North East and Cumbria antimicrobial prescribing guideline for primary care
- Antibiotic Prescribing Guideline for Primary Care – North East & Cumbria – Jan 2018 v4 (37797 downloads)
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MicroGuide antibiotic prescribing guidelines smartphone app
The North East and Cumbria antibiotic prescribing guideline for primary care is now available to download free of charge as an app for your smartphone/ tablet. To get the app search for MicroGuide in the Apple App Store or Google Play and for more information, click on the link below.
- NICE NG15 antimicrobial stewardship: systems and processes for effective antimicrobial medicine use
- NICE CG191 pneumonia in adults: diagnosis and management
- NICE QS121 antimicrobial stewardship
Educational materials and training resources
This programme has been developed by the NECS Medicines Optimisation Team, using best practice guidance and evidence based reviews, and has been designed to help primary care prescribers consider:
- Strategies to help optimize prescribing of antibiotics
- Why antimicrobial stewardship is important at a personal, local and global level.
The TARGET (Treat Antibiotics Responsibly, Guidance, Education, Tools) antibiotic toolkit, produced by the RCGP, provides education for groups of primary care staff or individual clinicians. The toolkit aims to help decrease barriers to appropriate antibiotic prescribing, change social norms around prescribing, and influence clinicians’ and patients’ personal attitudes to antibiotic resistance and use.
This programme examines the NICE guideline recommendations on antimicrobial stewardship, specifically the actions required by commissioning and provider organisations, service managers and local decision-making groups to ensure that effective antimicrobial stewardship programmes are in place and that prescribers are supported to make changes to their use of antimicrobials where necessary.
Prescriber decision aids and tools
Centor criteria – developed to predict bacterial infection in people with acute sore throat. It can help guide clinicians as to whether a patient may benefit from antibiotic treatment.
Fever PAIN clinical score – can help guide prescribers towards a no prescription strategy, delayed prescription, or immediate antibiotic prescription based on patients’ clinical symptoms. Using the tool calculates a score, gives a treatment guide and provides a summary to cut and paste in the notes.
NNT ‘smiley face’ plots – provide a visual representation of the number needed to treat (NNT) for a single patient to benefit. These can be useful when explaining to patients why they may not benefit from antibiotic treatment.
Patient information leaflets and posters
Patient information leaflets
The RCGP TARGET antibiotics toolkit includes patient information leaflets and ‘non-prescription pads’ designed to be shared with patients during a consultation, to improve patients’ confidence to self care and prescribers’ communication with patients and carers.
Several available in Arabic, Bengali, Gujarati, Hindi, Mandarin, Polish, Urdu and other languages
Antibiotic awareness campaign
The Public Health England Antibiotic Guardian campaign for patients and healthcare professionals asks people to choose one simple pledge about how they will make better use of antibiotics to save these vital medicines from becoming obsolete.
Antimicrobial prescribing reports
RDTC antimicrobial prescribing reports (link to RDTC website – password protected)
National antimicrobial reports
English surveillance programme antimicrobial utilization and resistance (ESPAUR) reports – ESPAUR reports include national data on antibiotic prescribing, antibiotic resistance and hospital antimicrobial stewardship implementation.
UK 5 Year Antimicrobial Resistance Strategy 2013 to 2018 – this strategy aims to slow the development and spread of antimicrobial resistance by focusing activities around 3 strategic aims:
- Improve the knowledge and understanding of antimicrobial resistance
- Conserve and steward the effectiveness of existing treatments
- Stimulate the development of new antibiotics, diagnostics and novel therapies
Annual report of the Chief Medical Officer 2011: volume two – this report highlights the need to look after the current supply of antibiotics, which means using better hygiene measures, prescribing fewer antibiotics, and making sure they are only prescribed when needed.