NICE Guideline 79 strongly reminds us that antibiotics are very rarely needed for acute sinusitis – with a clear statement that antibiotics SHOULD NOT be offered at all in the first 10 days unless a person is systemically very unwell or at high risk of complications. A back-up prescription for antibiotics to be collected if symptoms worsen rapidly or Continue Reading »
13-19 November 2007 is WORLD ANTIBIOTIC AWARENESS WEEK And Saturday 18th November 2017 is EUROPEAN ANTIBIOTIC AWARENESS DAY Only five days left to: download the ECDC EAAD Primary Care Resources contribute to the ECDC EAAD Social Media Campaign retweet something from #keepantibioticsworking learn about Superbugs from a Superbug & share the “Diary of a Staph“ sign up for Continue Reading »
The North East and Cumbria antimicrobial prescribing guideline for primary care and quick reference guideline have been updated in line with new guidance from Public Health England around treatment of urinary tract infections (UTIs) and use of antibiotics in pregnancy.
Nitrofurantoin is now recommended as first line antibiotic for treatment of lower urinary tract infections in adults.
In pregnancy, if possible, avoid tetracyclines, quinolones, aminoglycosides, azithromycin, clarithromycin, high dose metronidazole (2g stat) unless the benefits outweigh the risks. Erythromycin is now the recommended treatment of acute sore throat in pregnancy in penicillin allergic patients.
Improving antibiotic stewardship is a priority for Public Health England due to the continuing threat of antimicrobial resistance. The Chief Medical Officer for England is sending her annual feedback letter on antibiotic prescribing rates to GPs in April 2017.
The feedback letters are being sent to over 6,300 individual GPs in over 1,400 different GP practices with high antibiotic prescribing rates. Practices were selected based on their level of prescribing per STAR-PU and in comparison with the England average used by the Quality Premium. The letters are tailored according to GP practice prescribing rate, change in prescribing over time, and whether they were previously sent feedback. While many GPs are already reducing their usage of antibiotics, the letters are intended to support GPs to reduce their prescribing further by providing feedback on practice prescribing rates, offering encouragement and suggesting practical actions in a clear and succinct manner.