antibiotic guidelines 2020

PDF	Antibiotic Guidelines 2020 This document outlines the antimicrobial guidelines for North Bristol NHS Trust The guidelines are designed with the specific objective of reducing to a minimum the use of cephalosporins fluoroquinolones and co-amoxiclav

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Antibiotic Use in the United States 2020: Progress and

National Action Plan for Combatting Antibiotic-Resistant Bacteria 2020–2025 CDC’s work includes improving antibiotic use in inpatient and outpatient settings promoting antibiotic use best practices strengthening antibiotic use surveillance integrating diagnostic

When should antibiotic therapy be amended?
Therapy should be amended once a definite pathogen has been identified. IV antibiotics can be de-escalated once IV/oral switch criteria are met. Stop antibiotics if infection has been ruled out. Record all decisions in the notes. State duration and indication on the drug chart. Review after 48-72 hours.
What does CDC do to improve antibiotic prescribing practices?
Examples of key partner contributions to improve antibiotic prescribing practices across the United States and internationally CDC will continue to lead U.S. efforts to improve antibiotic use in humans, as outlined in the new National Action Plan for Combatting Antibiotic-Resistant Bacteria, 2020–2025
How are antibiotic prescribing rates mapped?
The rates of potentially avoidable antibiotic prescribing were mapped by the county of visit after adjusting for differences in age, principal diagnosis (acute bronchitis vs. cold/acute URI), and visit type (emergency department, institutional outpatient, professional outpatient).
Why did antibiotic prescribing decrease in April & May 2020?
Preliminary data suggest that outpatient antibiotic prescribing decreased during April and May 2020 compared with the same time period in 2019. This is likely due to changes in healthcare access, fewer people seeking healthcare for mild illness, and fewer infections overall due to school closures and social distancing.

Overview

The table below summarizes the most recent recommendations for appropriate antibiotic prescribing for adults seeking care in an outpatient setting. Antibiotic prescribing guidelines establish standards of care and focus quality improvement efforts. The table also offers information related to over-the-counter medication for symptomatic therapy. Over-the-counter medications can provide symptom relief, but have not been shown to shorten the duration of illness. They also have a low incidence of minor adverse effects. Providers and patients should weigh the potential for benefits and minor adverse effects when considering symptomatic therapy. cdc.gov

References

1.Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, et al. Clinical practice guideline (updated): adult sinusitis. Otolaryngol Head Neck Surg. 2015;152(2 Suppl):S1-39. 2.Chow AW, Benninger MS, Itzhak B, et al. IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. Clin Infect Dis. 2012;54(8):e72-e112. 3.Albert RH. Diagnosis and treatment of acute bronchitis. Am Fam Physician. 2010;82(11):1345-50. 4.Irwin RS, Baumann MH, Bolser DC, et al. Diagnosis and management of cough: ACCP evidence-based clinical practice guidelines. Chest. 2006;129(1 Suppl). 5.Gonzales R, Bartlett JG, Besser RE, et al. Principles of appropriate antibiotic use for treatment of uncomplicated acute bronchitis: Background. Ann Intern Med. 2001;134(6):521-9. 6.Fashner J, Ericson K, Werner S. Treatment of the common cold in children and adults. Am Fam Physician. 2012;86(2):153-9. cdc.gov

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PDF	Antibiotic Guidelines 2020 - North Bristol NHS Trust Antibiotic Guidelines 2020 These are empirical guidelines – treatment should be reviewed clinically at 48- 72 hours with the results of clinical findings,

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