There are four ESAC subprojects

Ambulatory Care (AC)

  • Collecting usage data from ambulatory care (primary care in the UK)
  • Where possible, stratifying data by age, gender and indication, and assessing how this information explains differences in antibiotic use in ambulatory care
  • Investigating relationships between national resistance data and the recommendations of national evidence-based clinical guidelines
  • Developing indicators to assess the quality of antibiotic use in ambulatory care
  • Assessment of impact of interventions to alter prescribing in the community

Hospital Care (HC)

  • Developing web-based antibiotic point prevalence (Web-PPS) methodology, and conducting Europe-wide studies
  • Collecting hospital usage data, with some information regarding e.g. the size and type of institution to facilitate comparisons
  • Developing indicators to assess the quality of antibiotic use in hospitals

Nursing Homes (NH)

  • Using Web-PPS methodology to evaluate antimicrobial prescribing in nursing homes
  • Evaluating the factors influencing antimicrobial use at institutional and individual levels e.g. level of care required, relative availability of antibiotics etc

Socio-economic determinants (EC)

  • Investigating socio-economic, demographic and organisational determinants of antimicrobial consumption e.g. relationships between antimicrobial use and local burden of disease, public knowledge about antibiotics, or differences in health care systems (e.g. non-prescription availability of antimicrobials).

Further information can be obtained from the UK Coordinator, Hayley Wickens

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