Joint Programming Initiative on Antimicrobial Resistance

The JPIAMR Primary Care Antibiotic Audit and Feedback Network (PAAN)

PAAN is an international collaboration on best practices for the delivery of antibiotic prescribing feedback to community clinicians using behavioural science develop best practice tools and resources, and set research priorities, related to the implementation of antibiotic prescribing audit and feedback interventions.

Antibiotic overuse is contributing to rising rates of antimicrobial resistance. Audit and feedback (A&F) can be an effective tool to modify prescribing behavior. Jurisdictions are, or will be, implementing community antibiotic A&F, as part of broader antimicrobial stewardship programs, which will benefit from tools and resources to optimize their effectiveness. New research that builds on existing knowledge to advance the field of A&F is needed. Important questions remain surrounding optimal data for antibiotic A&F, methods to optimize the delivery of that data to clinicians, tools that can facilitate incorporation of data into practice, and how such programs can be effectively sustained over time. We propose assembling an international network of experts from fields of antimicrobial stewardship, primary care, and implementation science. The experts have been selected to bring diversity in expertise, geographical locations, career stages, and genders. The overall objectives of the network are to provide best practice resources on conducting A&F interventions on antibiotic use in primary care, as well as define research priorities to advance this field forward. In addition, we will leverage an existing international network, the A&F MetaLab, to establish a learning community to facilitate longevity and ongoing collaboration and contribution to the JPIAMR-VRI network. We will achieve our objectives through video-conferencing throughout the project cycle with 2-3 multi-day in-person meetings over two years. However, due to the current COVID-19 pandemic we will build in a virtual contingency plan. A modified Delphi method will be used. Outputs from this network will include a systematic review, best practice resources and tool-kits, and a paper outlining research priorities. These will be organized into publishable peer-reviewed manuscripts as part of a broader dissemination and knowledge translation plan that leverages existing stakeholder networks.

Network partners

  • Kevin Schwartz, Coordinator, University of Toronto, Canada
  • Noah Ivers,  Women’s College Hospital, Canada
  • Morten Lindbaek,  Antibiotic centre for primary care, University of Oslo, Norway
  • Benjamin Brown, The University of Mancehster, UK
  • Carl Llor, IDIAP Jordi Gol and Gurina Foundation, Spain
  • Celine Pulcini, Lorraine University and Nancy University Hospital, France
  • Christopher Butler, Nuffield Department of Primary Health Care Sciences, University of Oxford, UK
  • Craig Ramsay, Health Services Research Unit, University of Aberdeen, Scotland, UK
  • Denise O’Connor, Monash University, Australia
  • Eilidh Duncan, Health Services Research Unit, University of Aberdeen, UK
  • Fabiana Lorencatto, Centre for Behaviour Change University College London, UK
  • Heiner Bucher, Basel Institute for Clinical Epidemiology and Biostatistics, Switzerland
  • Jamie Brehaut, Ottawa Hospital Research Institute (OHRI)/University of Ottawa, Canada
  • Jan Clarkson, University of Dundee, NHS Education for Scotland, University of Manchester, UK
  • Jeremy Grimshaw, Ottawa Hospital Research Institute and University of Ottawa, Canada
  • Lars Bjerrum, University of Copenhagen, Denmark
  • Lars Hemkens, University of Basel Department of Clinical Research c/o University Hospital Basel, Switzerland
  • Marina Davoli, Department of Epidemiology, Rome, Italy
  • Michael Hallsworth, Behavioral Insights Team, USA
  • Monica Taljaard, Ottawa Hospital Research Institute, Canada
  • Nick Francis, University of Southampton, UK
  • Pablo Alonso, Institute of Research of Hospital de la Santa Creu i Sant Pau (IR-HSCSP), Spain
  • Pär-Daniel Sundvall, Region Västra Götaland, Research and Development Primary Health Care, Sweden
  • Paul Little, University of Southampton, UK
  • Pia Touboul Lundgren, Nice university Hospital, Department of Public Health, France
  • Roberto Grilli, Azienda Sanitaria Locale-IRCCS of Reggio Emilia, Italy
  • Ronny Gunnarsson, Region Västra Götaland, Research and Development Primary Health Care, Sweden
  • Sigurd Høye, University of Oslo, Norway
  • Theo Verheij, University Medical Center Utrecht, The Netherlands


Network Plus 2020: