Course Access
Also some good links in this thread on twitter from this morning, including
some guidelines and a toolkit
https://twitter.com/cjcrnich1/status/1171892055062327298
T.
On Thu., 12 Sep. 2019, 18:34 , wrote:
> Hi Karen,
>
> Most GPs are well aware of the guidelines. It is a common topic in GP
> medical weekly magazines but they succumb to habit and pressure from
> families and RACFs where they routinely test asymptomatic patients and send
> off urines for MCS. I work in general practice and take calls from RACFs
> regularly. More work needs to be done to assist RACF in better
> understanding of AMR and prescribing antibiotics for asymptomatic patients
> and protocols re testing of same. Some female patients would benefit from
> topical oestrogen as a preventative but this is not commonly discussed for
> elderly women. I know ACIPC is running aged care IPC workshops.
>
>
>
> The commonwealth Chief Medical Officer writes to GPs and antibiotic
> prescribing is often a target of his messages.
>
>
>
> Kind regards
>
> Karen
>
>
>
> Karen Booth
>
> RN BHSCN GAICD
>
> President APNA
>
> Australian Primary Health Care Nurses Association
>
> M: 0411 898 884
>
> karenbooth1@bigpond.com
>
>
>
> Australian Primary Health Care Nurses Association (APNA)
> Level 17/350 Queen Street, Melbourne VIC 3000
> p: 1300 303 184 f: (03) 9322 9599
> president@apna.asn.au | http://www.apna.asn.au
>
>
>
>
>
>
>
> *From:* ACIPC Infexion Connexion *On Behalf Of *Team
> Leader RN Wynyard
> *Sent:* Tuesday, 10 September 2019 1:32 PM
> *To:* ACIPCLIST@ACIPC.ORG.AU
> *Subject:* Re: [ACIPC_Infexion_Connexion] RE Prophylactic Long term
> Antibiotic usage in RACF
>
>
>
> Hi Trent
>
> Thank you very much for the information
>
> It appears that the GPs in question generally do make reference to the
> Therapeutic Guidelines and generally prescribe only once and if
> *symptomatic* and /or when all other interventions have proved
> unsuccessful. ( recurrent infections occur 2 or more in 6 months). I
> struggle to get them to review and consider ceasing once this occurs as
> they of the opinion that the so called infection will reoccur to the
> detriment of the Resident involved. It is frustrating especially when they
> do in part understand the requirement of responsible prescribing and
> generally do prescribed as per the recommended criteria but to then turn
> around and refuse to consider ceasing especially after 6 months and
> sometimes 12 months plus .. I will just have to persist.
>
>
>
>
>
> Karen Panzich RN / IC Coordinator
>
> Wynyard Care Centre
>
> Tasmania
>
>
>
>
> *Karen Panzich*
> Teamleader RN
> Synovum Care Group
>
> Cnr Quiggin and Moore St, Wynyard TAS 7325
> *P* 03 6442 1760
> *F* 03 6442 1765
>
>
> http://www.synovumcare.com.au
>
>
>
>
>
>
> Any views or opinions presented in this email are solely those of the
> author and do not necessarily represent those of the company. Employees of
> Synovum Care Group are expressly required not to make defamatory statements
> and not to infringe or authorise any infringement of copyright or any other
> legal right by email communications. Any such communication is contrary to
> company policy and outside the scope of the employment of the individual
> concerned. The company will not accept any liability in respect of such
> communication, and the employee responsible will be personally liable for
> any damages or other liability arising.
>
>
>
>
>
> *From:* ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU
> ] *On Behalf Of *Trent Yarwood
> *Sent:* Tuesday, 10 September 2019 12:55 PM
> *To:* ACIPCLIST@ACIPC.ORG.AU
> *Subject:* Re: [ACIPC_Infexion_Connexion] RE Prophylactic Long term
> Antibiotic usage in RACF
>
>
>
> Hi Karen,
>
>
>
> There’s lots more information on the scale of this problem in the Aged
> Care National Antimicrobial Prescribing Survey (acNAPS) – report available
> here:
> https://www.safetyandquality.gov.au/publications-and-resources/resource-library/2017-aged-care-national-antimicrobial-prescribing-survey-report
>
>
>
> Therapeutic Guidelines: Antibiotic has a good and pretty clear section on
> indications for long-term prophylaxis for UTIs – including only if
> non-antibiotic measures fail, greater than two infections in six months,
> and for a defined period of time then ceasing (recommended at six months).
>
>
>
> This is a huge potential area for quality improvement, and needs more than
> just a screening urine to solve, but certainly the docs should be
> collecting urine to make sure the patients don’t have resistance and
> repeating them if the patient develops new clinical symptoms, but I don’t
> think routine urines while patients are on therapy are the way to go.
>
>
>
> Trent
>
> Qld Statewide AMS Program
>
>
> —
> Trent Yarwood
> trentyarwood@gmail.com
>
> PGP Key: 246AF263
>
>
>
>
>
> On Tue, 10 Sep 2019 at 11:47, Team Leader RN Wynyard TeamLeaderRNWynyard@synovumcare.com.au> wrote:
>
> Hi all
>
>
>
> I just have a question regarding GP s who prescribe Antibiotics
> prophylactically to minimise recurrent infections. Some have had
> prophylactic antibiotics prescribed for recurrent UTIs for example ( more
> than 4-5 in previous 12 month period)
>
> Some of our Residents have been on Prophylactic Antibiotics for > 6 months.
>
> Predominantly for either recurrent UTI or Respiratory Tract infections
> (exacerbation of COPD)
>
> Around 50 % (sometimes higher depending on others prescribed) of our
> Monthly data statistic in regards to Antibiotics prescribed consists of
> those who are on ongoing prophylactic antibiotics
>
>
>
> Should these Residents have a specimen sent to pathology for M S & C at
> any time to confirm whether they have become Resistant during the 6
> months plus they have been prescribed them ?
>
> Should a GP at minimum be reviewing this in regards to ceasing at any
> specified time ?
>
>
>
> Kind Regards
>
> Karen Panzich TLRN / Infection Control Coordinator
>
> Wynyard Care Centre
>
> Tasmania
>
>
>
> *Karen Panzich*
> Teamleader RN
> Synovum Care Group
>
> Cnr Quiggin and Moore St, Wynyard TAS 7325
> *P* 03 6442 1760
> *F* 03 6442 1765
>
>
> http://www.synovumcare.com.au
>
> Any views or opinions presented in this email are solely those of the
> author and do not necessarily represent those of the company. Employees of
> Synovum Care Group are expressly required not to make defamatory statements
> and not to infringe or authorise any infringement of copyright or any other
> legal right by email communications. Any such communication is contrary to
> company policy and outside the scope of the employment of the individual
> concerned. The company will not accept any liability in respect of such
> communication, and the employee responsible will be personally liable for
> any damages or other liability arising.
>
>
>
>
>
>
>
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