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This is a priority project under the Safer Together Program.
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    About the project 

    The Antibiotic Prescribing Excellence in Primary Care (APEX-PC) project aims to increase antibiotic prescribing concordance with evidence-based guidelines (Therapeutic Guidelines) for selected common infections.  This will allow Victorians to receive safe and effective antibiotics.

    Objectives

    • Increase antibiotic prescribing concordance with evidenced based guidelines for selected common infections.  
    • Support the prevention of antibiotic resistance.
    • Improve general practitioners’ review and reflection of prescribing patterns in concordance with Therapeutic Guidelines. 

    Background

    Antibiotic resistance occurs when an antibiotic previously used to treat or prevent a bacterial infection no longer works. 

    This global issue threatens public health by increasing mortality and limiting treatment options.

    By limiting the choice of antibiotic treatment options available, antibiotic resistance can lead to increased treatment times, additional costs, and an increase in potential side effects.

    Solution design

    To deliver the project, we have partnered with:

    Under this partnership, the UoM’s Department of General Practice and Primary Care will deliver an antimicrobial stewardship (AMS) program to recruited general practices.

    AMS involves a range of activities that support the safe and appropriate use of antimicrobials (including antibiotics). APEX PC is based on a pilot in primary care that was undertaken from November 2019 to August 2020. 

    The intervention design is based on an audit and feedback model where participating general practices will have their antibiotic prescribing data for infections commonly presenting in primary care extracted and analysed by UoM over three 3-month audit periods.

    To help prescribers review and improve their prescribing practices, they will receive individualised feedback reports and educational webinars from UoM.

    How to get involved

    The current phase of APEX PC will conclude on 31 December 2025.

    Contact us

    For updates on future phases or opportunities to participate, please contact SCV’s Quality Use of Medicines Improvement Team 

    Email: QUMImprovement@safercare.vic.gov.au.

    Project milestones 

    The APEX PC project is being delivered from June 2024 through to December 2025, with a dedicated evaluation phase extending to 30 June 2026.

    The project includes three planned 3-month audit periods

    ActivityDate
    Audit Period 1July – September 2024
    Audit Period 2January – March 2025
    Audit Period 3July – September 2025

    Participating services

    There are 97 GPs from 31 general practices across Victoria involved in this project.

    Alsalam Medical CentreRobinson Street Medical Centre
    Banksia Medical Centre (Torquay & Newcomb)SIA Medical Croydon
    Campaspe Family PracticeSIA Medical Centre - Moonee Ponds
    Deepdene SurgeryShepparton Medical Centre
    Eleanor ClinicSpring Medical (Daylesford, Kyneton & Trentham).
    Kardinia Health Medical CentreSt Kilda Medical Group
    Kerang Medical ClinicSun Crescent Medical Centre
    Langpark Medical CentreSurfcoast Medical
    Lygon Court Medical ClinicTailored Medical Centre
    Mediscreen ClinicThe Clinic Footscray
    Melville Medical GroupToorak Medical Centre
    Modern Medical BalwynVictoria Harbour Medical Centre
    Murchison Medical ClinicWyndham Health Care
    Ringwood Family Medical CentreYarrawonga Denis Medical Group

    More information

    What health professionals can do – Infographic - Australian Government | Department of Health and Aged Care

    Preventing antibiotic resistance: patient handout - North Western Melbourne Primary Health Network

    Shared decision making – Australian Commission on Safety and Quality in Health Care

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