A multifaceted intervention to reduce antimicrobial prescribing in care homes: a non-randomised feasibility study and process evaluation

Abstract

Declared competing interests of authors: Carmel Hughes is a member of the Health Services and Delivery Research Commissioned Panel. Mark Loeb has worked for the World Health Organization as a consultant to develop antibiotics for an essential list of medicines and algorithms for appropriate antibiotic use. Martin Underwood is a member of National Institute for Health Research (NIHR) Journals Library Editors Group. He was chairperson of the National Institute for Health and Care Excellence accreditation advisory committee from 2013 until March 2017, for which he received a fee. He is chief investigator or co-investigator on multiple previous and current research grants from NIHR and Arthritis Research UK and is a co-investigator on grants funded by Arthritis Australia, Australian National Health and the Medical Research Council. He has received travel expenses for speaking at conferences from the professional organisations hosting the conferences. He is a director and shareholder of Clinvivo Ltd (Tenterden, UK), which provides electronic data collection for health services research. He is part of an academic partnership with Serco Ltd (Hook, UK) related to return-to-work initiatives. He is an editor of the NIHR journal series, for which he receives a fee. He has accepted an honorarium for advice on Research Excellence Framework submission from Queen Mary University of London. He is co-investigator on an Efficacy and Mechanism Evaluation grant, receiving support in kind from Orthospace Ltd (Caesarea, Israel).