European Antibiotic Awareness Day 18 November 2014


Our Trust's Antimicrobial Stewardship Team are delighted to announce the launch of the Microguide App for Apple and Android devices.

The launch of the Microguide App coincides with European Antibiotic Awareness Day (EAAD), the annual Europe wide public health initiative which aims to encourage responsible use of antibiotics and help tackle the rise in antibiotic resistance which is one of the most significant threats to patient safety across Europe.

This app contains all the Trust’s antimicrobial guidelines at your fingertips and is downloadable from iTunes and Playstore.


Antimicrobial Stewardship Toolkit for Secondary Care: Start Smart – then Focus Available at: SSTF was developed by the Department of Health expert advisory committee on Antimicrobial Resistance and Healthcare Associated Infection (ARHAI) and Public Health England

Secondary Care Prescriber’s Checklist

Antibiotics – Overuse and incorrect use drives resistance.

Do not start antibiotics in the absence of evidence of bacterial infection


q Obtain cultures prior to commencing therapy if appropriate

q Take a history to establish drug-related allergies

q If there is evidence/suspicion of bacterial infection, use local guidelines to initiate prompt effective antibiotic treatment

q Administer antimicrobial therapy within ONE hour of recognition of severe sepsis or septic shock

q Document indication(s), severity, route dose, and duration/review date for antibiotic prescription on prescription chart and in clinical notes

q Where antibiotics have been shown to be effective for surgical prophylaxis, give a single dose within 60 minutes before incision

q Consult infection expert(s) and/or pharmacists if appropriate


At 48 – 72 hours; review the patient and make a clinical decision “the Antimicrobial Prescribing Decision” on the need for on-going antibiotic therapy.

Does patient’s condition and/or culture result(s) necessitate:

Stop of antibiotic therapy (if no evidence of infection)

Switch from intravenous to oral therapy

Change: de-escalation/substitution/addition of agents

Continuation of current therapy

Outpatient Parenteral Antibiotic Therapy (OPAT).