Matthew,

 

Our microbiologists chair a multi-disciplinary group regularly update our Trust's guidelines for the treatment of infection - we have directly incorporated these into our departmental guidelines - it works extremely well.

 

John Black

 

-----Original Message-----
From: LAMBERT MIKE (RM1) Norfolk & Norwich University Hospital [mailto:[log in to unmask]]
Sent: 17 June 2003 15:26
To: [log in to unmask]
Subject: Re: antibiotic usage in A&E

 

Our ENPs have been issuing antibiotics according to protocols for many years. I think we audited the usage some years ago and found no problems. The key is involving the microbiologists in the writting the group directive and then auditing useage against that directive on an individual ENP basis.

mike

-----Original Message-----
From: Matthew Cooke [mailto:[log in to unmask]]
Sent: 17 June 2003 15:23
To: [log in to unmask]
Subject: antibiotic usage in A&E

 

Has anyone got data about appropriateness of antibiotic usage in A&E
I am particularly interested in any audits that compare SHOs and ENPs - I
have a microbiologist telling me that if ENPs use antibiotics then we will
make community resistance worse and I would like to have some data ( as well
as common sense) to refute this argument
Thanks
Matthew

Dr Matthew Cooke
Emergency Medicine Advisor, Department of Health & NHS Modernisation Agency
Senior Lecturer in Emergency Medicine, University of Warwick Medical School

www.emergencycare.org.uk
www.nelh.nhs.uk/emergency

 

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