Table 2

Schedule of enrolment and assessments over the 16-month trial

Time point (months)Study period
FacilityResidentResident follow-up (month)Close-out
EnrolmentAllocationEnrolment
Enrolment-t2-t101234567891011121314151616 months
Facility eligibility screen and recruitmentX
Facility allocationX
Resident eligibility screen and enrolmentXXXXXXXXXXXXXXXXX
Interventions
AMS programme*Embedded Image
Control (usual care)Embedded Image
Assessments
Facility assessment
 Facility characteristics (occupancy and speciality units)X
 Staffing (nursing, medical and pharmacy)X
 Infectious disease education and practicesX
Baseline resident assessment†
 Demographic and clinical characteristicsX
 Prior antimicrobial useX
 Prior hospitalisationsX
Advance care directivesX
Monthly resident assessment
Clinical characteristicsXXXXXXXXXXXXXXXX
 Suspected infections‡XXXXXXXXXXXXXXXX
 DiagnosesXXXXXXXXXXXXXXXX
 Investigations§XXXXXXXXXXXXXXXX
 Microbiology
 AMR organismsXXXXXXXXXXXXXXXX
 Antimicrobial susceptibilityXXXXXXXXXXXXXXXX
 Systemic antimicrobial use
 Administration
 (dose, route and duration)
XXXXXXXXXXXXXXXX
 IndicationXXXXXXXXXXXXXXXX
 Appropriateness¶XXXXXXXXXXXXXXXX
HospitalisationXXXXXXXXXXXXXXXX
Transfer to another facility, home or deathXXXXXXXXXXXXXXXXX
Biospecimen collection**
 Nasal, rectal±wound specimenXXXXXXXXXXXXXXXX
  • *Excluding the transition (‘wash-out’) phase.

  • †Baseline resident characteristics will be performed for all new residents over the 16-month trial.

  • ‡Suspected infections include urinary tract infections, respiratory tract infections, skin and soft tissue infections, and Clostridioides difficile infections.

  • §Investigations include radiology, urinalysis and urine, sputum, nasal/throat, rectal/faecal, wound and blood cultures.

  • ¶Appropriateness is assessed according to minimum signs and symptoms for initiation of antimicrobials as specified in the intervention bundle, and antimicrobial recommendations as per the Australian Therapeutic Guidelines.

  • **Specific timing to be determined.

  • AMR, antimicrobial resistant; AMS, antimicrobial stewardship.