Rising rates of antimicrobial resistance threaten many medical advances of the past century. The largest modifiable driver of antimicrobial resistance is antibiotic use in the community. A considerable amount of antibiotic prescribing is unnecessary and driven by emotional or habitual behaviours. Existing literature has demonstrated the effectiveness of peer-comparison feedback as an antimicrobial stewardship tool in community settings. An adaptive evidence-informed program is underway in Ontario that utilizes behavioural science theory and existing datasets to optimize antibiotic use in the province and slow the emergence of drug resistant infections. This presentation will discuss research from Public Health Ontario demonstrating regional and inter-physician variability in antibiotic use, as well as evidence-based methods for implementing antimicrobial stewardship in the community.
By the end of this session, participants will be able to:
• Discuss the emergence of antimicrobial resistance and its impact on health care
• Describe ongoing Public Health Ontario research on outpatient antibiotic use variability
• Identify the evidence supporting effective antimicrobial stewardship intervention in the community
Presented by: Dr. Kevin Schwartz
Dr. Schwartz is a paediatrician and infectious disease specialist in Toronto as well as an academic infection control and antimicrobial stewardship physician at Public Health Ontario. 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.
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