AMS team WHT

The #antimicrobialstewardship team @WalsallHcareNHS Supporting safe and effective use of antimicrobials at Walsall Manor Hospital

[AMS team WHT @BugWmh]

You will see the AMS team out and about reviewing patients on the wards for:
✅ Daily blood culture ward rounds
✅ Four times a week "time-out" rounds
✅ Patient referrals
✅ Daily ICU ward round
✅ Weekly C.diff ward round
@AidenJPlant1 @karam_kaur001 @kitty_dhingra @IPCWalsall

[AMS team WHT @BugWmh]

We have had an amazing week @WalsallHcareNHS promoting #WAAW2024, thanks @kitty_dhingra for organising a fantastic stand and @IPCWalsall for support

[Aiden J Plant @AidenJPlant1]

Another week of crazy interesting infection consults 🧐 - neurologically focused 🧠
✅ post neurosurg meningitis
✅ VP shunt ventriculitis
✅ Bickerstaff’s encephalitis post-Campy
✅ Hep E induced polyradiculopathy
@BugWmh @KiranBh05711467 @kitty_dhingra @karam_kaur001

[AMS team WHT @BugWmh]

Our AMS team have a weekly journal club 📚🧐, this week we discussed how to use vaginal probiotics to prevent UTI #AMS

[Kiran Bhatt @KiranBh05711467]

Interesting Journal club paper discussed today...Vaginal probiotics as supplementation for prevention of recurrent UTI!
Need another study in Post menopausal women with "recurrent " UTI symptoms. @AidenJPlant1
@BugWmh
https://t.co/LM20qkluHt

[AMS team WHT @BugWmh]

@SIDPharm We are currently auditing HAP and UTI diagnosis

[AMS team WHT @BugWmh]

We are looking forward to talking about PEN-FAST at our induction talk tomorrow, it’s so important that every patient @WalsallHcareNHS self reporting a penicillin allergy should have a PEN-FAST score so we can open up treatment options #penicillinallergy

[Florin-Dan Popescu @FlorinDanPopesc]

📢 Learn #PENFAST fast and easy ... and don't let it get out of your head! Validated novel #PenicillinAllergy clinician decision rule ❗
@TrubianoJason @AnaCopaescu @PALACE_Trial @DrJoeDeluca @CAAR_Aus 👏👏👏

[AMS team WHT @BugWmh]

We have been teaming up with our brilliant @IPCWalsall team this morning to discuss urine dipsticks and catheter care for our new QI project, we’re looking forward to making some exciting quality interventions 🤩🤩 @AshlinJossy @karam_kaur001 @kitty_dhingra @WalsallHcareNHS

[AMS team WHT @BugWmh]

#NewProfilePic

[AMS team WHT @BugWmh]

We ask that every patient @WalsallHcareNHS is asked about their penicillin allergies and are assigned a PEN-FAST score so we can open up the best antibiotic treatment options @AidenJPlant1 @KiranBh05711467 #antimicrobialstewardship

[Karamjit Badyal @karam_kaur001]

Is there a 10% cross reactivity between penicillins and cephalosporins?
❓A common query at the Pharmacy counter
Cephalosporins and penicillins both have a beta-lactam ring, additionally some cephalosporins and penicillins share identical side chains 1/5

[Kiran Bhatt @KiranBh05711467]

@TakaMatsuo_ID @CIDJournal @MayoClinicINFD Great study - confirms our practice... we aim to start RIF for all (sensitive) staphylococcal PJI asap after debridement. Our choice companion drug is DOXY!
@AidenJPlant1 @BugWmh

[Karamjit Badyal @karam_kaur001]

Is IV Clarithromycin better than oral? A question asked while on micro rounds, a great chance to dispel a myth:

💊It is highly lipophilic resulting in excellent tissue penetration irrespective of route
💊It has 20 x greater concn in pulmonary epithelial tissues than in serum

[Aiden J Plant @AidenJPlant1]

A great week of infection consults done ✅
🟢 managing measles
🟢 Hep A + enteric fever co-infection
🟢 paediatric SAb with multifocal arthritis
🟢 dalbavancin for staphylococcal IE
🟢 workup for PUO
🟢 recurrent GNB-bacteraemia
🟢 facet joint SA
@BugWmh, @IPCWalsall.

[AMS team WHT @BugWmh]

@IPC_Amy

[AMS team WHT @BugWmh]

Great study from our West Mids AMS colleagues @jabicjenkins @Syed_AD_Gilani 👏🏽👏🏽 IVOS is such a valuable intervention!

[Abi Jenkins @DrAbiJenks]

How many nurse hours could your Trust release on introducing an effective #IVOS pathway?

The numbers are eye watering, take a look!👇🏻

#BSACWinterConference

[AMS team WHT @BugWmh]

We really enjoyed our Pharmacy training session yesterday! We went through cases on common infections and we were really impressed with the knowledge. Well done #teampharmacy @WalsallHcareNHS @karam_kaur001 @kitty_dhingra

[AMS team WHT @BugWmh]

Every 2 months we audit antibiotic prescriptions (300+ charts audited in Oct)
🙌 87% of antimicrobials were prescribed according to MicroGuide
🎉93% had a stop/review date
👏 95% had an indication
Big thank you to the teams @WalsallHcareNHS for being so engaged in AMS!

[Amy Boden RN 🏳️‍🌈 @DCNO_Amy]

A highly valuable intervention which also included prompting TWOC & promoting indwelling device care.

At the end of #WAAW I pledge that @IPCWalsall will be regularly present at antibiotic time outs as part of the MDT, actively influencing #IPC in person centred care

[AMS team WHT @BugWmh]

At the end of #WAAW we were joined by @LisaRuthCarroll and @IPC_Amy reviewing every patient on an antibiotic on Ward 9&10 on “time out” ward round, we
✅ reviewed cultures and sensitivities
✅ checked it’s the right antibiotic
✅ IV to PO switch
✅ stopped and escalated abx

[AMS team WHT @BugWmh]

Big thank you to @IPC_Amy for her vision in creating this role 😊

[AMS team WHT @BugWmh]

Liz is our fantastic AMS/ IPC nurse associate, this is a new role. Liz reviews patient notes on AMU daily and supports sampling to make sure we have all the right information needed to treat our patients, Liz also provides AMS and IPC education and training @IPCWalsall #WAAW