Category AMS strategy

Infectious diseases 101

Some personal thoughts : Know well important bacterial pathogens such as Staphylococcus aureus, Streptococcus pneumoniae, Streptococcus pyogenes, E. coli, Klebsiella pneumoniae, Pseudomonas aeruginosa  and Mycobacterium tuberculosis. Know your antibiotics and again, know a lot about the few that you will commonly use. Aminoglycoside and vancomycin dosing and administration require particular focus – Therapeutic Guidelines: Antibiotic , […]

Delaying antibiotic prescribing strategies

There are several strategies than can be used when doctors are reluctant to issue antibiotic prescriptions. You can ask patients to get back in touch is they don’t improve, post-date prescriptions, ask patients to come back and collect the prescription if they aren’t feeling better, write the prescription and ask the patient to delay using […]

Australian Antimicrobial Stewardship Clinical Care Standard

The Australian Commission on Safety and Quality in Healthcare, in collaboration with consumers, clinicians, researchers and health organisations, has developed the Antimicrobial Stewardship Clinical Care Standard and resources to guide and support its implementation. Increasing antibiotic resistance presents a challenge for clinicians and poses a significant public health risk. This new Standard is an important guide […]

Antibiotic resistance-a potent example of a ‘Tragedy of the Commons’

The Tragedy of the Commons by Garrett Hardin, 1968 was a seminal work. His central idea concerns ‘resources’ held in common, that degrade or diminish if left to the self interest of individuals.  He argues that the problems that arise with allocation and preservation of such resources cannot be solved by technical answers alone – most importantly, a change in attitudes and behaviour towards […]