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Antibiotic AwarenessPatient and Public Quarterly Forum

Prescribing Support Team

13 May 2015

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QUIZ

1. Which type of infections are antibiotics prescribed for?

1) Bacterial

2) Viral

3) Fungal

4) All of the above

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QUIZ

1. Which type of infections are antibiotics prescribed for?

1)Bacterial

2) Viral

3) Fungal

4) All of the above

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�Since the 1940s, antibiotic have allowed us to fight infections and save millions of lives

�But they are becoming ineffective against many infections because we aren’t using them properly

� In 1930s – a world before antibiotics, people often died from infections like pneumonia or meningitis.

�Simple medical procedures/operations were risky due to the chance of infection: Antibiotics changed that.

� If bacteria become resistant to our antibiotics many routine treatments will again become increasingly dangerous. Setting broken bones, basic operations, even chemotherapy all rely on access to antibiotics that work.

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2. You have tonsillitis and your GP has prescribed you an antibiotic. If you feel better you can stop taking the

antibiotic.

1) True

2) False

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2. You have tonsillitis and your GP has prescribed you an antibiotic. If you feel better you can stop taking the antibiotic.

1) True

2)False

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You have tonsillitis, and your GP prescribes an

antibiotic. You feel better and stop taking the

antibiotic.

These bacteria reproduce. So the population of

the resistant strain of bacteria increases.

The antibiotic kills almost all the bacteria. A tiny

fraction of the bacteria have a natural resistance

to the antibiotic. They do not die.

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3. Which type of infections are getting harder to treat dueto antibiotic resistance?

1) Urinary tract infections

2) Pneumonia

3) Wounds

4) All of the above

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3. Which type of infections are getting harder to treat dueto antibiotic resistance?

1) Urinary tract infections

2) Pneumonia

3) Wounds

4)All of the above

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4. The development of new antibiotics has dropped significantly. When do you think the last new antibiotic was developed?

1) 10 years ago

2) 20 years ago

3) 30 years ago

4) 40 years ago

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4. The development of new antibiotics has dropped significantly. When do you think the last new antibiotic was developed?

1) 10 years ago

2) 20 years ago

3)30 years ago

4) 40 years ago

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5. Across Europe, how many people do you think die eachyear because of antimicrobial resistance?

1) 500 people

2) 10,000 people

3) 15, 000 people

4) 25, 000 people

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5. Across Europe, how many people do you think die eachyear because of antimicrobial resistance?

1) 500 people

2) 10,000 people

3) 15, 000 people

4)25, 000 people

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Antibiotic Awareness:

Left unchecked, deaths would rise more than 10-fold by 2050…

and it is anticipated that it will be a bigger killer than cancer in years to come.

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6. You are speaking to your neighbour and mention that you have a cold, she offers you some antibiotics shehas in her medication cabinet from when she had acold. Should you take them?

1) Yes

2) No

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6. You are speaking to your neighbour and mention that you have a cold, she offers you some antibiotics shehas in her medication cabinet from when she had acold. Should you take them?

1) Yes

2)No

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There are many reasons why antibiotics lose their effectiveness, but here are two key ones:

�Firstly, we take medicines that we don’t need: � Antibiotics don’t help most colds or coughs get

better but we still request antibiotics for them.

�Secondly, we make things worse when we don’t take antibiotics exactly as prescribed.� For instance, by missing doses.

Never save antibiotics for future use or give them to someone else.

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7. How long does the cough usually last for:

1) 5 days

2) 10 days

3) 15 days

4) 21 days

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7. How long does the cough usually last for:

1) 5 days

2) 10 days

3) 15 days

4)21 days

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Your infection Usually lasts

Middle ear infection 4 days

Sore throat 7 days

Common cold 10 days

Sinusitis 18 days

Cough or bronchitis 21 days

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www.nntonline.net

Cates Plot

100 children given antibiotics for ear infections. 86 green -children who would have been free from pain at 2 to 7 days

even if no antibiotic given. 9 red -children who are in pain even with antibiotics. 5 yellow – those who show a benefit;

i.e. would have pain without the antibiotic but not when they receive one.

Since it is not possible to identify who will benefit all 100 need to be given the antibiotic for 5 to benefit. This

represents the number needed to treat (NNT) of 20 for a single child to benefit.

www.nntonline.net

Cates Plot

In contrast this Cates Plot shows that when all 100 children are given antibiotics an extra 8 will

suffer diarrhoea, vomiting or a rash. This means that the number needed to cause a harmful

outcome in one child (NNH) is 13.

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Self managementHow to treat yourself better for these infections

• Have plenty of rest.

• Drink enough fluids to avoid feeling thirsty.

• Ask your local pharmacist to recommend medicines to help your symptoms or pain (or both).

• Fever is a sign the body is fighting the infection and usually gets better by itself in most cases. You can use paracetamol (or ibuprofen) if you,or your child, are uncomfortable as a result of a fever.

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Self careLooking after yourself in a healthy way …….

• Eat healthy

• Take regular exercise

• Take your medication at the right time

• Stop smoking

• Stay warm – keeping warm over the winter months can

help prevent cold, flu or more serious health conditions

such as heart attack, stroke and depression

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Help and advice• NHS 111• NHS Choices - http://www.nhs.uk/Pages/HomePage.aspx• Community Pharmacy - Pharmacy First

harmacist

A range of

minor ailments

are treatable

by your local

Community

Pharmacist

Instead of a consultation

in your GP practice you

will have a consultation

in your local pharmacy

Croydon has 74 Croydon has 74

Community

Pharmacies which

provide this

service

Pharmacy First is a

service locally

commissioned by

Croydon Clinical

Commissioning Group

to reduce the demands

on GP practices and

Urgent Care services

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PHARMACY FIRSTAilments included in the scheme:

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Coughs and colds

Conjunctivitis

Earache

Athlete’s foot

Cystitis

Diarrhoea

Insect bites / stings

Toothache

Acne

Contact dermatitis

Ear wax

Haemorrhoids

Fever

Sore throat

Hayfever & allergies

Back pain

Sprains and strains

Cold sores

Headache

Indigestion

Constipation

Mouth ulcers

Nappy rash

Scabies

Thrush

Warts &

verrucae

Head lice

Teething

Threadworm

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Prevention and control• Practice good hand hygiene

• Stop infections spreading and give yourself time to recover properly, stay at home

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SHARED DECISION MAKINGShared decision making is the conversation that happens between a patient and their healthcare professional to reach a healthcare decision together.

Healthcare professionals have access to knowledge about the treatment options, their risks and benefits, while patients have knowledge on what is important to them, their own goals and preferences.

Good shared decision making recognises these different contributions and brings these complementary areas of expertise together, leading to better quality decisions.

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Information for Patients/PublicPosters

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Information for Patients/PublicPosters

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Information for Patients/Public: Patient Information Leaflets

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Support Annual European Antibiotic Awareness Day

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How Can YOU Help?

Antibiotics do NOT work for all

colds or most coughs, sore throats

or earache. Your body can usually

fight these infections on its own.

Don’t ask for antibiotics; treat

your cold and flu symptoms with

pharmacist advice and over the

counter medicines.

Antibiotics are important

medicines. Only take them when

prescribed by a health

professional.

Take antibiotics exactly as

prescribed; never save them for

later, never share them with

others.

The more we use antibiotics, the

greater the chance that bacteria

will become resistant to them so

that they no longer work on our

infections.

When antibiotics are prescribed

by a health professional it is

important that you always take

them as directed.

Use Antibiotics

Responsibly

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How Can YOU Help?

• Spread the word, tell your friends and family about antibiotic resistance.

• Become an Antibiotic Guardian. Register on https://antibioticguardian.com/ .

• For infections that our bodies are good at fighting off on their own, like coughs, colds, sore throats and flu, pledge to either• try treating the symptoms for five days rather than

going to the GP OR• Speak to your Community Pharmacist before going

to your GP.• Teach children about using antibiotics responsibly. Visit

the ebug website (www.e-bug.eu) for ideas.

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QUESTIONS & SUGGESTIONS