抗生素的历史沿革及演变（英文PPT）UHCW NHS Trust Clostridium difficile rates 2002 - 2005课件.pptVIP

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抗生素的历史沿革及演变（英文PPT）UHCW NHS Trust Clostridium difficile rates 2002 - 2005课件.ppt

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抗生素的历史沿革及演变（英文PPT）UHCW NHS Trust Clostridium difficile rates 2002 - 2005课件

Antibiotic Senior Academic Half Day Matt Rogers James Clayton Consultant Microbiologists February 2011 Objectives of the session By the end of the session you will be able to: Describe the factors that need to considered when making the choice to prescribe an antibiotic Develop an understanding of key pathogens and their susceptibility to antibiotics. You will be able to relate this to the antibiotic policy within your Trust Define what is meant by the term Antibiotic stewardship Be aware of key DOH guidelines (Clostridium difficile) that direct the development of antibiotic policies Name the antibiotics associated with Clostridium difficile State the minimum requirements of how to prescribe an antibiotic Name the key issues around route and duration of antibiotics and how this affects patients Antibiotic stewardship Ensures the optimisation of antibiotic use Only use when necessary Control who uses what Control route and duration Respond to changing needs Respond to changing Evidence/Policies Robust policing, review and stop strategies E prescribing Key antibiotic changes Stop use of cefuroxime throughout the Trust Use lower risk augmentin (but monitor C.difficile rates) Reduce use of ciprofloxacin (consider penicillin allergy) Antibiotic policy available under Clinical Guidelines on the intranet Antibiotic guideline credit cards distributed Antibiotic stewardship Ensures the optimisation of antibiotic use Only use when necessary Control who uses what Control route and duration Respond to changing needs Respond to changing Evidence/Policies Robust policing, review and stop strategies E prescribing Antibiotic prescribingWhat’s important? When Is there an infection? How To diagnose. What specimens? Why What is the indication/Likely pathogens? What What antibiotic/route/duration When? Diagnosing infection is a CLINICAL skill Basic signs and symptoms of infection Please remember apart from sterile sites (urine/csf/blood etc) most areas you culture WILL grow bac