PHO Rounds: Antimicrobial Stewardship in Primary Care: Audit and Feedback

Antimicrobial resistance is a rising global public health crisis, with an estimated 1.27 million attributable deaths per year worldwide. Overuse and misuse of antibiotics are important modifiable drivers of rising drug-resistant infections. The majority of antibiotics are prescribed by primary care physicians. Peer comparison audit and feedback on antibiotic prescribing is a potentially scalable and effective intervention. Effective audit and feedback incorporates behavioural science principles to drive behaviour change and improve the quality of patient care. This PHO Rounds will review recent evidence on the effectiveness of antibiotic audit and feedback in primary care as well as current and future initiatives to incorporate audit and feedback into antimicrobial resistance action plans locally, nationally and internationally.

Intended audience: Public health physicians; primary care physicians; public health nurses; Public health staff working in antibiotic stewardship; MOHs/AMOHs, Ministry of Health staff working in strategy and planning; public health managers.

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By the end of this session, participants will be able to:

• Identify the important public health threat from antimicrobial resistance (AMR)
• Describe therisks of antibiotic overuse
• Interpret recent data on the effectiveness of antibiotic audit and feedback in primary care
• Discuss the implications for incorporating antibiotic audit and feedback into AMR action plans and antimicrobial stewardship

About the presenter: Dr. Kevin Schwartz

Dr. Kevin Schwartz, MD MSc FRCPC DTM&H, is the division head for infectious diseases at St. Joseph's Health Centre in Toronto and co-medical director for antimicrobial stewardship at Unity Health Toronto. He is an academic infection control and antimicrobial stewardship physician at Public Health Ontario, an assistant professor at the Dalla Lana School of Public Health at the University of Toronto, and an adjunct scientist at ICES. His clinical area of interest is adult and pediatric infectious diseases and tropical medicine. His research interests include vaccine preventable diseases and antimicrobial stewardship with a particular focus on improving community antibiotic use to slow the emergence of drug resistant infections.

Disclaimer

The opinions expressed by speakers and moderators do not necessarily reflect the official policies or views of Public Health Ontario, nor does the mention of trade names, commercial practices, or organizations imply endorsement by Public Health Ontario.

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This event will be recorded. A copy of the recording will be published to PHO’s website to facilitate education and knowledge transfer.

Accreditation

PHO Rounds are approved for continuing medical education from the Royal College of Physicians and Surgeons. PHO Rounds are also approved by Council of Professional Experience for professional development hours (PDHs) for members of the Canadian Institute of Public Health Inspectors (CIPHI). For more information, contact capacitybuilding@oahpp.ca.

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Accessibility

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