or informally (60% and 86% respectively). However, only 13% of CCGs and 46% of Acute NHS Trusts had developed an action plan for the implementation of these toolkits. Only 5% of CCGs had antimicrobial pharmacists in post; however the role of specialist antimicrobial pharmacists continued to remain embedded within Acute Trusts with 83% of responding Trusts having an antimicrobial pharmacist at a senior grade. / Conclusions: Review of national AMS toolkits in primary and secondary care is high; however implementation of the toolkits, through the development of action plans to deliver AMS interventions, requires improvement. For the first time, we report the extent of cross-sector and multidisciplinary collaboration to deliver AMS interventions in both primary and secondary care sectors in England. Results highlight that further qualitative and quantitative work is required to explore mutual benefits and promote best practice. Antimicrobial pharmacists remain leaders for implementing AMS interventions across both primary and secondary healthcare sectors.

Type: Article
Title: Implementation of antimicrobial stewardship interventions recommended by national toolkits in primary and secondary healthcare sectors in England: TARGET and Start Smart Then Focus
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/jac/dkv492
Publisher version: http://dx.doi.org/10.1093/jac/dkv492
Language: English
Additional information: This is a pre-copyedited, author-produced PDF of an article accepted for publication in the Journal of Antimicrobial Chemotherapy following peer review. The version of record, Ashiru-Oredope, D; Budd, EL; Bhattacharya, A; Din, N; McNulty, CAM; Micallef, C; Ladenheim, D; (2016) Implementation of antimicrobial stewardship interventions recommended by national toolkits in primary and secondary healthcare sectors in England: TARGET and Start Smart then Focus. Journal of Antimicrobial Chemotherapy, 71 (5) pp. 1408-1414, is available online at: http://dx.doi.org/10.1093/jac/dkv492.
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy > Pharmaceutics
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Infection and Immunity
URI: https://discovery.ucl.ac.uk/id/eprint/1474061
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