Improving Antimicrobial Stewardship by Promoting Oral Metronidazole In Surgical Patients Where Appropriate

Improving Antimicrobial Stewardship by Promoting Oral Metronidazole In Surgical Patients Where Appropriate

Intravenous (IV) metronidazole is commonly prescribed in the management of intra-abdominal sepsis in hospital. Metronidazole has excellent oral bioavailability (95-100%). In addition to improved stewardship, the oral route provides advantages in terms of reduced patient risk, earlier discharge, reduced staff workload, reduced costs and environmental benefits. The aim of this project was to increase the use of oral metronidazole where appropriate in surgical patients at the Royal Alexandria Hospital by 50% from baseline. A quality improvement approach was used to raise awareness and engagement with the multidisciplinary surgical team. A range of methods were used including prospective audit and feedback, departmental presentations, ward posters, staff champions and recognition awards. Ten months after starting the project oral metronidazole use has increased from a 7% baseline to 51% post change surpassing the original target. This project is ongoing.

Presenters

The programme for Microsystem festival 2022 will be build around the five success factors for high performing clinical microsystems.

Each stream will be devoted to one of the success factors and it will comprise of a key-note, a few presentations of improvement work and cases and an international team work problem- solving challenge facilitated by a coach from Qulturum, Region Jönköping County.

At the festival, you will be given many opportunities to exchange experiences and ideas with people from all over the world. People, who share your passion for microsystems and quality improvement and who come to the festival because they believe in the power of Synergy and the importance of spreading Energy for change.