Austin Health
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"Globalise the evidence, localise the decision."
John Eisenberg


Antimicrobial use & resistance – 1st Australian report

Antimicrobial Use and Resistance in Australia (AURA) 2016 contains valuable data on antimicrobial use in the community, hospitals and residential aged care facilities; key emerging issues for antimicrobial resistance; and a comparison of Australia's situation with other countries. Key findings from the report include:

  • On any given day in an Australian hospital in 2014, 38.4% of patients were being administered an antimicrobial. Of these, 24.3% were noncompliant with guidelines, and 23% were considered inappropriate.
  • In 2014, 40.2% of surgical prophylaxis was inappropriate, mainly because of incorrect duration 39.7%; incorrect dose or frequency 15.7%; or lack of documenting the reason 22.9%.

Source: AURA 2016 First Australian Report on Antimicrobial use and resistance in human health, ACSQHC

Further reading:
Clinical and economic outcomes from the implementation of hospital-based antimicrobial stewardship programs: a systematic review and meta-analysis

The results of this review, which examined 26 studies, suggest that hospital antimicrobial stewardship programs may reduce the use of these agents by almost 20%, and in the ICU setting as much as 40%.

Source: Antimicrobial Agents and Chemotherapy 2016; online first 31 May
Full text available for Austin and MHW Heidelberg staff via document delivery

Related to NSQHS Standard 3

Microbial resistance

Aboriginal & Torres Strait Islander perinatal health

The June issue of ANZJOG presents research papers 'closing the gap' in Aboriginal & Torres Strait Islander women's perinatal health: "from a public health intervention to improve folate intake and decrease neural tube defects; to epidemiology, one paper describing outcomes for mothers and babies in an urban setting in Melbourne, and another reporting trends over time in Western Australia; the final article examines the role of autopsy as a means to improve identification of causes of stillbirth in Aboriginal women."

Source: ANZJOG 2016; 56(3) Special issue


Bedside handover – patient’s perceptions

Recent nursing research indicates that the frequency of bedside handover has a significant effect on a patient's perceptions of the care they receive. Patients who received bedside handover reported significantly higher levels of satisfaction, understanding, safety and participation in care. Alternatively patients not receiving regular bedside handover reported they felt "less safe" and they "perceived" that there were more errors in the information being passed on to the new care provider.

Source: Journal of Nursing Care Quality 2016; online first: 6 June


Haematological cancers: improving outcomes

"This guideline covers integrated diagnostic reporting for diagnosing haematological cancer in adults, young people and children. It also covers staffing, facilities (levels of care) and multidisciplinary teams needed for adults and young people. It aims to improve care for people with suspected or diagnosed cancer by promoting best practice on the organisation of haematological cancer services."

Source: NICE guideline NG47; May 2016


Weight gain prevention – 2 novel approaches

Researchers examined two novel interventions for weight gain prevention, compared with a control group, on the magnitude of weight change across three years. The self-regulation interventions selected involved either small daily behaviour changes or larger initial behaviour changes. The trial concluded that self-regulation with either large or small changes both reduced weight gain relative to a control group, however the large-changes intervention was more effective.

Source: JAMA Internal Medicine 2016; 176(6): 755-62. 


AIHW spotlight

The Australian Institute of Health and Welfare have released several new web updates and reports which are of relevance to Austin Health and the Mercy Hospital for Women.

Nursing and midwifery
The total number of nurses and midwives registered in Australia increased from 2011 to 2015 by 8.9%. There were more employed nurses and midwives in the 50-54 year age group than any other age group.
View web report: Nursing and midwifery workforce

Chronic kidney disease
Chronic kidney disease is a common and serious problem that places a large burden on the Australian healthcare system. It is associated with other chronic diseases, including diabetes and cardiovascular disease, and is a significant contributor to mortality in Australia.
View web report: Chronic Kidney Disease

Back problems, associated comorbidities and risk factors
This report found that 2 out of 3 Australians with back problems have at least one other chronic condition, with arthritis being the most common comorbidity (31.4%). This was followed by cardiovascular disease (30.9%) and mental health problems (29.8%). Risk factors associated with back problems are: smoking, physical inactivity, and overweight and obesity.
View web report:
Back problems, associated comorbidities and risk factors

Asthma & COPD
These snapshots provide the latest information about asthma and COPD in Australia including prevalence, treatment, cost, management, and quality of life.
View web report: Asthma         View web report: COPD


Austin Health Research Online - recent submissions

The role of the gut microbiota in NAFLD. Leung C, Rivera L, Furness JB, Angus PW. Nature Reviews Gastroenterology & Hepatology 2016; online first: 8 June
Full text available for Austin & MHW Heidelberg staff via document delivery

Thoracic Society of Australia and New Zealand oxygen guidelines for acute oxygen use in adults: 'swimming between the flags'. Beasley R, Chien J, Douglas J, Eastlake L, Farah C, King G, Moore R, Pilcher J, Richards M, Smith S, Walters H. Respirology 2015; 20(8): 1182-1191

Changes in intravenous fluid use patterns in Australia and New Zealand: evidence of research translating into practice. Glassford NJ,French CJ, Bailey M, Mârtensson J, Eastwood GM, Bellomo R. Critical Care and Resuscitation 2016; 18(2): 88
Full text available for Austin & MHW Heidelberg staff via document delivery

Polypharmacy and medication regimen complexity as factors associated with staff informant rated quality of life in residents of aged care facilities: a cross-sectional study. Lalic S, Jamsen KM, Wimmer BC, Tan EC, Hilmer SN, Robson L, Emery T, Bell JS. European Journal of Clinical Pharmacology 2016; 2 June

Plasma apolipoprotein J as a potential biomarker for Alzheimer's disease: Australian Imaging, Biomarkers and Lifestyle study of aging. Gupta VB, Doecke JD, Hone E, Pedrini S, Laws SM, Thambisetty M, Bush AI, Rowe CC, Villemagne VL, Ames D, Masters CL, Macaulay SL, Rembach A, Rainey-Smith SR, Martins RN, AIBL Research Group. Alzheimer's & Dementia (Amst) 2016; 3: 18-26

See more at AHRO, Austin Health Research Online


eBooks spotlight

New books on display

Radiation oncology : rationale, technique, results / edited by James D Cox and K. Kian Ang - 9th ed. Mosby Elsevier, 2010.
"This new edition covers the most recent indications and techniques in the field, including new developments in proton therapy and intensity-modulated radiotherapy.  For the first time it features full colour images throughout the text to match those that you see in practice, and uses new colour-coded treatment plans to make targets, structures, and doses easier to read at a glance."

Rich's vascular trauma / edited by Todd E Rasmussen, Nigel R.M. Tai - 3rd ed. Elsevier, 2016.
"The book provides a comprehensive and up-to-date coverage of the management of vascular injury.  Anatomic patterns of vascular trauma including extremity, torso and cervical injury are reviewed in detail, including the latest techniques to manage non-compressible torso-haemorrhage."


Advances in treatment of bipolar disorders / edited by Terence A. Ketter - American Psychiatric Association, 2015.
"This book is clinically highly relevant, recommended not only for those whose main interest is bipolar disorder but also to all behavioural care providers, including general psychiatrists, psychiatric nurse practitioners, and primary care physicians."

Therapeutic communication for health care professionals / Carol D. Tamparo, Wilburta Q. Lindh - 4th ed. Cengage Learning, 2016.
"Effective communication can ease patient anxiety, increase compliance, and enhance health care interactions for all, especially when dealing with life-altering illness, death and dying, depression, substance abuse, and other situations where patients behaviours can be unpredictable. Each chapter, explores both the good and the bad responses caregivers have to stressful scenarios, as well as techniques for improvement. This book can prepare you with the soft skills you need to think critically on your feet and help patients cope."


Journals spotlight

These links provide access to the current table of contents:

Advances in Neonatal Care

American Journal of Preventive Medicine

Antimicrobial Resistance and Infection Control

Arthritis Care and Research

Australian & New Zealand Continence Journal

Australian Nursing & Midwifery Journal

Current Bladder Dysfunction Reports

International Journal of Antimicrobial Agents

Journal of Adolescent Health

Journal of Wound, Ostomy and Continence Nursing


Seminars in Nephrology

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