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Empowering Clinical Pharmacists in Primary Care: A Strategic Approach to Optimise Antibiotic Use and Combat Resistance

Writer's picture: Mohammed A RashadMohammed A Rashad

Updated: Aug 21, 2024

🦠 Antimicrobial Stewardship (AMS) : Essential to prevent antibiotic resistance; focuses on raising awareness and best practices among the public and healthcare providers.


📉 Goals for Antibiotic Prescribing:

  • Reduce total antibiotic prescriptions in primary care, adjusted for demographic factors (STAR-PU).

  • Decrease the proportion of broad-spectrum antibiotics like co-amoxiclav, cephalosporins, and fluoroquinolones.


🌍 Global Health Challenge:

  • Antibiotic misuse is a top 10 global public health challenge, leading to increased consultations, hospital admissions, and mortality.

  • UK's five-year national action plan (2019-2024) aims to reduce the need for and unintentional exposure to antimicrobials.


📚 Guidance and Requirements:

  • Clinical pharmacists under the ARRS are tasked with ensuring GP practices align with local AMS guidelines.

  • Care Quality Commission (CQC) mandates monitoring total antibiotic consumption.


🔄 Strategies for Optimisation:

  • Promote prescribing narrow-spectrum antibiotics initially, reserving broad-spectrum options for when necessary.

  • Encourage the shortest effective courses of antibiotics to mitigate resistance and adverse effects.


 

Enhance your clinical services with our Clinical Pharmacists for your PCN, GP Practice, or Federation.

 

  • 🧫 Optimisation Opportunities and Impact:

  • NHS England's 2023/24 priorities include reducing the length of antibiotic courses.

  • Shorter courses proven as effective as longer ones, reducing antimicrobial resistance and side effects.


📊 Prescribing Data Insights:

  • Variation in prescribing short vs. long antibiotic courses across practices, affecting health equality.

  • Each additional day of antibiotic therapy increases the risk of side effects and resistance by 4% and 3%, respectively.


🌱 Environmental and Healthcare Benefits:


  • Optimising antibiotic duration reduces waste and environmental impact.

  • Aligns with the UK AMR National Action Plan to cut human exposure to antibiotics in primary care by 25% between 2013 and 2023/24.






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**Our services can be customised to fit your practice, allowing you to select and combine the support options that TMMT offers, resulting in a completely tailored service. Needs may vary between practices, and we are ready to adapt our role to work alongside your practice and PCN.


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