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I presume they're proposing transfer funds to the laboratory out of the antibiotic savings????? M. From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Tuddenham Emma (CROYDON HEALTH SERVICES NHS TRUST) Sent: 11 April 2013 12:06 To: [log in to unmask] Subject: Procalcitonin for guiding antibiotic therapy on ITU --- This message was sent from an email address external to NHSmail but gives the appearance of being from an NHSmail (@nhs.net) address. The recipient should verify the sender and content before acting upon information contained within. The identified sender is [log in to unmask] --- Dear collective brain, We have been asked by our ITU team to consider introducing procalcitonin to promote earlier discontinuation of antibiotics in their patients. As far as I can make out from the literature, there doesn't seem to be a significant advantage in using PCT (rather than/as well as CRP) for diagnosis of sepsis on ITU but the evidence for earlier cessation of antibiotic therapy is a bit more convincing. I would be interested to know if anyone has introduced PCT for this purpose, and if so on what frequency of sampling (e.g. daily, 2-3 times per week)? Has anyone costed up how much this has saved their hospital in reduced antibiotic prescriptions? Many thanks! Emma Emma Tuddenham (nee Connell) Pre-registration Clinical Scientist Croydon University Hospital 530 London Road Thornton Heath Surrey CR7 7YE Tel: 0208 401 3548 Fax: 0208 401 3189 ******************************************************************************************************************** This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful. Thank you for your co-operation. NHSmail is the secure email and directory service available for all NHS staff in England and Scotland NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipients NHSmail provides an email address for your career in the NHS and can be accessed anywhere ******************************************************************************************************************** ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/ ________________________________ Great Western Hospitals NHS Foundation Trust Great Western Hospital Marlborough Road Swindon SN3 6BB Tel 01793 60 40 20 http://www.gwh.nhs.uk Register to become a member of the Trust at https://members.gwh.nhs.uk This message and any files transmitted with it are confidential and intended solely for the individual(s) addressed. If you believe you have received this e-mail in error, disclosing, copying, distributing or retaining this message, or any part of it, is strictly prohibited; please notify the sender immediately and delete it from your system. Any views or opinions presented are solely those of the author and do not necessarily represent those of Great Western Hospitals NHS Foundation Trust. All messages sent by the Trust are checked for viruses but this does not, and cannot, guarantee that a virus has not been transmitted. The Trust accepts no liability for any damage caused by any virus transmitted with this e-mail. ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/