Guidelines now available



Getting Started

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2. Select "Browse Guidance" and then choose "NLCHI"

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“Excellent! All health professionals should have Firstline in their repertoire!”

From Eastern Health Survey


Antimicrobial Usage

Eastern Health saw an overall downward trend in total antimicrobial usage (DDD/1000 patient days), particularly among piperacillin-tazobactam, fluoroquinolone and carbapenem use. As a result, regional inpatient antimicrobial expenditures decreased by $111,296 over the initial six months. At an annualized rate, Eastern Health saw antimicrobial cost savingsof $258/bed across 6 hospitals.

“We estimate that during this observation period, this reduced rate in antimicrobial usage corresponded to a savings of 10 CDI cases avoided.”

Gerald McDonald, Eastern Health

Prescribing Appropriateness

Antimicrobial Prescribing Appropriateness

Implementation of Firstline in 2019 improved the overall appropriateness of prescribing. Eastern Health also observed a trend toward decreasing CDI incidences throughout the observation period.

  usage by role

App Usage

Following the live launch of Firstline on February 1st, 2019 in correspondence with a story released on CBC there was a large uptake of users followed by a stable active user base of 500-650 per month. This trend has continued into 2020. Active users were composed of a wide range of healthcare professionals.

CBC News Article