Antimicrobial Resistance (Chief Medical Officers Annual Report, published 2013) states the following:
“Antimicrobial resistance is a very real threat. If we have no suitable antibiotics to treat infection, minor surgery and routine operations could become high risk procedures”.
At Benenden Hospital we are working hard to contribute to the safe use of antibiotics and to reduce antimicrobial resistance.
This is achieved by a robust Antibiotic Stewardship Programme, with the Pharmacy Manager and the Director of Infection Prevention and Control both having signed up to being Antibiotic Guardians.
The Antibiotic Guardians will:
- Promote the safe, rational and prudent use of antimicrobial agents within the Trust, in line with Department of Health objectives.
- Work closely with the Microbiologists, the Infection Prevention and Control Team, and other members of the healthcare team, to ensure the safe and rational use of antibiotics.
- Collect, collate, analyse and monitor data from the antibiotic audit report, and report to the Trust Infection Control Committee
- Support Pharmacy, medical and nursing staff in responding to queries in relation to specific patients and challenge inappropriate prescribing when appropriate.
- Target education and training to Pharmacy, medical and nursing staff and patients on antimicrobial prescribing.
- Update local clinical guidelines involving the use of antimicrobial agents with the Consultant Microbiologist every 2 years.
- Audit and measure adherence to local antimicrobial guidelines and feeding back the results to prescribing staff
- Monitor antimicrobial expenditure and consumption. Implement initiatives to reduce or contain expenditure and consumption.
- Monitor and identify risks associated with antimicrobial use and to implement initiatives to reduce risks.
Enterobacteriaceae are a group of bacteria found in the gut of humans and animals and are common causes of urine, intra-abdominal and Blood Stream Infections. Examples are E.coli, Klebsiella, Salmonella, Enterobacter.
Carbapenemase Producing Enterobacteriaceae (CPEs) are resistant to the Carbapenems – the newest, and most medically important, classes of antibiotics – reserved for the most serious infections. CPEs may be resistant to ALL conventional antibiotics.
CPEs are seen as the latest and greatest threat.
At Benenden we are ensuring our patients’ safety by risk assessing patients for CPEs, and any patients at high risk of being carriers will be screened at their Pre-assessment appointment. More information about this is included in your information pack.