Scottish Antimicrobial Prescribing Group (SAPG): development and impact of the Scottish National Antimicrobial Stewardship Programme

Dilip Nathwani, Jacqueline Sneddon, William Malcolm, Camilla Wiuff, Andrea Patton, Simon Hurding, Anne Eastaway, R Andrew Seaton, Emma Watson, Elizabeth Gillies, Peter Davey, Marion Bennie, Scottish Antimicrobial Prescribing Group

Research output: Contribution to journalArticle

54 Citations (Scopus)

Abstract

In 2008, the Scottish Management of Antimicrobial Resistance Action Plan (ScotMARAP) was published by the Scottish Government. One of the key actions was initiation of the Scottish Antimicrobial Prescribing Group (SAPG), hosted within the Scottish Medicines Consortium, to take forward national implementation of the key recommendations of this action plan. The primary objective of SAPG is to co-ordinate and deliver a national framework or programme of work for antimicrobial stewardship. This programme, led by SAPG, is delivered by NHS National Services Scotland (Health Protection Scotland and Information Services Division), NHS Quality Improvement Scotland, and NHS National Education Scotland as well as NHS board Antimicrobial Management Teams. Between 2008 and 2010, SAPG has achieved a number of early successes, which are the subject of this review: (i) through measures to optimise prescribing in hospital and primary care, combined with infection prevention measures, SAPG has contributed significantly to reducing Clostridium difficile infection rates in Scotland; (ii) there has been engagement of all key stakeholders at local and national levels to ensure an integrated approach to antimicrobial stewardship within the wider healthcare-associated infection agenda; (iii) development and implementation of data management systems to support quality improvement; (iv) development of training materials on antimicrobial stewardship for healthcare professionals; and (v) improving clinical management of infections (e.g. community-acquired pneumonia) through quality improvement methodology. The early successes achieved by SAPG demonstrate that this delivery model is effective and provides the leadership and focus required to implement antimicrobial stewardship to improve antimicrobial prescribing and infection management across NHS Scotland.
LanguageEnglish
Pages16-26
Number of pages11
JournalInternational Journal of Antimicrobial Agents
Volume38
Issue number1
DOIs
Publication statusPublished - Jul 2011

Fingerprint

Scotland
Quality Improvement
Community-Acquired Infections
Clostridium Infections
Information Services
Clostridium difficile
National Health Programs
Cross Infection
Infection
Information Systems
Primary Health Care
Pneumonia
Delivery of Health Care
Education

Keywords

  • antimicrobial agents
  • pharmacology
  • antimicrobial stewardship
  • Clostridium difficile
  • unintended consequences
  • antibiotic prescribing quality indicators
  • Scotland

Cite this

Nathwani, Dilip ; Sneddon, Jacqueline ; Malcolm, William ; Wiuff, Camilla ; Patton, Andrea ; Hurding, Simon ; Eastaway, Anne ; Seaton, R Andrew ; Watson, Emma ; Gillies, Elizabeth ; Davey, Peter ; Bennie, Marion ; Scottish Antimicrobial Prescribing Group. / Scottish Antimicrobial Prescribing Group (SAPG) : development and impact of the Scottish National Antimicrobial Stewardship Programme. In: International Journal of Antimicrobial Agents. 2011 ; Vol. 38, No. 1. pp. 16-26.
@article{69a4cb4d589540438b27269dda81707f,
title = "Scottish Antimicrobial Prescribing Group (SAPG): development and impact of the Scottish National Antimicrobial Stewardship Programme",
abstract = "In 2008, the Scottish Management of Antimicrobial Resistance Action Plan (ScotMARAP) was published by the Scottish Government. One of the key actions was initiation of the Scottish Antimicrobial Prescribing Group (SAPG), hosted within the Scottish Medicines Consortium, to take forward national implementation of the key recommendations of this action plan. The primary objective of SAPG is to co-ordinate and deliver a national framework or programme of work for antimicrobial stewardship. This programme, led by SAPG, is delivered by NHS National Services Scotland (Health Protection Scotland and Information Services Division), NHS Quality Improvement Scotland, and NHS National Education Scotland as well as NHS board Antimicrobial Management Teams. Between 2008 and 2010, SAPG has achieved a number of early successes, which are the subject of this review: (i) through measures to optimise prescribing in hospital and primary care, combined with infection prevention measures, SAPG has contributed significantly to reducing Clostridium difficile infection rates in Scotland; (ii) there has been engagement of all key stakeholders at local and national levels to ensure an integrated approach to antimicrobial stewardship within the wider healthcare-associated infection agenda; (iii) development and implementation of data management systems to support quality improvement; (iv) development of training materials on antimicrobial stewardship for healthcare professionals; and (v) improving clinical management of infections (e.g. community-acquired pneumonia) through quality improvement methodology. The early successes achieved by SAPG demonstrate that this delivery model is effective and provides the leadership and focus required to implement antimicrobial stewardship to improve antimicrobial prescribing and infection management across NHS Scotland.",
keywords = "antimicrobial agents, pharmacology, antimicrobial stewardship, Clostridium difficile, unintended consequences, antibiotic prescribing quality indicators, Scotland",
author = "Dilip Nathwani and Jacqueline Sneddon and William Malcolm and Camilla Wiuff and Andrea Patton and Simon Hurding and Anne Eastaway and Seaton, {R Andrew} and Emma Watson and Elizabeth Gillies and Peter Davey and Marion Bennie and {Scottish Antimicrobial Prescribing Group}",
note = "Copyright {\circledC} 2011 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved.",
year = "2011",
month = "7",
doi = "10.1016/j.ijantimicag.2011.02.005",
language = "English",
volume = "38",
pages = "16--26",
journal = "International Journal of Antimicrobial Agents",
issn = "0924-8579",
number = "1",

}

Nathwani, D, Sneddon, J, Malcolm, W, Wiuff, C, Patton, A, Hurding, S, Eastaway, A, Seaton, RA, Watson, E, Gillies, E, Davey, P, Bennie, M & Scottish Antimicrobial Prescribing Group 2011, 'Scottish Antimicrobial Prescribing Group (SAPG): development and impact of the Scottish National Antimicrobial Stewardship Programme' International Journal of Antimicrobial Agents, vol. 38, no. 1, pp. 16-26. https://doi.org/10.1016/j.ijantimicag.2011.02.005

Scottish Antimicrobial Prescribing Group (SAPG) : development and impact of the Scottish National Antimicrobial Stewardship Programme. / Nathwani, Dilip; Sneddon, Jacqueline; Malcolm, William; Wiuff, Camilla; Patton, Andrea; Hurding, Simon; Eastaway, Anne; Seaton, R Andrew; Watson, Emma; Gillies, Elizabeth; Davey, Peter; Bennie, Marion; Scottish Antimicrobial Prescribing Group.

In: International Journal of Antimicrobial Agents, Vol. 38, No. 1, 07.2011, p. 16-26.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Scottish Antimicrobial Prescribing Group (SAPG)

T2 - International Journal of Antimicrobial Agents

AU - Nathwani, Dilip

AU - Sneddon, Jacqueline

AU - Malcolm, William

AU - Wiuff, Camilla

AU - Patton, Andrea

AU - Hurding, Simon

AU - Eastaway, Anne

AU - Seaton, R Andrew

AU - Watson, Emma

AU - Gillies, Elizabeth

AU - Davey, Peter

AU - Bennie, Marion

AU - Scottish Antimicrobial Prescribing Group

N1 - Copyright © 2011 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved.

PY - 2011/7

Y1 - 2011/7

N2 - In 2008, the Scottish Management of Antimicrobial Resistance Action Plan (ScotMARAP) was published by the Scottish Government. One of the key actions was initiation of the Scottish Antimicrobial Prescribing Group (SAPG), hosted within the Scottish Medicines Consortium, to take forward national implementation of the key recommendations of this action plan. The primary objective of SAPG is to co-ordinate and deliver a national framework or programme of work for antimicrobial stewardship. This programme, led by SAPG, is delivered by NHS National Services Scotland (Health Protection Scotland and Information Services Division), NHS Quality Improvement Scotland, and NHS National Education Scotland as well as NHS board Antimicrobial Management Teams. Between 2008 and 2010, SAPG has achieved a number of early successes, which are the subject of this review: (i) through measures to optimise prescribing in hospital and primary care, combined with infection prevention measures, SAPG has contributed significantly to reducing Clostridium difficile infection rates in Scotland; (ii) there has been engagement of all key stakeholders at local and national levels to ensure an integrated approach to antimicrobial stewardship within the wider healthcare-associated infection agenda; (iii) development and implementation of data management systems to support quality improvement; (iv) development of training materials on antimicrobial stewardship for healthcare professionals; and (v) improving clinical management of infections (e.g. community-acquired pneumonia) through quality improvement methodology. The early successes achieved by SAPG demonstrate that this delivery model is effective and provides the leadership and focus required to implement antimicrobial stewardship to improve antimicrobial prescribing and infection management across NHS Scotland.

AB - In 2008, the Scottish Management of Antimicrobial Resistance Action Plan (ScotMARAP) was published by the Scottish Government. One of the key actions was initiation of the Scottish Antimicrobial Prescribing Group (SAPG), hosted within the Scottish Medicines Consortium, to take forward national implementation of the key recommendations of this action plan. The primary objective of SAPG is to co-ordinate and deliver a national framework or programme of work for antimicrobial stewardship. This programme, led by SAPG, is delivered by NHS National Services Scotland (Health Protection Scotland and Information Services Division), NHS Quality Improvement Scotland, and NHS National Education Scotland as well as NHS board Antimicrobial Management Teams. Between 2008 and 2010, SAPG has achieved a number of early successes, which are the subject of this review: (i) through measures to optimise prescribing in hospital and primary care, combined with infection prevention measures, SAPG has contributed significantly to reducing Clostridium difficile infection rates in Scotland; (ii) there has been engagement of all key stakeholders at local and national levels to ensure an integrated approach to antimicrobial stewardship within the wider healthcare-associated infection agenda; (iii) development and implementation of data management systems to support quality improvement; (iv) development of training materials on antimicrobial stewardship for healthcare professionals; and (v) improving clinical management of infections (e.g. community-acquired pneumonia) through quality improvement methodology. The early successes achieved by SAPG demonstrate that this delivery model is effective and provides the leadership and focus required to implement antimicrobial stewardship to improve antimicrobial prescribing and infection management across NHS Scotland.

KW - antimicrobial agents

KW - pharmacology

KW - antimicrobial stewardship

KW - Clostridium difficile

KW - unintended consequences

KW - antibiotic prescribing quality indicators

KW - Scotland

U2 - 10.1016/j.ijantimicag.2011.02.005

DO - 10.1016/j.ijantimicag.2011.02.005

M3 - Article

VL - 38

SP - 16

EP - 26

JO - International Journal of Antimicrobial Agents

JF - International Journal of Antimicrobial Agents

SN - 0924-8579

IS - 1

ER -