Aug 28
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Lyndon Forrest
Overcoming Challenges in Implementing Stewardship Programs
Common Barriers to Successful Implementation
Implementing antimicrobial stewardship programs in aged care facilities can be challenging due to various barriers. These include limited resources, resistance to change among staff, and the complexity of coordinating care across different disciplines. Financial constraints can make it challenging to allocate the necessary personnel or invest in technology that supports stewardship efforts. Additionally, ingrained habits and a need for awareness about the dangers of antibiotic overuse can lead to staff reluctance to fully embrace stewardship initiatives.
To overcome these barriers, engaging leadership in prioritising stewardship, providing ongoing education and training, and ensuring the necessary resources are available is essential. Addressing these challenges head-on can help create an environment where stewardship practices are accepted and championed as a critical aspect of patient care.
To overcome these barriers, engaging leadership in prioritising stewardship, providing ongoing education and training, and ensuring the necessary resources are available is essential. Addressing these challenges head-on can help create an environment where stewardship practices are accepted and championed as a critical aspect of patient care.
How to Address Resistance to Change Among Staff
Resistance to change is a common obstacle when implementing new programs, including antimicrobial stewardship. Staff may be hesitant to adopt new practices due to uncertainty about their effectiveness, concerns about increased workload, or a simple reluctance to alter established routines. Overcoming this resistance requires education, support, and clear communication.
Healthcare leaders should emphasise the long-term benefits of stewardship for patients and staff, such as improved patient outcomes, reduced rates of resistant infections, and more efficient resource use. Training demonstrating how stewardship practices can be integrated into daily workflows without adding undue burden can also help ease the transition. Encouraging open dialogue and addressing concerns directly allows staff to feel heard and involved in the process, making them more likely to embrace the changes.
Healthcare leaders should emphasise the long-term benefits of stewardship for patients and staff, such as improved patient outcomes, reduced rates of resistant infections, and more efficient resource use. Training demonstrating how stewardship practices can be integrated into daily workflows without adding undue burden can also help ease the transition. Encouraging open dialogue and addressing concerns directly allows staff to feel heard and involved in the process, making them more likely to embrace the changes.
Sustaining Long-Term Success in Antimicrobial Stewardship
Antimicrobial stewardship programs must be dynamic and adaptable to be successful in the long term. Continuous monitoring and evaluation are essential to identify areas for improvement and ensure that the program remains effective as new challenges and opportunities arise. This includes regularly reviewing antibiotic prescribing patterns, resistance trends, and patient outcomes and staying current with the latest guidelines and best practices.
Sustaining success also requires ongoing education and engagement with staff, residents, and families. By fostering a culture of stewardship, where responsible antibiotic use is seen as a shared responsibility, aged care facilities can maintain the momentum of their programs and continue to protect the health of their residents for years to come.
Sustaining success also requires ongoing education and engagement with staff, residents, and families. By fostering a culture of stewardship, where responsible antibiotic use is seen as a shared responsibility, aged care facilities can maintain the momentum of their programs and continue to protect the health of their residents for years to come.
Real-World Success Stories and Case Studies
How One Aged Care Facility Reduced Antibiotic Use by 30%
In a notable example of effective stewardship, an aged care facility in Western Sydney reduced antibiotic use by 30% within the first year of implementing an antimicrobial stewardship program. The facility achieved this remarkable reduction by introducing targeted education sessions for staff, utilising decision support tools to guide prescribing practices, and conducting regular audits of antibiotic use.
The program also emphasised the importance of accurate diagnosis, encouraging staff to rely on culture results rather than prescribing antibiotics based on symptoms alone. As a result, the facility decreased antibiotic use and saw a corresponding drop in drug-resistant infections, leading to better overall health outcomes for its residents.
The program also emphasised the importance of accurate diagnosis, encouraging staff to rely on culture results rather than prescribing antibiotics based on symptoms alone. As a result, the facility decreased antibiotic use and saw a corresponding drop in drug-resistant infections, leading to better overall health outcomes for its residents.
Lessons Learned from Successful Stewardship Programs
Successful stewardship programs share several key characteristics that can be lessons for other facilities looking to implement or improve their initiatives. First, strong leadership and commitment from management are crucial in driving the program's success. Explaining the necessary resources and momentum can be easier with explicit support from the top.
Another lesson is the importance of interdisciplinary collaboration. Involving a diverse team of healthcare providers, including doctors, nurses, pharmacists, and infection control specialists, ensures that all perspectives are considered in decision-making. This holistic approach improves the quality of care and fosters a sense of shared responsibility among the team.
Finally, continuous education and adaptation are vital. As the landscape of healthcare and antimicrobial resistance evolves, so must stewardship practices. Facilities that regularly update their protocols, engage in ongoing training, and remain open to new ideas are more likely to achieve lasting success.
Another lesson is the importance of interdisciplinary collaboration. Involving a diverse team of healthcare providers, including doctors, nurses, pharmacists, and infection control specialists, ensures that all perspectives are considered in decision-making. This holistic approach improves the quality of care and fosters a sense of shared responsibility among the team.
Finally, continuous education and adaptation are vital. As the landscape of healthcare and antimicrobial resistance evolves, so must stewardship practices. Facilities that regularly update their protocols, engage in ongoing training, and remain open to new ideas are more likely to achieve lasting success.
Inspiring Stories of Lives Saved Through Stewardship
Behind every successful antimicrobial stewardship program are countless stories of lives saved and improved. One such story involves a resident in an aged care facility who was frequently hospitalised due to recurring urinary tract infections (UTIs). After the facility implemented its stewardship program, the resident's care team began using a more targeted approach to her treatment, focusing on prevention and careful monitoring rather than immediately resorting to antibiotics.
By identifying and addressing the underlying causes of her infections and avoiding unnecessary antibiotic use, the team significantly reduced the frequency of her UTIs. This improved her quality of life and prevented the development of resistant bacteria, which could have posed a severe threat to her health.
By identifying and addressing the underlying causes of her infections and avoiding unnecessary antibiotic use, the team significantly reduced the frequency of her UTIs. This improved her quality of life and prevented the development of resistant bacteria, which could have posed a severe threat to her health.
The Future of Antimicrobial Stewardship in Aged Care
Innovations on the Horizon: What's Next for Stewardship?
As antimicrobial resistance continues to challenge healthcare systems worldwide, the future of stewardship lies in innovation. Advances in diagnostic technology, such as rapid point-of-care testing, are poised to revolutionise how infections are identified and treated, allowing for more precise and timely interventions. These innovations could reduce the reliance on broad-spectrum antibiotics and promote more targeted therapies, further decreasing the risk of resistance.
Additionally, integrating artificial intelligence (AI) and machine learning into healthcare could enhance the ability of stewardship programs to predict and prevent resistance trends. By analysing vast amounts of data, AI could identify emerging resistance patterns and recommend proactive measures to combat them, ensuring that stewardship efforts remain one step ahead of evolving threats.
Additionally, integrating artificial intelligence (AI) and machine learning into healthcare could enhance the ability of stewardship programs to predict and prevent resistance trends. By analysing vast amounts of data, AI could identify emerging resistance patterns and recommend proactive measures to combat them, ensuring that stewardship efforts remain one step ahead of evolving threats.
How Policy Changes Could Strengthen Stewardship Efforts
Policy changes at national and local levels could significantly strengthen antimicrobial stewardship efforts. Governments and healthcare organisations could implement stricter regulations on antibiotic prescribing, mandating stewardship programs in all healthcare settings, including aged care facilities. Financial incentives for facilities that demonstrate effective stewardship practices could also encourage broader adoption of these programs.
Moreover, policies that promote research and development of new antibiotics and alternative treatments would support the long-term sustainability of stewardship efforts. By ensuring a steady pipeline of new therapies, healthcare systems can better manage resistance and continue to provide effective treatments for infections that might otherwise become untreatable.
Moreover, policies that promote research and development of new antibiotics and alternative treatments would support the long-term sustainability of stewardship efforts. By ensuring a steady pipeline of new therapies, healthcare systems can better manage resistance and continue to provide effective treatments for infections that might otherwise become untreatable.
Ensuring That Every Aged Care Facility Adopts Stewardship Programs
Every aged care facility must adopt and implement a comprehensive stewardship program to fully realise the benefits of antimicrobial stewardship. This can be achieved through education, support, and incentives from healthcare authorities. National campaigns that raise awareness about the importance of stewardship, coupled with resources and training for facilities, can help drive widespread adoption.
Furthermore, partnerships between aged care facilities and more extensive healthcare networks or academic institutions can provide the expertise and resources needed to develop and maintain effective stewardship programs. By working together, the healthcare community can ensure that every resident receives the highest standard of care, protected by the principles of antimicrobial stewardship.
Furthermore, partnerships between aged care facilities and more extensive healthcare networks or academic institutions can provide the expertise and resources needed to develop and maintain effective stewardship programs. By working together, the healthcare community can ensure that every resident receives the highest standard of care, protected by the principles of antimicrobial stewardship.
Conclusion
Antimicrobial stewardship programs are not an optional addition to aged care but a critical component of modern healthcare that saves lives daily. By preventing the overuse of antibiotics, reducing the spread of resistant infections, and ensuring that treatments remain effective, these programs play a vital role in protecting the health and well-being of residents.
The time to act is now. Aged care providers have a crucial role to play in the fight against antimicrobial resistance. They must prioritize the implementation and ongoing support of antimicrobial stewardship programs to safeguard the future of healthcare. By embracing stewardship, providers can ensure that they are delivering the best possible care to their residents. The benefits are clear: improved health outcomes, reduced healthcare costs, and preserving life-saving antibiotics for future generations.
The time to act is now. Aged care providers have a crucial role to play in the fight against antimicrobial resistance. They must prioritize the implementation and ongoing support of antimicrobial stewardship programs to safeguard the future of healthcare. By embracing stewardship, providers can ensure that they are delivering the best possible care to their residents. The benefits are clear: improved health outcomes, reduced healthcare costs, and preserving life-saving antibiotics for future generations.
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Lyndon Forrest
Managing Director | CEO
I am a passionate and visionary leader who has been working in the field of infection prevention and control in aged care for almost 30 years. I am one of the co-founders and the current Managing Director and CEO of Bug Control New Zealand and Australia, the premium provider of infection prevention and control services in aged care. I lead a team that is driven by a common purpose: to help aged care leaders and staff protect their residents from infections and create a healthier future for them.
I am building a business that focuses on our clients and solving their problems. We are focused on building a world-class service in aged care. We focus on being better, not bigger, which means anything we do is for our clients.
I am a passionate and visionary leader who has been working in the field of infection prevention and control in aged care for almost 30 years. I am one of the co-founders and the current Managing Director and CEO of Bug Control New Zealand and Australia, the premium provider of infection prevention and control services in aged care. I lead a team that is driven by a common purpose: to help aged care leaders and staff protect their residents from infections and create a healthier future for them.
I am building a business that focuses on our clients and solving their problems. We are focused on building a world-class service in aged care. We focus on being better, not bigger, which means anything we do is for our clients.
Erica Leadley
Manager, Marketing and Sales
Erica Leadley is a dedicated professional with a rich background in agriculture and nutrient management. Growing up on her family's farm in Mid Canterbury, she developed a deep passion for farming. She currently resides on her partner's arable property in South Canterbury.
In 2017, Erica joined the Farm Sustainability team, focusing on nutrient management and environmental stewardship. In February 2024, she became the Manager of Marketing and Sales at Bug Control New Zealand - Infection Prevention Services, where her passion now includes improving infection prevention outcomes.
Outside of work, Erica loves cooking and traveling, often combining her culinary interests with her explorations in Italy and Vietnam. She enjoys entertaining family and friends and remains actively involved in farm activities, especially during harvest season.
Erica Leadley is a dedicated professional with a rich background in agriculture and nutrient management. Growing up on her family's farm in Mid Canterbury, she developed a deep passion for farming. She currently resides on her partner's arable property in South Canterbury.
In 2017, Erica joined the Farm Sustainability team, focusing on nutrient management and environmental stewardship. In February 2024, she became the Manager of Marketing and Sales at Bug Control New Zealand - Infection Prevention Services, where her passion now includes improving infection prevention outcomes.
Outside of work, Erica loves cooking and traveling, often combining her culinary interests with her explorations in Italy and Vietnam. She enjoys entertaining family and friends and remains actively involved in farm activities, especially during harvest season.
Toni Sherriff
Clinical Nurse Specialist
Toni is a Registered Nurse with extensive experience in Infection Prevention and Control. Her career began as a kitchen hand and caregiver in Aged Care facilities, followed by earning a Bachelor of Nursing.
Toni has significant experience, having worked in Brisbane’s Infectious Diseases ward before returning home to New Zealand, where she continued her career as a Clinical Nurse Specialist in Infection Prevention and Control within Te Whatu Ora (Health NZ).
Toni brings her expertise and dedication to our team, which is instrumental in providing top-tier infection prevention solutions to our clients.
Toni is a Registered Nurse with extensive experience in Infection Prevention and Control. Her career began as a kitchen hand and caregiver in Aged Care facilities, followed by earning a Bachelor of Nursing.
Toni has significant experience, having worked in Brisbane’s Infectious Diseases ward before returning home to New Zealand, where she continued her career as a Clinical Nurse Specialist in Infection Prevention and Control within Te Whatu Ora (Health NZ).
Toni brings her expertise and dedication to our team, which is instrumental in providing top-tier infection prevention solutions to our clients.
Julie Hadfield
Accounts & Payroll
Julie is experienced in Accounts & Payroll Administration & after a long career in both the Financial & Local Government Sectors, is now working with our team. Julie brings her strong time management & organisational skills to our team, which is important to keep the company running in the background to enable the rest of our team to provide top notch service to all of our clients.
Julie is experienced in Accounts & Payroll Administration & after a long career in both the Financial & Local Government Sectors, is now working with our team. Julie brings her strong time management & organisational skills to our team, which is important to keep the company running in the background to enable the rest of our team to provide top notch service to all of our clients.
Andrea Murray
Content Editor
I attended Otago University in NZ and graduated as a Dental Surgeon. After 40 years in the profession, I retired in 2022. Infection prevention knowledge was part of everyday practice, dealing with sterilisation, hand hygiene, and cleaning.
Before retiring, I began doing some editing and proofreading for Bug Control as I am interested in the subject and in the English language. During the COVID-19 lockdown, I attended the ACIPC course "Introduction to Infection Prevention and Control", which increased my interest in the subject. I now work part-time as the Content Editor for the company.
I attended Otago University in NZ and graduated as a Dental Surgeon. After 40 years in the profession, I retired in 2022. Infection prevention knowledge was part of everyday practice, dealing with sterilisation, hand hygiene, and cleaning.
Before retiring, I began doing some editing and proofreading for Bug Control as I am interested in the subject and in the English language. During the COVID-19 lockdown, I attended the ACIPC course "Introduction to Infection Prevention and Control", which increased my interest in the subject. I now work part-time as the Content Editor for the company.
Personally, I lived in the UK for 10 years. My two children were born in Scotland, and now both are living in Europe, one in Amsterdam, Netherlands, and the other in Edinburgh, Scotland. I live close to Fairlie on the South Island of NZ, a beautiful part of the country, and I love being out of the city.
Princess
Customer Support
Princess began her career as a dedicated Customer Service Representative, honing her communication and problem-solving skills. She later transitioned into a Literary Specialist role, where she developed a keen eye for detail. Her journey then led her to a Sales Specialist position, where she excelled in client relations.
Now, as a Customer Support professional in Infection Prevention Services. Princess focuses on ensuring customer satisfaction, building loyalty, and enhancing the overall customer journey.
Princess began her career as a dedicated Customer Service Representative, honing her communication and problem-solving skills. She later transitioned into a Literary Specialist role, where she developed a keen eye for detail. Her journey then led her to a Sales Specialist position, where she excelled in client relations.
Now, as a Customer Support professional in Infection Prevention Services. Princess focuses on ensuring customer satisfaction, building loyalty, and enhancing the overall customer journey.
Dianne Newey
Senior Infection Prevention and Control Consultant
With over 35 years of experience as a Registered Nurse, I'm now applying all my experience and skills as a Senior Infection Prevention and Control Consultant with Bug Control Infection Prevention Advisory Services.
This is through IP&C education, IP&C environmental audits and reports, IP&C policy and procedure review and development and consultancy on infection prevention and control issues. When I’m not working, I spend time with my family and in my garden, where I grow all my own veggies.
With over 35 years of experience as a Registered Nurse, I'm now applying all my experience and skills as a Senior Infection Prevention and Control Consultant with Bug Control Infection Prevention Advisory Services.
In my role, I promote Infection Prevention and Control, to RACF's and disability support services.
This is through IP&C education, IP&C environmental audits and reports, IP&C policy and procedure review and development and consultancy on infection prevention and control issues. When I’m not working, I spend time with my family and in my garden, where I grow all my own veggies.
Caoimhe (Keva) Stewart
Manager of Customer Service
Caoimhe is the Manager of Customer Service at Bug Control | Infection Prevention Services, where she ensures that learners have a seamless and supportive experience. With her previous experience as a Registered Nurse in both the UK and Australia, Caoimhe brings a deep understanding of healthcare to her role. Before joining Bug Control IPS Services, she worked in a variety of nursing settings, including Occupational Health, Palliative Care, and Community Nursing, providing her with the ability to empathise with learners and understand the challenges they face.
Caoimhe is the Manager of Customer Service at Bug Control | Infection Prevention Services, where she ensures that learners have a seamless and supportive experience. With her previous experience as a Registered Nurse in both the UK and Australia, Caoimhe brings a deep understanding of healthcare to her role. Before joining Bug Control IPS Services, she worked in a variety of nursing settings, including Occupational Health, Palliative Care, and Community Nursing, providing her with the ability to empathise with learners and understand the challenges they face.
Her move from nursing to customer service was driven by her passion for helping others, not just in clinical settings but also in ensuring that people have access to the resources and support they need. Now, Caoimhe applies her problem-solving skills, attention to detail, and communication expertise to her role, helping to create a positive and effective learning environment for all students.
Outside of work, Caoimhe enjoys travelling, staying active, and catching up with friends on the weekends. Whether in healthcare or customer service, she’s dedicated to making a meaningful difference and supporting people in their personal and professional growth.