AMS programs
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I am familiar with the term antimicrobial stewardship (AMS) |
72.9 |
447/613 |
68.9 |
266/386 |
0.1735 |
−1.72% to 9.85% |
AMS programs in my practice will significantly reduce inappropriate use of antimicrobials |
66.8 |
409/612 |
61.7 |
237/384 |
0.1010 |
−0.97% to 11.23% |
AMS programs will reduce health care costs associated with infections |
83 |
508/612 |
70.8 |
273/383 |
< 0.0001 |
6.82% to 17.69% |
Individual efforts at AMS have minimal impact on the problem of antimicrobial resistance |
32.7 |
200/612 |
24.6 |
204/383 |
<0.0065 |
2.29% to 13.66% |
I require adequate training to undertake AMS |
76.5 |
468/612 |
46.4 |
179/385 |
<0.0001 |
23.99% to 35.96% |
Use of AMS strategies
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I use national antimicrobial guidelines when prescribing/dispensing antimicrobials to my patients |
45.5 |
274/602 |
83.2 |
321/385 |
<0.0001 |
32.00% to 42.90% |
I educate my patients or their carers about unintended consequences of antimicrobial use like antimicrobial resistance, impact on gut microbiota etc. |
76.8 |
467/608 |
82.4 |
316/383 |
0.0353 |
0.38% to 10.55% |
I share patient information leaflets about infections when I counsel my patients or carers who require antimicrobials or may have an infection |
24.5 |
149/608 |
20.2 |
78/384 |
0.1162 |
−1.09% to 9.45% |
I use rapid point-of-care tests to guide my clinical decision about whether to prescribe/dispense an antibiotic to the patients with pharyngitis or the flu |
19.1 |
114/596 |
18.4 |
71/382 |
0.7848 |
−4.42% to 5.59% |
Attitudes towards GP–pharmacist collaboration
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Improving AMS in the community will need a policy that supports better collaboration between general practice and pharmacy |
92.4 |
560/606 |
60.9 |
235/381 |
<0.0001 |
26.16% to 36.81% |
Pharmacists with knowledge of antimicrobials and infections should attend regular group meetings of GPs within general practice clinic to discuss antimicrobial pharmacotherapy |
82.5 |
509/605 |
54.9 |
212/381 |
<0.0001 |
21.71% to 33.35% |
GPs should be receptive to pharmacists providing advice about the choice of antimicrobial prescribed |
92.6 |
561/606 |
63 |
195/382 |
<0.0001 |
24.34% to 34.87% |
GPs should be receptive to pharmacists making recommendations in consultation to the doses or formulations of the antimicrobial prescribed |
93.6 |
567/606 |
50.5 |
244/381 |
<0.0001 |
37.63% to 48.37% |
A pharmacist co-located within general practice can help optimise antimicrobial therapy of patients with infections |
79.5 |
482/606 |
39.8 |
154/382 |
<0.0001 |
33.66% to 45.35% |
An electronic prescription exchange technology between GP and pharmacy should be introduced for reviewing the appropriateness of antimicrobial prescriptions |
74.3 |
449/605 |
26.3 |
140/382 |
<0.0001 |
42.11% to 53.32% |
The “My Health Record” could improve communication between GPs and community pharmacists about antimicrobial prescriptions |
67.2 |
416/604 |
30.9 |
119/382 |
<0.0001 |
30.14% to 42.01% |
Future needs to practice AMS
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I would be willing to participate in a program of training focused on AMS |
87.3 |
529/606 |
72 |
278/386 |
<0.0001 |
10.16% to 20.56% |
I support the introduction of standard guidelines to assist in the implementation of AMS programs |
93.6 |
566/605 |
80 |
309/386 |
<0.0001 |
9.28% to 18.19% |
I support a policy that limits accessibility of some antimicrobials in the community |
69.5 |
420/604 |
74.4 |
287/386 |
0.0962 |
−0.88% to 10.47% |
Professional GP/pharmacy organisations should define my roles and responsibilities regarding AMS activities |
74.6 |
449/602 |
39.9 |
153/382 |
<0.0001 |
28.53% to 40.52% |
I support the involvement of a specialist physician and a pharmacist providing individualised antimicrobial prescribing advice and feedback to GPs |
86.5 |
523/604 |
46.1 |
178/386 |
<0.0001 |
34.60% to 45.90% |