Category AMS strategy

AIMED- dedicated to better use of antibiotics

AIMED stands for five essential principles that seek to optimise patient treatment with antimicrobials (antibiotics). Antimicrobial stewardship 101 – excellent overview from McKenzie, Rawlins and Del Mar in Australian Prescriber.

Sparing meropenem 101 – treatment of ESCPM species and AmpC betalactamases unpacked

Guest post: Patrick Harris, Staff Specialist in Microbiology, Central Laboratory, Pathology Queensland, Brisbane Infectious disease and microbiology trainees diligently learn about organisms that have a type of broad-spectrum beta-lactamase (i.e. an enzyme that can inactivate betalactam antibiotics) called ‘AmpC’.  These enzymes are encoded by a gene that is usually located on the chromosome of many Gram-negative […]

Antimicrobial prophylaxis, quinolone resistance and prostate biopsy safety

Guest post: Patrick Harris, Staff Specialist in Microbiology, Central Laboratory, Pathology Queensland, Brisbane Overseas travel and prostate biopsies: a key risk-factor for infectious complications with multi-drug resistant bacteria Given an ageing population and the current reliance upon PSA testing to screen for prostate cancer, patients are increasingly being referred for trans-rectal ultrasound (TRUS)-guided prostate biopsies.  Millions […]

New CDC resources for antimicrobial stewardship in residential aged care

Antimicrobial stewardship is as important in nursing homes or any residential aged care facility as a hospital.  A recent study of MRSA epidemiology in the Hunter New England region indicates a significant association between residential aged care residence and first detection of MRSA in the community associated group  with no contact with healthcare over previous […]

Appendicitis and antibiotics unpacked

Guest posting: Dr Celia Cooper, Paediatric Infectious Diseases & Microbiology, South Australia Pathology,  Adelaide Dr Cooper’s recent presentation to the Australian New Zealand Paediatric Infectious Diseases Interest Group in November is provided with her permission. Her presentation highlights important messages:   Post-operative antibiotics for patients with non-perforated appendicitis who have acute surgery are unnecessary (refer to IDSA Guidelines […]

Let’s stop using antibiotics for uncomplicated diverticulitis

Guest posting : Dr Daniel Isacson, local GP (ex Swedish researcher) The evidence is out and there is no proven benefit in recovery or complication rates in treating these patients with or without antibiotics, but still many GPs and surgeons prefer to use antibiotics. How do we get the word across? 

Antibiotic Action

Antibiotic Action is an independent UK-led global initiative funded by the British Society for Antimicrobial Chemotherapy. Antibiotic Action seeks to inform and educate all about the need for discovery, research and development of new treatments for bacterial infections.

The art of antibiotic prescribing in general practice

Guest posting from Dr Gillian Deakin,  General Practitioner and author of 101 Things Your GP Would Tell You If Only There Was Time.  Beyond the usual medical challenges of appropriate prescribing,  GPs also need skills to ensure that the patient accepts the treatment. Unlike the hospital patient where the patient is largely obliged to accept […]

AAW on AIMED: our top ten posts

Just in case you missed them, here are the top ten most visited posts we have published over the last year. Special thanks to our audience – we target local prescribers and pharmacists primarily. We also appreciate the interactions with our international audience! 

Alternative recommended antibiotics to ceftriaxone by syndrome and bug

Ceftriaxone (a third generation cephalosporin-TGC)  remains an overused agent in some of our (HNELHD) facilities.  We aim to keep usage below 20 defined daily doses per 1000 patient-days (as is done at John Hunter Hospital for instance) to prevent adverse ecological impacts on resistance – increases in MRSA, VRE, multi-resistant Gram negatives and C. difficile are all associated […]