Implementation of the "Do Bugs Need Drugs?" programme in British Columbia, Canada

Abstract number: P1125

Blondel-Hill E.M., Dreher K., Patrick D., Carson M.

Objective: To implement a province-wide program for wise use of antibiotics in British Columbia (BC), Canada (population 4.3 million).

Methods: Educational resources for healthcare providers, the public and children were adopted directly or adapted from the Do Bugs Need Drugs? (DBND) program, which originated in 1998 in the adjacent province of Alberta. DBND key messages promote: 1) handwashing prevents infections, 2) bacteria and viruses are different, and 3) use antibiotics wisely.

In 2004, based on the success of DBND in Alberta, the British Columbia Ministry of Health provided $1.4 million to implement the program in BC. A program coordinator and assistant were hired. A steering committee with representatives from all health regions was organised as was a DBND working group. An extensive training program was developed with nursing students to teach Grade 2 (7–8 year olds) and daycare children. A 20 page parent guide was distributed to all public health units. A mail out of print materials and an antimicrobial reference guide was distributed to all physicians, dentists and pharmacists in the province. A provincial media campaign included advertisements on television, in movie theatres, parent magazine, and public transportation stations, buses and trains. Collaborations were established to follow prescribing rates and resistance patterns over time. An initiative with a food/pharmacy chain has been established for pharmacy personnel to deliver the program in communities throughout the province.

Results: Since 2004, educational materials have been distributed to 8665 physicians, 1078 trainees, 3795 pharmacists and 2865 dentists. Continuing education sessions have been provided to 863 physicians, 175 pharmacists, 210 infection control practitioners, 400 nurses and 520 nursing students. The Grade 2 program has targeted 12,950 children (>40% of Grade 2 children in Vancouver) and the daycare program has targeted 3384 children, 441 care providers and 39 childhood education students. The televison advertisement has reached 75–85% of the target audience (females aged 25–54) an average of 6–12 times over a 4 week period.

Conclusions: Recognising that health promotion campaigns have a significant delay between education and outcomes (in this case, reduced rates of antibiotic resistance), the BC government has committed an additional $2 million over the next three years.

Session Details

Date: 19/04/2008
Time: 00:00-00:00
Session name: 18th European Congress of Clinical Microbiology and Infectious Diseases
Location: Barcelona, Spain
Presentation type:
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