This section contains examples of antimicrobial stewardship resources provided by Australian hospitals. It includes committee terms of reference, policies, guidelines and educational materials.

Disclaimer: The Australian Commission on Safety and Quality in Health Care does not warrant the content of the materials in this section. They are provided as examples only. They may contain therapeutic recommendations that are not consistent with the latest version of Therapeutic Guidelines: Antibiotic.

Committee terms of reference

0.1 Antimicrobial Management Program at Southern Health (PDF 25 KB), Southern Health, Victoria

Antimicrobial policy

1.1 Antimicrobial Prescribing Policy (PDF 52 KB), Austin Health, Victoria

1.2 Area Antibiotic Guideline (PDF 932 KB), Hunter New England Health, New South Wales

Restricted antimicrobials policies and forms

2.1 Procedure: Antimicrobial Agents Requiring Infectious Diseases Approval (PDF 122 KB), Children, Youth and Women’s Health Service, South Australia

2.2 Antibiotic Policy (PDF 88 KB), St Vincent’s Hospital, Sydney, New South Wales

2.3 Restricted Antibiotics Declaration Form (PDF 26 KB), Royal Adelaide Hospital, Central North Adelaide Health Service, South Australia

2.4 Restricted Anti-Infective Indications (PDF 113 KB), Hunter New England Health, New South Wales

Prescribing guidelines

Clinical

3.1 Guidelines for the Management of Hospital Acquired Pneumonia (PDF 21 KB), Royal Adelaide Hospital, Central North Adelaide Health Service, South Australia

3.2 Emergency Department: Adult Community Acquired Pneumonia Management (PDF 50 KB), Hunter New England Health, New South Wales

3.3 Clinical Practice Guideline: Adult Pneumonia Guideline (Community and Hospital-acquired) Guidelines for Adults (PDF 245 KB), Hunter New England Health, New South Wales

3.4 Empiric Treatment of Sepsis Syndrome for Patients at Presentation to Hospital (PDF 35 KB), Royal Adelaide Hospital, Central North Adelaide Health Service, South Australia

3.5 Guidelines for the Management of Viral Infections (PDF 19 KB), Royal Adelaide Hospital

Surgical Prophylaxis

3.7 Guidelines for RGH surgical antibiotic prophylaxis in antibiotic naïve patient (PDF 53 KB), Repatriation General Hospital, Daw Park, South Australia

3.8 Surgical Antibiotic Prophylaxis (PDF 112 KB), Hunter New England Health, New South Wales

Guidelines: Pocket versions, other

4.1 Adult Empiric Antibiotic Guidelines (PDF 26 KB) (Pocket version), Austin Health, Melbourne, Victoria

4.2 Conversion from IV to Oral Antibiotics Guidelines (PDF 49 KB) (Pocket version), Royal Perth Hospital, Western Australia

4.3 A quick guide to switch: Antibiotics – IV to oral (PDF 153 KB), Southern Health, Victoria

4.4 Switch! Antibiotics – IV to oral: Guidelines for Ward Pharmacists (Word 3056 KB), Southern Health, Victoria

4.5 Getting to Know Your Penicillins (PDF 184 KB), Frankston Hospital, Victoria

4.6 Don’t Clown Around Education Package (PDF 311 KB),Frankston Hospital, Victoria

Audit tools

5.1 Antibiotic Audit Data form (PDF 43 KB), Western Australia Therapeutic Advisory Group, Western Australia

Communication tools

6.1 ICU antibiotic plan labels (Word 65 KB) (AMS team places in patients notes on AMS round), Hunter New England Health, New South Wales

6.2 Guidance on intensive care antimicrobial liaison, Healthcare Infection Control Special Interest Group

6.3 ISBAR communication tools for structured prescriber feedback. Australian Commission in Safety and Quality in Health Care

1 Antibiotic Expert Group. Therapeutic Guidelines:Antibiotic (Version 14). Therapeutic Guidelines Ltd. 2010. www.tg.org.au

Presentations and Forums

Members of the Antimicrobial Stewardship Advisory Committee have presented on antimicrobial stewardship at a number of forums. Copies of the presentations can be accessed below.
Role of the pharmacist in antimicrobial stewardship. M Duguid November 2009 (PDF 542 KB)

Antimicrobial Stewardship Advisory Committee Update. Celia Cooper February 2010 (PDF 582 KB)

A national approach to antimicrobial stewardship. M Duguid June 2010 (PDF 736 KB)

Antimicrobial Stewardship Forums

2011

On the 7th April 2011, World Health Day, ACSQHC sponsored a second antimicrobial stewardship forum assist jurisdictions and the private hospital sector to develop a strategic approach to implementing antimicrobial stewardship in their hospitals. The forum was attended by representatives of the state and territory health departments, public and private hospital sectors, professional associations, and members of the ACSQHC’s HAI Advisory and Antimicrobial Stewardship Committees

Antimicrobial Stewardship Forum 2011 Morning Session (PDF 1423KB)

Antimicrobial Stewardship Activity in Jurisdictions (PDF 2109 KB)

Antimicrobial Stewardship in Intensive Care Unit (PDF 133 KB)

Margherita Murgo

Antimicrobial Stewardship Regional Tamworth (PDF 147 KB)

Cindy Mortimer

Royal Hobart Hospital Enhance Antimicrobial Stewardship Program (PDF 3860 KB)

Dr Tara Anderson

Antimicrobial Stewardship in Queensland CHRISP (PDF 1105 KB)

Dr Lisa Hall

2008

The first Antimicrobial Stewardship Forum was held by ACSQHC in 2008. The forum was attended by representatives of states and territories, private sector, Australia and New Zealand Intensive Care Society, Royal Australasian College of Physicians, the former Australian Infection Control Association, Therapeutic Advisory Group, Society of Hospital Pharmacists and the Department of Health and Ageing.

Model of an Effective Antibiotic Stewardship Program (PDF 7822 KB)

Ian Gould

Formularies: The Queensland Standard Drug List (SDL) & PAH antimicrobial stewardship system (PDF 1015 KB)
David Looke/Sean Unwin

Royal Perth Hospital Experience (PDF 1172 KB)
Ronan Murray

ICU Liaison (PDF 47 KB)
David Andresen

Antimicrobial Stewardship in a Paediatric setting (PDF 553 KB)
Lucy Holt

Electronic Decision Support (PDF 1451 KB)
Karin Thursky

The key discussion points and outcomes (PDF 99 KB) are available for download.

Related web sites

You can find further information for designing and implementing stewardship programs in the AMS useful links.