Good Practice in Antimicrobial Prescribing
The aim of providing empirical antibiotic prescribing guidance is to achieve two related aims:
- Ensure effective treatment for an unwell patient by delivering antibiotics active against the pathogens most likely to be present
- Avoid over-use of broad-spectrum antibiotics, which can promote antimicrobial resistance and thus make infections much more difficult to treat, as well as causing unwanted side-effects for the patient such as Clostridium difficile infection
When prescribing antibiotics:
- Follow these empirical guidelines
- These are based partly on national guidance and partly on known sensitivity patterns amongst local isolates
- Culture before starting antibiotics
- Identifying the pathogen responsible allows you to switch to focused treatment sooner
- Review all IV antibiotic prescriptions within 48-72 hours
- Is the diagnosis of infection secure, or is something else causing this illness?
- Can you narrow treatment based on clinical findings or results from cultures?
- If antibiotics are still needed, has the patient improved enough to switch to oral therapy?
- Don’t exceed the course length advised