(精选)Case Presentations Misuse of antibiotics教学课件.pptVIP

Judicious Use and Misuse of Antibiotics- - cases from the frontline- Primary/family health care focus;Outline;Judicious use;What IS antibiotic misuse?;Consumer understandings/ misuse;Prescriber misuse;Antibiotic misuse- contributing factors;“Paediatrics- isn’t that just giving amoxil?” (a GP recently!);ENT Case 1;;ENT Case 1: Answer;Bulging eardrum ( not just red) Fever unwell looking Bilateral otitis Otorrhea = benefit from antibiotics ;Facts about cough in kids : True or false?;Case 1 Acute Infective Conjunctivitis;Conjunctivitis needing antibiotics Gonococcal Pneumococcus Bulbar to iris_ uveitis;Conjunctivitis: delayed/immediate or no antibiotics?;However, consider ;Pharyngitis- Case 1;Pharyngitis Case 2;New NZ Guide for Sore Throat Management Feb 2007;;Risk factors for RF: Maori, Pacific, 3-45 yrs, lower SES North Island,, Past hx acute RF Criteria to swab/treat: Temp38, no cough, swollen tender Anterior cervical nodes, tonsilar swelling / exudate 2007 Sore Throat Guideline NZ;Case 1 Lower Respiratory;Considerations;Case 2 Lower Respiratory;Case 2: 63% prescribers said no antibioticGP expert panel equivocal;UTI Case1;UTI Case 2;UTI Prophylactic antibiotics- ;UTI- prophylactic antibiotics;Evidence changes practice;Vaccinations change antibiotic prescribing practice too.;;In conclusion: to prescribe antibiotics WELLNP prescribers need:;1) Best practice evidence at fingertips!; Topical treatments for chronically discharging ears with underlying eardrum perforations (CSOM) are better than systemic antibiotics ?;??P.E.A.R.L Clinical Question;Pharmac led supported by Independent Practitioners Associations, RNZCGP, The Pharmaceutical Society Plunket and the Pharmacy Guild Wise Use of Antibiotics Campaign t.nz/information_campaigns.asp .nz;Can an education campaign promote appropriate treatment of URTI and reduce Rx of viral infections with antibiotics? (BPAC Issue 5. May 2007) ;Before And After BPAC Resp infections Campaign July 2006 Scores On a