ArticlePeerJ2020
Antimicrobial stewardship in remote primary healthcare across northern Australia.
Article in PeerJ, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Antimicrobial resistance in the Northern Territory, Australia: insights from a systems thinking approach to human health.One health outlook · 2026Article
- Review
- Antimicrobial stewardship from a One Health perspective.Nature reviews. Microbiology · 2026Review
- A Six-Step Protocol for Monitoring Antimicrobial Resistance Trends Using WHONET and R: Real-World Application and R Code Integration.Methods and protocols · 2025Article
- Repurposing antibiotic resistance surveillance data to support treatment of recurrent infections in a remote setting.Scientific reports · 2024Article
- Responding to the AMR threat: data and information needs of stakeholders working in regional and remote Australia.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024Article
- Automated extraction of standardized antibiotic resistance and prescription data from laboratory information systems and electronic health records: a narrative review.Frontiers in antibiotics · 2024Review
- Disease burden, associated mortality and economic impact of antimicrobial resistant infections in Australia.The Lancet regional health. Western Pacific · 2022Article
- A Novel GPPAS Model: Guiding the Implementation of Antimicrobial Stewardship in Primary Care Utilising Collaboration between General Practitioners and Community Pharmacists.Antibiotics (Basel, Switzerland) · 2022Article
- Evaluating the dose, indication and agreement with guidelines of antimicrobial use in companion animal practice with natural language processing.JAC-antimicrobial resistance · 2022Article
- Strengths-Based Nursing to Combat Common Infectious Diseases in Indigenous Australians.Nursing reports (Pavia, Italy) · 2022Article
- Antimicrobial stewardship in Australia: the role of qualitative research in programme development.JAC-antimicrobial resistance · 2021Review
- Antibiotic resistance in uropathogens across northern Australia 2007-20 and impact on treatment guidelines.JAC-antimicrobial resistance · 2021Article
- Antimicrobial stewardship in rural and remote primary health care: a narrative review.Antimicrobial resistance and infection control · 2021Review
- Article
- Divergent and Convergent Attitudes and Views of General Practitioners and Community Pharmacists to Collaboratively Implement Antimicrobial Stewardship Programs in Australia: A Nationwide Study.Antibiotics (Basel, Switzerland) · 2021Article
Corrections and comments
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe high burden of infectious disease and associated antimicrobial use likely contribute to the emergence of antimicrobial resistance in remote Australian Aboriginal communities. We aimed to develop and apply context-specific tools to audit antimicrobial use in the remote primary healthcare setting.
methodsWe adapted the General Practice version of the National Antimicrobial Prescribing Survey (GP NAPS) tool to audit antimicrobial use over 2-3 weeks in 15 remote primary healthcare clinics across the Kimberley region of Western Australia (03/2018-06/2018), Top End of the Northern Territory (08/2017-09/2017) and far north Queensland (05/2018-06/2018). At each clinic we reviewed consecutive clinic presentations until 30 presentations where antimicrobials had been used were included in the audit. Data recorded included the antimicrobials used, indications and treating health professional. We assessed the appropriateness of antimicrobial use and functionality of the tool.
resultsWe audited the use of 668 antimicrobials. Skin and soft tissue infections were the dominant treatment indications (WA: 35%; NT: 29%; QLD: 40%). Compared with other settings in Australia, narrow spectrum antimicrobials like benzathine benzylpenicillin were commonly given and the appropriateness of use was high (WA: 91%; NT: 82%; QLD: 65%). While the audit was informative, non-integration with practice software made the process manually intensive.
conclusionsPatterns of antimicrobial use in remote primary care are different from other settings in Australia. The adapted GP NAPS tool functioned well in this pilot study and has the potential for integration into clinical care. Regular stewardship audits would be facilitated by improved data extraction systems.
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