Antimicrobial Resistance (2013)

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Antimicrobial Resistance (2013) In the second half of 2013, the NIHR issued a call for research into the evaluation of public health measures, health care interventions and health services to reduce the development and spread of antimicrobial resistance and consequent morbidity. This call for research was part of a coordinated response by the NIHR to the publication of the 2nd volume of the 2011 Annual Report of the Chief Medical Officer: Infections and the rise of antimicrobial resistance. It also supports the Department of Health-led UK Antimicrobial Resistance Strategy which sets out how the challenges outlined in the report will be met. This call was intended to cover all aspects of translational, clinical and public health research that could through new developments or changes in practice, contribute to a reduction in the development and spread in humans of organisms with antimicrobial resistance, and infection. Research may encompass better prevention, improved surveillance and monitoring and diagnosis as well as the more effective use of existing antibiotics, improved education and training and the development of new antimicrobial therapies and better treatment strategies. Status: Closed Date opened: 15 July 2013 Date closed: December 2013 The following NIHR managed research programmes participated: Efficacy and Mechanism Evaluation (EME) Health Services and Delivery Research (HS&DR) Health Technology Assessment (HTA) Invention for Innovation () Programme Grants for Applied Research (PGfAR) Public Health Research (PHR) Research for Patient Benefit (RfPB) NIHR Fellowships

Funding Outcomes Research Programme NIHR reference Application Title Lead Applicant EME 13/95/10 HTA 13/88/10 HTA 13/88/11 HTA 13/88/13 HTA 13/88/21 HTA 12/33/12 Probiotic to Reduce Infections in Care Home Service Users (PRINCESS) Electronically delivered, multi-component interventions to reduce unnecessary antibiotic prescribing in primary care. A cluster randomised trial using electronic health records (ecrt2) Efficacy, safety and impact on antimicrobial resistance of duration and dose of antibiotic treatment for children with Community-Acquired Pneumonia (CAP): a randomised controlled Trial - CAP-IT Children s local anaesthetic drops to reduce ear pain and antibiotic use in acute otitis media: the CEDAR randomised controlled trial ALternatives To prophylactic Antibiotics for the treatment of Recurrent urinary tract infections in women (ALTAR study) General Practitioner (GP) use of a C-Reactive Protein (CRP) Point of Care Test (POCT) to help target antibiotic prescribing to patients with Acute Exacerbations of Chronic Obstructive Pulmonary Disease (AECOPD) who are most likely to benefit (The PACE Study) Chris Butler, Oxford Martin Gulliford, Kings College London Mike Sharland, UCL Alastair Hay, Bristol NHS CCG Chris Harding, Newcastle Chris Butler, Cardiff University

HTA 13/82/04 Accuracy of a rapid intrapartum test for maternal group B streptococcal colonisation and its potential to reduce antibiotic usage in mothers with risk factors (GBS2) Khan Khalid, QMUL 20007 Characterisation, commercialisation and clinical studies of a longterm antimicrobial urinary catheter Roger Bayston Nottingham 20008 Enhanced, Personalized and Integrated Care for Infection Management at Point of Care (EPIC IMPOC) Alison Holmes Imperial College London 20009 Breath Analysis in Intensive Care: Proof of Concept for Non- Invasive Diagnosis of Ventilator Associated Pneumonia Stephen Fowler Manchester 20010 A Single Tube Point-Of-Care Test for detection of Carbapenemase Producing Organisms Enigma Diagnostics Limited II-LB-0214-20004 Clinical development and evaluation of advanced prototype for in situ microbial sensing, providing early antimicrobic susceptibility data for organisms colonising chronic wounds Curtis Dobson Manchester II-LB-0214-20005 A Point of Care antimicrobial resistance test for Neisseria Gonorrhoeae and Mycoplasma Genitalium infection. Ensuring accurate therapy and antibiotic stewardship in sexual health medicine Syed Tariq Sadiq St. George's, London Fellowships PDF-2014-07-Improving the management of drug resistant tuberculosis in the 008 UK Helen Stagg, UCL

Fellowships PDF-2014-07- 072 Developing a personalised approach to the treatment of fever with neutropenia (FN) for children and young people with cancer Bob Phillips University of York HS&DR 13/97/12 HS&DR 13/97/24 An evaluation of a multifaceted intervention to reduce antimicrobial prescribing in care home residents [REducing Antimicrobials in Care Homes (REACH)]: a non-randomised feasibility study and process evaluation Interventions to improve antimicrobial prescribing of doctors in training: A realist review Professor Carmel Hughes, Queen's Belfast Geoff Wong, Oxford PGfAR RP-PG-0514-20015 Antibiotic Reduction and Conservation in Hospitals (ARK- Hospital) Professor Tim Peto and Professor Ann Sarah Walker PGfAR RP-PG-0514-20018 INHALE: Potential of Molecular Diagnostics for Hospital- Acquired and Ventilator-Associated Pneumonia in UK Critical Care Vanya Gant and David Livermore, UEA RfPB PB-PG-1013-32017 Prevention of Recurrent Symptomatic Urinary Tract Infections in Patients with Chronic Neurogenic Bladder Dysfunction: A Mixed Method Study (The PReSuTINeB Study) Joost van Middendorp, Buckinghamshire Healthcare NHS Trust RfPB PB-PG-1013-32031 Minimising the risks of emergence of antibiotic resistance during therapy by precise regimen individualisation and use of combination therapy (MINIRES) Alasdair MacGowan, North Bristol NHS Trust