Best practice guidance for antibiotic audit and feedback interventions in primary care: a modified Delphi study from the Joint Programming Initiative on Antimicrobial resistance: Primary Care Antibiotic Audit and Feedback Network (JPIAMR-PAAN).

Autor: Schwartz KL; Public Health Ontario, 480 University Ave, Ste 300, Toronto, ON, M5G 1V2, Canada. Kevin.Schwartz@oahpp.ca.; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada. Kevin.Schwartz@oahpp.ca.; Unity Health Toronto, Toronto, Canada. Kevin.Schwartz@oahpp.ca., Xu AXT; Public Health Ontario, 480 University Ave, Ste 300, Toronto, ON, M5G 1V2, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Alderson S; Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.; Oaklands Health Centre, Holmfirth, UK., Bjerrum L; Section of General Practice and Research Unit for General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark., Brehaut J; Centre for Practice-Changing Research (CPCR), Ottawa Hospital Research Institute, Ottawa, Canada., Brown BC; Division of Population Health, Health Services Research and Primary Care, School of Health Sciences, University of Manchester, Manchester, UK., Bucher HC; Division of Clinical Epidemiology, University Hospital Basel and University of Basel, Basel, Switzerland., De Sutter A; Department of Public Health and Primary Care, Center for Family Medicine UGent, Ghent University, Ghent, Belgium., Francis N; Primary Care Research Centre, University of Southampton, Southampton, UK., Grimshaw J; Department of Medicine, University of Ottawa, Ottawa, Canada., Gunnarsson R; General Practice/Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.; Research, Education, Development & Innovation, Primary Health Care, Region Västra Götaland, Gothenburg, Sweden.; Centre for Antibiotic Resistance Research (CARe) at University of Gothenburg, Gothenburg, Sweden., Hoye S; Department of General Practice, Antibiotic Centre for Primary Care, Institute of Health and Society, University of Oslo, Oslo, Norway., Ivers N; Women's College Hospital, Toronto, Canada., Lecky DM; Primary Care and Interventions Unit, UK Health Security Agency, Gloucester, England., Lindbæk M; Department of General Practice, Antibiotic Centre for Primary Care, Institute of Health and Society, University of Oslo, Oslo, Norway., Linder JA; Division of General Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Little P; Primary Care Research Centre, University of Southampton, Southampton, England., Michalsen BO; Department of General Practice, Antibiotic Centre for Primary Care, Institute of Health and Society, University of Oslo, Oslo, Norway., O'Connor D; School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia., Pulcini C; APEMAC, Université de Lorraine, Nancy, France.; CHRU-Nancy, Centre regional en antibiotherapie de la region Grand Est AntibioEst, Université de Lorraine, Nancy, France., Sundvall PD; General Practice/Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.; Research, Education, Development & Innovation, Primary Health Care, Region Västra Götaland, Gothenburg, Sweden.; Centre for Antibiotic Resistance Research (CARe) at University of Gothenburg, Gothenburg, Sweden., Lundgren PT; Department of Public Health, Nice University Hospital, Nice, France., Verbakel JY; Department of Public Health and Primary Care, KU Leuven, Louvain, Belgium.; NIHR Community Healthcare Medtech and IVD Cooperative, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK., Verheij TJ; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
Jazyk: angličtina
Zdroj: Antimicrobial resistance and infection control [Antimicrob Resist Infect Control] 2023 Jul 29; Vol. 12 (1), pp. 72. Date of Electronic Publication: 2023 Jul 29.
DOI: 10.1186/s13756-023-01279-z
Abstrakt: Background: Primary care is a critical partner for antimicrobial stewardship efforts given its high human antibiotic usage. Peer comparison audit and feedback (A&F) is often used to reduce inappropriate antibiotic prescribing. The design and implementation of A&F may impact its effectiveness. There are no best practice guidelines for peer comparison A&F in antibiotic prescribing in primary care.
Objective: To develop best practice guidelines for peer comparison A&F for antibiotic prescribing in primary care in high income countries by leveraging international expertise via the Joint Programming Initiative on Antimicrobial Resistance-Primary Care Antibiotic Audit and Feedback Network.
Methods: We used a modified Delphi process to achieve convergence of expert opinions on best practice statements for peer comparison A&F based on existing evidence and theory. Three rounds were performed, each with online surveys and virtual meetings to enable discussion and rating of each best practice statement. A five-point Likert scale was used to rate consensus with a median threshold score of 4 to indicate a consensus statement.
Results: The final set of guidelines include 13 best practice statements in four categories: general considerations (n = 3), selecting feedback recipients (n = 1), data and indicator selection (n = 4), and feedback delivery (n = 5).
Conclusion: We report an expert-derived best practice recommendations for designing and evaluating peer comparison A&F for antibiotic prescribing in primary care. These 13 statements can be used by A&F designers to optimize the impact of their quality improvement interventions, and improve antibiotic prescribing in primary care.
(© 2023. Crown.)
Databáze: MEDLINE
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