AMS team WHT
@BugWmh
The #antimicrobialstewardship team @WalsallHcareNHS Supporting safe and effective use of antimicrobials at Walsall Manor Hospital
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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
We have had an amazing week @WalsallHcareNHS promoting #WAAW2024, thanks @kitty_dhingra for organising a fantastic stand and @IPCWalsall for support
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
Our AMS team have a weekly journal club 📚🧐, this week we discussed how to use vaginal probiotics to prevent UTI #AMS
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 pubmed.ncbi.nlm.nih.gov/38084984/
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
📢 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 👏👏👏
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
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
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
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
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
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.
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
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!
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
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
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
We have a weekly MDT C.diff ward round @WalsallHcareNHS, with the Microbiologist, AMS Pharmacist and IPC Nurse joining, we take a holistic approach looking at 💊 managing concomitant infections 💊 medication 💊 nutrition and hydration 💊 IPC precautions #WAAW
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