Central Coast Local Health District (CCLHD)
Antimicrobial resistance has been recognised as one of the
greatest threats to human health. In September 2016 global
leaders met in the United Nations General Assembly to commit
to united action.
With this project we set out to improve prescribing across the
Central Coast Local Health District, to reduce patient harm and
preserve antibiotics. We implemented a number of programs,
including the requirement for approval of protected antimicrobial
agents, the development of guidelines, antimicrobial stewardship
ward rounds and education sessions.
Since implementation of the antimicrobial stewardship program
18 months ago, the use of two classes of antibiotics, which
have the highest risk for promoting antimicrobial resistance and
superinfection with Clostridium difficile, has halved. Prescribing
according to national guidelines has improved by 25 per cent.