NHS Lothian Antimicrobial Stewardship

💊 ⌛ Edinburgh based multi-disciplinary team of #AntibioticGuardians #KeepAntibioticsWorking #AntimicrobialResistance #AntimicrobialStewardship #AMR

[NHS Lothian Antimicrobial Stewardship @AMSLothian]

Tomorrow is #EuropeanAntibioticAwarenessDay we have updated our intranet page with lots of resources #dontbeadipstick #WAAW2020 thanks to @elizbeech for the inspiration "to dip or not to dip"

[Callum P Mutch @CallumPMutch]

Like Edinburgh and the Lothians? Come be my boss!

An exciting time in infection medicine - joint ID and micro job

https://t.co/qIWFZiuCws

[NHS Lothian Antimicrobial Stewardship @AMSLothian]

@KerriBaker20 @nimbulteel

[Callum P Mutch @CallumPMutch]

2023 RCPATH ACHIEVEMENT AWARD WINNERS 🏆

Huge effort by NHS Lothian infection team to deliver the "Infection bootcamp" over past 2 years. Well deserved recognition of the team's hard work 🎉

[NCAS_Australia @NCAS_Aus]

@NCAS_Aus Journal Club. Thanks @simgalimam for discussing his local health networks implementation of antibiotic hard stops, the benefits of reducing #DOTs and #LOTs and potential consequences when not reviewed. Read full publication here: https://t.co/UnPuOQ5QfO

[WGH Connect @WghLothian]

The official opening of the new and improved Junior Doctors mess at WGH today in Pentland Lodge. Thank you to all who made it happen especially our Chief Registrars and @NHSLothianMedEd team

[Jeff Linder @jeffreylinder]

I also have a related editorial with @ValerieVaughnMD that a lot of the environment we "swim" in hasn't been thoughtfully designed at all.

#HVMC2023

https://t.co/OoStIihmaH

[JAC-AMR @jac_amr]

“ACCEPT-UTI: Empirical use of piperacillin/tazobactam for ESBL UTIs showed no difference in clinical success outcomes compared to the empirical use of carbapenems”

Check out this study by @sylviastefanos et al:
https://t.co/iwWVqttzWf
@AthenaLVHobbs @SIDPharm #JACAMRNews

[NHS Lothian Antimicrobial Stewardship @AMSLothian]

@PulmCrit Urosepsis - my most hated term - FREQUENTLY OVER USED - usually a febrile patient with a UTI - not septic - E. coli in urine or blood?

[Avril Tucker @avrilbiotic]

Found my poster! 📸

Outcome: 40% REDUCTION in antibiotic prophylaxis for recurrent UTI within Bridgend locality! That’s >2,200 fewer antibiotics per year.

#UTIFriday #BSACSpring2023

[BM @Babir1981]

Fluoroquinolone antibiotics: reminder of measures to reduce the risk of long-lasting, disabling and potentially irreversible side effects | European Medicines Agency https://t.co/dddHTbmxrC via @EMA_News

[ASHE Journal @ASHE_Journal]

From @dr_vpatel910; @BrianChuSF; @UPenn_Allergy: A penicillin allergy testing service assessed penicillin allergy in patients with hematologic malignancies. All tested patients were negative. Patients who were challenged passed and were delabeled.
📄https://t.co/FeO8FvSy62

[Abid Hussain @MicrobLog_me_uk]

Transfer of antibiotics and their metabolites in human milk: Implications for infant health and microbiota: https://t.co/YpZyz0hkQY

[Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 @ABsteward]

🆕️⚡️ @antibioticsmdpi @MassimoSartelli
Six Long-Standing Questions about Antibiotic Prophylaxis in Surgery #IDTwitter
https://t.co/BKGvLaunYQ

[BSAC @BSACandJAC]

Are you an early-stage clinician interested in haematological #infections? The #ICDhaem course in our Infection Clinical Dilemmas series explores the common infection issues in haemato-oncology patients and the best ways to manage them 🦠 Join now! 👇 https://t.co/1eJBYRqk6J

[Abid Hussain @MicrobLog_me_uk]

Assessing clinical cure of empirical piperacillin/tazobactam for ESBL urinary tract infections (ACCEPT—UTI) https://t.co/5ajFtUnNo9

[Julie Ann Justo @julie_justo]

@ErinMcCreary giving us a unique argument for advocating IV to PO abx switch for serious infections ➡️ Saving massive amounts of nursing time! ⏰ (avg 22 min to administer IV vs. 80 seconds for PO) 🤯

@MAD_ID_ASP #MADID2023

[NHS Lothian Antimicrobial Stewardship @AMSLothian]

@silentID3 @ABsteward But we don’t treat the infection in isolation and if that is your only focus we aren’t practising realistic safe holistic medicine.

[Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 @ABsteward]

"IV antibiotics hold some kind of “mythical status” for both the clinician and patient, especially when it comes to deeper infections like bacteremia and infective endocarditis.Mythology is, unfortunately, a poor proxy for data, but luckily evidence-based alternatives exist!"🎯

[Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 @ABsteward]

"Choosing the less safe, not more effective IV-only alternative may be akin to administering a proverbial “placebo” to treat the clinician’s or patient’s own anxiety"
Please RT