Antimicrobial Stewardship within the Digital Setting: A Quality Improvement Study – Interventions and Outcomes within a Digital-First General Practice in the UK

Antimicrobial resistance is a local, national and global health priority. With the emergence of new infections as demonstrated by COVID-19 pandemic, our ability to conserve effectiveness antimicrobials crucial. Public Health England’s (PHE) UK 20-year vision for antimicrobial stewardship states that one key objectives over next 20 years demonstrate optimal use antimicrobials. A digital approach delivery primary care services provides significant advantages regarding accessibility patient satisfaction. This beneficial patients in obtaining medical at point need. However, there are concerns such may provide an opportunity increased inappropriate prescribing. As GP practice with 100,000 registered NHS multi-disciplinary workforce approximately 300 clinicians comprising General Practitioners (GPs), Prescribing Pharmacists (PPs) Advanced Nurse Prescribers (ANPs), it essential appropriate systems processes place support good stewardship. Monitoring prescribing aspect At Babylon, we review antibiotic across private UK. The results from monthly broad-spectrum audits between April 2020 – October showed average rate 76.4%. It was identified further improvements could be made incorporating regular feedback prescribers part interventions used quality improvement study undertaken impact prescriber on antibiotics audit observed within practice.