Aged care homes are recognised nationally and internationally as an important community setting for monitoring antimicrobial resistance and antimicrobial use because of the significant prevalence of infections and colonisation caused by antimicrobial-resistant organisms in residents. High levels of inappropriate antimicrobial prescribing and use in aged care homes are also well documented.
Aged care home residents are susceptible to infections for a variety of reasons, including advanced age, multiple co-morbidities, poor functional status, compromised immune status, and the use of invasive devices such as urinary tract catheters. In addition, there is a close living environment for residents, and they may have frequent contact with potentially colonised or infected staff or other residents. Some aged care home residents may also have multiple and/or prolonged hospitalisations for the same reasons they are susceptible to infections.
The Aged Care National Antimicrobial Prescribing Survey (AC NAPS) is a standardised surveillance tool that can be used to monitor the prevalence of infections and antimicrobial use in aged care homes and multi-purpose services. The Australian Commission on Safety and Quality in Health Care provides funding for AC NAPS for incorporation of data in the AURA Surveillance System. AC NAPS is a collaborative project between the National Centre for Antimicrobial Stewardship (NCAS), the Guidance Group and Victorian Healthcare Associated Infection Surveillance System (VICNISS) Co-ordinating Centre.
All Australian aged care homes and multi-purpose services are eligible to participate in AC NAPS, and participation is mostly voluntary. As of 2017, Victorian State Government operated aged care homes are required to participate in AC NAPS as part of the VICNISS Infection Control Indicator Program.
Participation in AC NAPS supports these facilities to identify areas for improvement in antimicrobial use, preventing infections and helping reduce antimicrobial resistance. Participation also helps improve care for residents and assists the demonstration of compliance with the Australian Aged Care Quality Standards.
The Commission is working with the Department of Health to develop strategies to promote the implementation of antimicrobial stewardship programs in aged care homes through the application of the Antimicrobial Stewardship Clinical Care Standard.
For more information about AC NAPS visit the NAPS website.