{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T19:27:53Z","timestamp":1778873273036,"version":"3.51.4"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Problem<\/jats:title><jats:p>In Australia, inappropriate prescribing of antimicrobials is higher in rural and regional areas than in major city hospitals. Inappropriate prescribing is defined as the prescription of antimicrobial agents that do not adhere to guidelines in terms of type of antimicrobial chosen, dose and\/or duration or are deemed unnecessary. A review of antimicrobial prescribing in a Queensland rural Hospital and Health Service (HHS) identified that respiratory infections were an area for potential improvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>The study was performed in a rural HHS in Queensland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Measures for Improvement<\/jats:title><jats:p>Appropriateness of antimicrobial prescribing for baseline and post\u2010implementation phases of the study was evaluated according to <jats:italic>Therapeutic Guidelines: antibiotic<\/jats:italic> recommendations for community acquired pneumonia (CAP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Strategies for Change<\/jats:title><jats:p>Quality improvement strategy to implement a multifaceted package of interventions for CAP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Effects of Change<\/jats:title><jats:p>Post\u2010implementation, overall appropriateness of antimicrobial prescribing improved and there was a decrease in duration of antimicrobial therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Lessons Learnt<\/jats:title><jats:p>A quality improvement strategy to implement a multifaceted package of interventions for CAP has shown to be acceptable and effective in improving the antimicrobial prescribing in a rural setting. Our findings highlight the importance of utilising a multifaceted package of interventions which can be tailored to the prescribers and the patients at hand. It is also valuable to engage with local clinicians to promote the optimal management of common infections in the rural setting.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.13116","type":"journal-article","created":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T05:35:16Z","timestamp":1712036116000},"page":"560-568","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Implementation of a quality improvement strategy to optimise the management of community acquired pneumonia in a rural health setting"],"prefix":"10.1111","volume":"32","author":[{"given":"Carrington","family":"Sally","sequence":"first","affiliation":[{"name":"Central West Hospital and Health Service  Longreach Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chau","family":"Gabrielle","sequence":"additional","affiliation":[{"name":"Queensland Statewide Antimicrobial Stewardship Program Queensland Health  Brisbane Queensland Australia"},{"name":"Western Sydney Local Health District  Westmead New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miller Waugh","family":"Sidony","sequence":"additional","affiliation":[{"name":"Central West Hospital and Health Service  Longreach Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Symmons","family":"Christopher","sequence":"additional","affiliation":[{"name":"Central West Hospital and Health Service  Longreach Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Titmarsh","family":"Justin","sequence":"additional","affiliation":[{"name":"Central West Hospital and Health Service  Longreach Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7228-2834","authenticated-orcid":false,"given":"Minyon L.","family":"Avent","sequence":"additional","affiliation":[{"name":"Queensland Statewide Antimicrobial Stewardship Program Queensland Health  Brisbane Queensland Australia"},{"name":"UQ Centre for Clinical Research (UQCCR) The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciy155"},{"key":"e_1_2_12_3_1","volume-title":"Australia's hospitals 2016\u201317 at a glance","author":"Australian Institute of Health and Welfare (AIHW)","year":"2018"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijantimicag.2018.10.009"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1086\/314079"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l236"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(13)60994\u20100"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.4286"},{"key":"e_1_2_12_9_1","unstructured":"Queensland Statewide Antimicrobial Stewardship Program.Central West Hospital & Health Service Syndromic Prescribing Audit. Report.2020."},{"key":"e_1_2_12_10_1","volume-title":"AURA 2023: Fifth Australian report on antimicrobial use and resistance in human health","author":"Australian Commission on Safety and Quality in Health Care","year":"2023"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.4055"},{"key":"e_1_2_12_12_1","unstructured":"Therapeutic guidelines. Antibiotic.Therapeutic Guidelines.2023Available from:http:\/\/online.tg.org.au[Accessed 17 10 2023]."},{"key":"e_1_2_12_13_1","volume-title":"Central west health: health service plan 2020\u20132025","author":"State of Queensland (Queensland Health)","year":"2020"},{"key":"e_1_2_12_14_1","unstructured":"Australian Government Department of Health.Health Workforce Locator.2018Available from:https:\/\/www.health.gov.au\/resources\/apps\u2010and\u2010tools\/health\u2010workforce\u2010locator\/health\u2010workforce\u2010locator"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijantimicag.2021.106346"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2021.0531"},{"key":"e_1_2_12_17_1","volume-title":"AURA 2021: fourth Australian report on antimicrobial use and resistance in human health","author":"Australian Commission on Safety and Quality in Health Care","year":"2021"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.18773\/austprescr.2020.008"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(21)00313\u20105"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(21)00627\u20109"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/0300060518782519"}],"container-title":["Australian Journal of Rural Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajr.13116","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T10:12:35Z","timestamp":1728036755000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajr.13116"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1111\/ajr.13116"],"URL":"https:\/\/doi.org\/10.1111\/ajr.13116","archive":["Portico"],"relation":{},"ISSN":["1038-5282","1440-1584"],"issn-type":[{"value":"1038-5282","type":"print"},{"value":"1440-1584","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4]]},"assertion":[{"value":"2023-10-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}