1 / 18

Primary Care Antimicrobial Update

Primary Care Antimicrobial Update. Steve McCormick Lead Antimicrobial Pharmacist NHS Lanarkshire. Antimicrobial use is National priority. Scottish Antimicrobial Prescribing Group Local Antimicrobial Management Team Healthcare Environment Inspectorate. Stewardship: Prudent Prescribing.

ranit
Download Presentation

Primary Care Antimicrobial Update

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Primary Care Antimicrobial Update Steve McCormick Lead Antimicrobial Pharmacist NHS Lanarkshire

  2. Antimicrobial use is National priority Scottish Antimicrobial Prescribing Group Local Antimicrobial Management Team Healthcare Environment Inspectorate

  3. Stewardship: Prudent Prescribing Is an antibiotic required? Only use when clearly indicated Document decision making Tx rationale clear Select appropriateagent from local antimicrobial policy Minimise risk to patient Prescribe optimal dosage for shortest duration Ask specialist/micro for advice if unsure

  4. Firm Antimicrobial Stewardship

  5. Role of the AMT – Primary care Link in with Primary Care Prescribing Advisers who monitor prescribing using PRISMS Engage individual prescribers by feeding back meaningful data to promote reflection & discussion in order to influence future prescribing and promote compliance with policy Improve quality and reduce quantity of antimicrobial prescribing

  6. Risk of C. difficile infection

  7. SAPG Report on Antimicrobial Use and Resistance in Humans in 2010 Available from: http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/2012-01-31/2012-01-31-SAPG-Report.pdf?81026858092

  8. NHS Scotland: use of antibiotics associated with a higher risk of Clostridium difficile infection in primary care, items/1000/day, 2008 – 2011

  9. NHS Scotland: use of recommended antibiotics in primary care, items/1000/day, 2008 – 2011

  10. NHS Scotland: % seasonal variation of fluoroquinolones by NHS Board, (DDDs) 2008-09 – 2010-11 CEL 11 (2009) Seasonal Variation in use of quinolones. No more than 5% higher in winter than preceding summer by 2011.

  11. NHS Scotland: total use of antibacterials in primary care 1995-2011 Total Use 2011 4.1% higher than 2010 (items/1000/day) = 162,000 more items 5.8% increase in DDD/1000/day (higher doses)

  12. NHS Scotland: use of antibiotics in primary care by NHS Board, Items/1000/day, 2006-07 – 2010-11

  13. NHS Scotland: Distribution of antibiotic use in GP practices (items/1000 patients/day) April 2010 - March 2011. Primary Care Antibiotic Indicator: Reduce volume of antibiotic scripts by 20%

  14. SAPG audit of management of commonly encountered infection in primary care Number of consultations by infection

  15. Stemming the tide of antibiotic resistance (STAR). A blended learning programme addressing appropriate antibiotic prescribing in general practice. Dr Sharon Simpson Associate Director, South East Wales Trials Unit, Cardiff University. BMJ 2012 http://www.stemmingthetide.org/

  16. Booklet to use during the consultation & share with patients Francis et al BMJ 2010

More Related