Let's talk about antibiotics - Shared decision making
PHO is calling on prescribers, nurses, pharmacists and healthcare providers to change the way we talk about antibiotics for common acute respiratory tract infections (ARTI), including bronchitis, pharyngitis, sinusitis and otitis media.
In today’s era of rising antibiotic resistance, it is not
appropriate to routinely use antibiotics “just in case.” In fact, for most
patients with an ARTI, antibiotics pose more harm than good.
Conversations between patients and clinicians about when
NOT to use antibiotics are growing.
In partnership with Choosing Wisely Canada, PHO has developed a series of new resources, entitled "Let's Talk", encouraging clinicians to adopt a shared decision making (SDM) approach when having these conversations.
What is shared decision making?
SDM is a patient-centered conversation focused on the benefits and harms of treatment options and patient expectations, with the ultimate goal of informing a joint decision between the clinician and patient. SDM is an effective means of knowledge translation, where the patient is the expert in their own life situation and preferences, while the clinician in the expert in clinical evidence.1
Why practice shared decision making?
ARTIs are associated with the most inappropriate antibiotic use in primary care.2 Interventions and tools that facilitate SDM have been shown to reduce antibiotic prescribing in primary care without decreasing patient satisfaction or worsening patient health outcomes.3,4 Patients often mistake the effectiveness of antibiotics5,6, while prescribers often overestimate the expectation for antibiotics.7,8,9 SDM helps both parties clearly define the role of antibiotics and align expectations for treatment.
How can the "Let's Talk" resources be used in your practice?
Do you think you need antibiotics? includes 5 questions to encourage patients to understand the benefits and harms of antibiotics, and to discuss what matters most to them with their health care provider.
To improve understanding about the role of antibiotics in viral respiratory illnesses, clinicians can refer to these evidence-based resources to complement their discussions about the benefits and harms of antibiotics:
Do you think you need antibiotics?
Are you interested in learning more? Join us for our November 13 webinar!
Shared decision making and antibiotic use in primary care
During this webinar, Dr. France Légaré will discuss using shared decision making to reduce unnecessary antibiotic use in primary care. She will review barriers and facilitators to implement shared decision making in your practice, and how shared decision making can be used to discuss decisions about antibiotics for patients with an acute respiratory tract infection.
Date: November 13, 2018
Time: 12:00 p.m. - 1:00 p.m.
For more information about antimicrobial stewardship check out these ASP resources.
Explore what organizations around the world are doing for
Antibiotic Awareness Week:
Choosing Wisely: Using Antibiotics
National Collaborating Centre for Infectious
Diseases: Antibiotic Awareness
World Health Organization: World
Antibiotic Awareness Week
US Centers for Disease Control and Prevention: Antibiotic Awareness Week
Australian Commission on Safety and Quality in
Awareness Week (Australia)
European Centre for Disease Control and
Antibiotic Awareness Day
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