Optimizing the Usability of Hospital Antibiograms: A Step Towards Efficient Diagnostic Stewardship

In 2018, fifteen Canadians died each day as a direct result of antimicrobial resistance. Trends predict that antimicrobial resistance will kill nearly 400,000 Canadians by 2050. Appropriate prescription of antibiotics is vital to decrease the spread of antibiotic resistance. To prevent and manage bacterial resistance, clinicians must prescribe antibiotics by carefully considering all of the patient and environmental factors. Crucial factors include resistance patterns and susceptibility to pathogens for several antibiotics that are seen within an institution or geographical region. For clinicians to have an overview of the resistance patterns of particular pathogens, Antimicrobial Stewardship Programs Canada have developed clinical decision-making tools-Antibiograms. Studies have supported that antibiogram consultation and their implementation reduces the number of antibiotic prescriptions in clinical institutions. Despite their availability, there is a significant lack of Antibiogram consultation both in hospitals and in primary care. Our study aims to increase the use of antibiograms by first understanding the needs and concerns of the direct users of this tool such as physicians and then to develop a solution that caters to their needs.

Students:

Ayeshah Athar

Kaitlyn Gonsalves

BSc (Hons)

Faculty of Arts and Science and Office of the Faculty of Registrar, University of Toronto, Institute of Medical Science Student Association , Eureka Translational Medicine
Chief Presiding Officer , Professional Masters Program Rep , Summer Student

Capstone Supervisor:

Ms. Edyta Marcon

MSc, PhD, MHSc
Senior Research Associate, Donnelly Centre, University of Toronto
Concept Translator, Lecturer, TRP

Capstone Advisory Committee:

Susan

MD, MPH, FRCPC
Mount Sinai Hospital
Microbiologist

Andrew

MD, SM(Epi), FRCPC
Sinai Health System/University Health Network
Medical Director, Antimicrobial Stewardship Program

Allison

M.D., FRCPC
Mount Sinai Hospital
Microbiologist, Infectious Disease Consultant

Derek

Ottawa Hospital Research Institute
scientist

Linda

University of Toronto
Assistant Professor

Optimizing the Usability of Hospital Antibiograms: A Step Towards Efficient Diagnostic Stewardship

Ayeshah Athar

Kaitlyn Gonsalves

BSc (Hons)

Faculty of Arts and Science and Office of the Faculty of Registrar, University of Toronto, Institute of Medical Science Student Association , Eureka Translational Medicine
Chief Presiding Officer , Professional Masters Program Rep , Summer Student

In 2018, fifteen Canadians died each day as a direct result of antimicrobial resistance. Trends predict that antimicrobial resistance will kill nearly 400,000 Canadians by 2050. Appropriate prescription of antibiotics is vital to decrease the spread of antibiotic resistance. To prevent and manage bacterial resistance, clinicians must prescribe antibiotics by carefully considering all of the patient and environmental factors. Crucial factors include resistance patterns and susceptibility to pathogens for several antibiotics that are seen within an institution or geographical region. For clinicians to have an overview of the resistance patterns of particular pathogens, Antimicrobial Stewardship Programs Canada have developed clinical decision-making tools-Antibiograms. Studies have supported that antibiogram consultation and their implementation reduces the number of antibiotic prescriptions in clinical institutions. Despite their availability, there is a significant lack of Antibiogram consultation both in hospitals and in primary care. Our study aims to increase the use of antibiograms by first understanding the needs and concerns of the direct users of this tool such as physicians and then to develop a solution that caters to their needs.

Capstone Supervisor:

Ms. Edyta Marcon

MSc, PhD, MHSc
Senior Research Associate, Donnelly Centre, University of Toronto
Concept Translator, Lecturer, TRP

Capstone Advisory Committee:

Susan

MD, MPH, FRCPC
Mount Sinai Hospital
Microbiologist

Andrew

MD, SM(Epi), FRCPC
Sinai Health System/University Health Network
Medical Director, Antimicrobial Stewardship Program

Allison

M.D., FRCPC
Mount Sinai Hospital
Microbiologist, Infectious Disease Consultant

Derek

Ottawa Hospital Research Institute
scientist

Linda

University of Toronto
Assistant Professor