1 / 52

National Mandate

National Mandate. To decrease antibiotic prescriptions in respiratory tract infections by 25% 1997- Canadian Committee Antibiotic Resistance (CCAR).

jaden
Download Presentation

National Mandate

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. National Mandate To decrease antibiotic prescriptions in respiratory tract infections by 25% 1997- Canadian Committee Antibiotic Resistance (CCAR)

  2. 3 Key Messages Handwashing - most important way to prevent infection Not all bugs are created equal - bacteria and viruses are different Antibiotic resistance is a problem- use antibiotics wisely

  3. Pilot Project Grande Prairie value of educating children value of educating pharmacists 12% • antibiotic prescriptions • antibiotics / capita • use of first line antibiotics

  4. A Community Project for Wise Use of Antibiotics Capital Health Population 1,000,000

  5. Alberta Medical Association University of Alberta Partners Alberta Lung Association Capital Health

  6. Physicians Public Health Health Care Professionals Pharmacists Dentists Nursing Infection Control

  7. Media Campaign Public Education Strategies Website Print Materials Grade 2 Student Program Daycare Centre Program

  8. 9 PRINT RESOURCES Parent Guide Pamphlet Stickers Handwashing signs Activity placemat Project poster

  9. Punjabi Spanish French Translations Persian Arabic Chinese simplified Chinese traditional Vietnamese

  10. Distribution of Print Materials – Healthcare Professionals Pharmacists Dentists Occupational Health Healthcare Professionals Physicians Public Health Infection Control Continuing Care

  11. Distribution of Print Materials - Public Churches Restaurants Public Transport Daycare Centres University of Alberta Public Senior Centres Recreation Centres Businesses Library Schools

  12. Websitewww.dobugsneeddrugs.org • All programs on-line • Translations • Kid’s section with games • Tips of the week • Links • Over 2,000,000 hits per year

  13. Website file use * Introduced March 2003

  14. Children Programs • Daycare Program • Assisted Living Program • Grade Two Program

  15. Daycare Program Target: Daycare children Staff Parents Disseminated by: Pharmacists and public health nurses Nursing students Train the trainer program → Instruction for early childhood education students

  16. DAYCARES Pick - a - bug Bugaloo glove puppet “Prop Box” Bug Toss Game Wash the bugs away Invisible Germs

  17. Assisted Living Program Target: Adults in assisted living Staff Relatives Taught by: Post secondary students High school students Note: New program for 2006

  18. Dark light, gel and powder Bug Bingo Assisted Living Program Large print Crossword Puzzle Word Search

  19. Grade Two Program Target: Grade two children Parents Teachers Taught by: Post secondary students in healthcare fields Public health nurses, pharmacists, physicians Older children in the same school

  20. Development of Grade 2 program Grande Prairie 1998-1999 Pilot project • Handwashing presentation to Grade 2 students • No formal presentation of other key messages • Presented by community and hospital pharmacists, public health nurses • Survey sent home for parents • Prize for classroom returning the most surveys • Print materials • Project poster, stickers “Bugsy Says Wash Your Hands” sign, tattoos

  21. Awareness of Handwashing as a Preventative Measure Comparison of General Public, Grade 2 Parents, and Age-Matched Cohort (P<0.001) 100% 21.8 80% 60 60.5 60% 78.2 40% 40 39.5 20% 0% Pre-Project Public Mid-Project Grade 2 Parents Pre-Project Public < 45 yr (n =979) (n=618) Yes No (n = 408)

  22. Development of Grade 2 Program Capital Health Print materials • Parent guide • Project poster • Program pamphlet • Activity Placemat • “Bugsy Says Wash Your Hands” sign • Stickers • “Tell Germs to Bug Off ” • Bugsy

  23. Development of Grade 2 program Capital Health Grade 2 program • Development of formal presentation for Grade 2 students – 1 hour • Program packaged into easily transported kit

  24. Grade 2 presentation Activity 1 (20 minutes) • Do Bugs Need Drugs? Interactive dialogue with Bugsy hand puppet – (15 min) • Resource book – 5 minutes • “Germs Make Me Sick” Berger,Melvin and Marilyn Hafner: Harper Collins New York 1995

  25. Grade 2 presentation Activities 2/3 (20-25 minutes) • “Bacteria and Viruses are Different” • Four coloured overheads • Handwashing demonstration • fluorescent lotion and black light • Glogerm Company http://www.glogerm.com • “Twinkle Twinkle Little Star”

  26. Grade 2 presentation Activity 4 ( 3 minutes ) • Game with colouring sheets Activity 5 (5 minutes) • Skit • Bugsy in doctor’s office videotape available

  27. Grade 2 presentation Optional Activities (2 minutes) • Poems / Songs • Those Bugs Don’t Need Drugs • Do Bugs Need Drugs? • Wash, Wash, Wash Your Hands

  28. GRADE TWO KIT Book Overheads Bugsy puppet Dark light and gel

  29. When to Wash Hands

  30. How to Wash Hands

  31. Student Education Program Students • Children enrolled in Grade 2 Teachers • Students in healthcare faculties • Interdisciplinary Course – University of Alberta • Grant MacEwan College Nursing Program

  32. Student teaching Inter D 410 course • University students enrolled in health related fields • enrollment 700-900/year Training (3 hours) • Classroom orientation by infectious diseases physician • Small group orientation to Grade 2 teaching kits Teaching • Inter D staff schedules Grade 2 classes for teaching • Teach Grade 2 classes as interdisciplinary team (3 hours) • Program now running for 6 years • 60 Grade 2 classes / year

  33. Student teaching Grant MacEwan College • Partnership with nursing program • enrollment 300 students Training (2-3 hours) • Classroom orientation by pharmacy expert Faculty of Pharmacy –University of Alberta • Small group orientation to Grade 2 teaching kits Teaching • teach grade two students as part of community placement in public health clinics • Scheduling in conjunction with Capital Health Public Health Clinics • Teach in groups of 3-4 • Teach 200 classrooms / year

  34. Student Education Program Endpoints: • Target parents through educational sessions for their children at school • Innovative partnership with post secondary institutions to train future healthcare professionals

  35. Teachers Evaluation of Program 7 question survey post program • 119 teacher responses • 50% responses: 5/5 for all questions Overwhelmingly positive responses/comments

  36. Post secondary students (P <0.01)

  37. The Effect of Hand Hygiene on Illness Rate Among Students in University Residence HallsAJIC 2003;31:364-70 College dorms randomized : Alcohol hand rubs in various locations vs. no alcohol hand rub Alcohol hand rub groups: • 14.8% -39.9% reduction in respiratory illness symptoms • 43% fewer sick days

  38. Daycare Centre Program Funded by grant from Health Innovation Fund –Alberta Health ($220,000) 2001- 2003 • 101 daycares in Edmonton – 40.1% • 65 daycares in Calgary (control) – 41.9%

  39. Daycares Handwashing as a way to prevent the spread of infection. * p=<0.05

  40. Daycares Are colds caused by bacteria or viruses? * p=<0.05

  41. Daycares If you had a cold, would an antibiotic help you get better? * p=<0.05

  42. Daycares Use an antibacterial soap at home? * p=<0.05

  43. Parents p < 0.01 • less likely to expect antibiotics for cold/flu • reduced use of antimicrobial soap

  44. Program expansion 2005 - British Columbia Pharmacare division of government • Grant $1,300,000 for 3 years • Dissemination of Program • Media campaign • Physician / pharmacist education • Distribution of Bugs and Drugs book • Grade 2 program • Coordinated by Public Health • Daycare program • Fall 2006

  45. Program expansion British Columbia Grade 2 program • 150 nursing students • Vancouver Coastal • other regions coming on board • 118 schools • 209 Grade 2 classes • 4218 children

  46. Program expansion British Columbia 2006 - Michael Smith Foundation $98,000 grant for evaluation of program 2007 – start of physician/pharmacist education programs ??funding

  47. Program expansion 2006 - Alberta Alberta Health division of government • Grant $1,000,000 for 2 years • Further dissemination of program • Train the trainer program – pharmacists • Target of 50 pharmacist trainers by end of 2007

  48. Program expansion 2006 - Alberta • Canadian Council Continuing Education in Pharmacy (CCCEP) – 4 continuing education credits • 176 pharmacists attended course 50 trainers • achieved target in 4 months! • commit to 9 hours of teaching in their communities compensated for their time

  49. Program expansion 2006/2007 - Alberta pharmacists • Teach to nursing students → Grade 2 program • Early childhood education students → Daycare program • Nurses in long term care → Assisted Living program

More Related