18/08/2015
NICE Publish New Antibiotics Guidlelines
Healthcare professionals should be discouraged from over-prescribing antibiotics, as overuse gives resistant bacteria a greater chance to survive and spread.
The National Institute for Health and Care Excellence (NICE) said that the problem of antibiotic resistance is compounded by the fact that the discovery of new antibiotics is at an all-time low.
NICE said that despite guidance that prescribing rates of antibiotics should be reduced, 9 out of 10 GPs feel pressured to prescribe antibiotics, and 97 per cent of patients who ask for antibiotics are prescribed them.
The first NICE guideline to address the issue recommends that GPs, nurses, pharmacists and dentists promote and monitor the sensible use of antimicrobials – a group of medicines that includes antibiotics.
If successfully implemented, NICE's latest guidance could help to reduce antibiotic prescribing by 25 per cent - accounting for around 10 million antibiotic prescriptions.
The guideline recommends setting up multidisciplinary antimicrobial stewardship teams working across all care settings. These teams should be able to review prescribing and resistance data frequently and feed this information back to prescribers.
They should also be able to work with prescribers to understand the reasons for very high, increasing or very low volumes of antimicrobial prescribing as well as provide feedback and assistance to those who prescribe antimicrobials outside of local guidelines where this is not justified.
Professor Mark Baker, Director of the Centre for Clinical Practice at NICE, said: "Antibiotics are prescribed in circumstances when they are unlikely to do the patient much good. Knowledge amongst GPs is well established that many patients with early or benign infections do not require and will not benefit from antibiotics. The vast majority of GPs will tell patients that.
"I don't think there is a lot of bad practice in general practice but it is clear that the reduction in antibiotic prescribing that we expected to see when our 2007 guideline on upper respiratory tract infections was published has not happened.
"The rise in inappropriate prescribing comes in the face of successive attempts by NICE and by government to reduce it that simply haven't worked. Some of it is about the pressure put on GPs. Despite that pressure, prescribing an antibiotic when you know it's unlikely to do the patient much good is not good practice.
"It's not just prescribers who should be questioned about their attitudes and beliefs about antibiotics."
(MH/LM)
The National Institute for Health and Care Excellence (NICE) said that the problem of antibiotic resistance is compounded by the fact that the discovery of new antibiotics is at an all-time low.
NICE said that despite guidance that prescribing rates of antibiotics should be reduced, 9 out of 10 GPs feel pressured to prescribe antibiotics, and 97 per cent of patients who ask for antibiotics are prescribed them.
The first NICE guideline to address the issue recommends that GPs, nurses, pharmacists and dentists promote and monitor the sensible use of antimicrobials – a group of medicines that includes antibiotics.
If successfully implemented, NICE's latest guidance could help to reduce antibiotic prescribing by 25 per cent - accounting for around 10 million antibiotic prescriptions.
The guideline recommends setting up multidisciplinary antimicrobial stewardship teams working across all care settings. These teams should be able to review prescribing and resistance data frequently and feed this information back to prescribers.
They should also be able to work with prescribers to understand the reasons for very high, increasing or very low volumes of antimicrobial prescribing as well as provide feedback and assistance to those who prescribe antimicrobials outside of local guidelines where this is not justified.
Professor Mark Baker, Director of the Centre for Clinical Practice at NICE, said: "Antibiotics are prescribed in circumstances when they are unlikely to do the patient much good. Knowledge amongst GPs is well established that many patients with early or benign infections do not require and will not benefit from antibiotics. The vast majority of GPs will tell patients that.
"I don't think there is a lot of bad practice in general practice but it is clear that the reduction in antibiotic prescribing that we expected to see when our 2007 guideline on upper respiratory tract infections was published has not happened.
"The rise in inappropriate prescribing comes in the face of successive attempts by NICE and by government to reduce it that simply haven't worked. Some of it is about the pressure put on GPs. Despite that pressure, prescribing an antibiotic when you know it's unlikely to do the patient much good is not good practice.
"It's not just prescribers who should be questioned about their attitudes and beliefs about antibiotics."
(MH/LM)
Related UK National News Stories
Click here for the latest headlines.
19 October 2007
BMJ Warns Over Antibiotics
Antibiotics are not justified to reduce the risk of complications after upper respiratory tract infection, sore throat, or ear infection, finds a study published on bmj.com But they do substantially cut the risk of pneumonia after chest infection, particularly in elderly people.
BMJ Warns Over Antibiotics
Antibiotics are not justified to reduce the risk of complications after upper respiratory tract infection, sore throat, or ear infection, finds a study published on bmj.com But they do substantially cut the risk of pneumonia after chest infection, particularly in elderly people.
18 November 2011
Gov Urges Limit On Antibiotics
Doctors and nurses are being asked to limit prescriptions for antibiotics to prevent resistance to the drugs developing among patients. The Department of Health on Friday published guidance on the use of antibiotics in hospitals to coincide with European Antibiotics Awareness Day.
Gov Urges Limit On Antibiotics
Doctors and nurses are being asked to limit prescriptions for antibiotics to prevent resistance to the drugs developing among patients. The Department of Health on Friday published guidance on the use of antibiotics in hospitals to coincide with European Antibiotics Awareness Day.
28 January 2015
NHS Watchdog To Issue Asthma Treatment Guidelines
NHS watchdog, NICE, said it believes that more than one million adults in the UK have been wrongly diagnosed as asthmatic. According to the watchdog a third of adults diagnosed with the common lung condition show "no clinical signs" of asthma.
NHS Watchdog To Issue Asthma Treatment Guidelines
NHS watchdog, NICE, said it believes that more than one million adults in the UK have been wrongly diagnosed as asthmatic. According to the watchdog a third of adults diagnosed with the common lung condition show "no clinical signs" of asthma.
18 November 2010
'Get Well Without Antibiotics' Launched
A new drive to raise antibiotics awareness was launched today to remind the public that antibiotics do not work in treating viral infections such as coughs and colds.
'Get Well Without Antibiotics' Launched
A new drive to raise antibiotics awareness was launched today to remind the public that antibiotics do not work in treating viral infections such as coughs and colds.
02 May 2012
Around One In 20 Prescriptions Contains An Error, Study Finds
A major study of GP prescribing has found that while the vast majority of prescriptions written by family doctors are appropriate and effectively monitored, around 1 in 20 contain an error.
Around One In 20 Prescriptions Contains An Error, Study Finds
A major study of GP prescribing has found that while the vast majority of prescriptions written by family doctors are appropriate and effectively monitored, around 1 in 20 contain an error.
-
Northern Ireland WeatherToday:A showery start with outbreaks most frequent north of Lough Neagh and through the morning, before dwindling during the afternoon as the northwest breezes ease and brighter spells of weak sunshine prosper. Maximum temperature 8 °C.Tonight:A dry night, save for a few light showers around the coasts, with prolonged clear spells and light winds bringing a frosty dawn for many in central and southern parts. Minimum temperature -3 °C.