World Antibiotic Awareness Week 2019

I’m the Consultant antimicrobial Pharmacist for BCUHB. My role working with a team of antimicrobial pharmacists across BCUHB is to review of antibiotic prescribing across north wales, advice of antibiotic stewardship for BCUHB write guidelines and policies, advice on antibiotic treatments, and promote good antibiotic prescribing. This is all important as without good antibiotic stewardship the future effectiveness of antibiotics is not that certain. Antibiotics are used from everything from treating infections, to allowing patients to have surgery such as hip replacement to being given to prevent infections for those receiving chemotherapy.

Some of the interventions we have done in the last year include in primary are a UTI project around reviewing patients who are in long term antibiotics, stopping dipsticking urine to diagnose a TUI in patients over 65 years of age and education and training for care home staff on UTIs.

In secondary care we participated in the ARK (Antibiotic Review Kit) study, which was a behavioural change study around the review and stopping of antibiotics. All antibiotics should have a review by 72 hours of the initial prescription, the chart in the ARK study allows and initial prescription on 72 hours, this must then be reviewed. Along with the chart there was an eLearning package for prescribers and a patient information leaflets. The review rate in YG foal l antibiotic prescription increased from 22% to at the end of the study 94% .

Both interventions have decreased antibiotic prescribing and therefore exposure of patients to unnecessary antibiotics.

Charlotte Makanga

Consultant Antimicrobial Pharmacist

Honorary Lecturer Bangor University

43 views0 comments

© 2018 BCUQI

Privacy statement/GDPR:

 BCUHB is not responsible for external link content nor external Twitter comments.

 Several external organisations' logos are used: they all link to their respective websites.

BCUHB staff should not include any patient identifiable information or use any health board system passwords including nadex passwords when using any areas of this website.

Unless otherwise indicated, the design and content of this site is the property of BCUQI which is part of Betsi Cadwaladr University Health Board. Permission should be sought prior to any use of the design and content from this or other pages contained in this site.

The BCUQI Team (part of the Betsi Cadwaladr University Health Board) may share your personal information within the team and relevant health board staff for the purposes of administration of Members' Area/Forum as well as booking onto events.  By booking a place at events using this site, or applying for membership, you agree to this policy and for your data to be retained indefinitely for the purpose of Quality Improvement work and consent to us contacting you in future. This booking may involve an external provider, in which case their Privacy Policy will apply. You may contact us for more information about any data  or photographs we hold, including asking us to delete these, by contacting us by email (