Purpose
The Expert Roundtable was convened to introduce the Commission’s proposal on the hospital-level cumulative antibiogram, and to understand current approaches to monitoring antimicrobial resistance
Cumulative Antibiogram Expert Roundtable Agenda 11 December 2012 (PDF 40KB)
Presentations
2. Site Presentation Hunter New England Local Health District, Dr Patrick Harris (PDF 1MB)
4. Site Presentation South Australia Department of Health, Dr Morgyn Warner (PDF 670kb)
5. Sullivan Nicolaides Pathology, Dr Jenny Robson (PDF 613KB)
Outcomes
It was agreed that 6-7 members from the expert roundtable would volunteer to be on the working group to help draft the national standard hospital-level cumulative antibiogram ‘straw man’. The tasks for the working group are:
- To draft a standard format for a minimum hospital level cumulative antibiogram for bacteria, suitable for a hospital which does not currently produce such a document.
- The draft standard format should be:
- Appropriate for use by a hospital’s antimicrobial stewardship team to determine antibiotic policy for that hospital. It is not intended to provide it to a wider audience.
- Consistent with the CLSI guidelines.
- Consist of data from all wards of the hospital, including out patients & emergency.
- It should provide a list of bacteria and a list of antimicrobials to be reported for each.
- For hospitals with small numbers of isolates, the draft standard should provide rules for accumulating numbers e.g. by reporting by genus rather than species.
- If a bacterial species/genus’ susceptibility is tested against certain antibiotics only if it is resistant to first-line antibiotics, then it should be clear what number of isolates were tested against these antibiotics.
- The format will include standardised advice on commentary, which will be an intrinsic component of the antibiogram. The commentary may include colour coding or symbols.
- Results must be stratified by patient age groups.