Philip Howard

We are working with other UK infection societies to reduce the carbon footprint of infection services including antibiotic use, the lab and IPC. Join the sustainable IPC discussion at our new forum.

networks.sustainablehealthcare.org.uk/infection-pr...

Clinical Experience With Penicillin Skin Testing in a Large Inner-City STD Clinic Objective.  —To establish (1) the prevalence of positive penicillin skin tests among outpatients with well-defined but variable history of penicillin allergy and (2) the reproducibility, safety, a...

My Top 5 Antibiotic Allergy Papers - #5
▶️Gadde et al. JAMA 1993; 270 (20)
▶️ A paper before its time. Skin testing for #penicillinallergy in patients with ID indication!
▶️ 7.1% + ; PPL & MDM utilisation; safety (1/128+ required adrenaline); Allergy LOSS WITH TIME.
jamanetwork.com/journals/jam...

Large amounts of antibiotics are used in livestock, but several countries have shown this doesn’t have to be the case Overuse is a risk for antibiotic resistance, but there are ways to reduce it.

This article discusses reducing antibiotic use in livestock to combat AMR, highlighting successful European practices that improve farming without harming productivity.

ourworldindata.org/antibiotics-...

There is variation in prescribing of medicines across NHS Scotland. This can include items that may have low or limited effectiveness, safety concerns, or provide low value for money for NHS Scotland, where there are more cost-effective items available. This can also include instances of antibiotics being prescribed unnecessarily or for longer than the recommended duration, increasing antimicrobial resistance. This guidance aims to promote the effective use of medicines and minimise unwarranted variation in prescribing practice across NHS Scotland. It supports the principles of Realistic Medicine through shared decision-making, encouraging medication review, and ensuring medicines are prescribed appropriately.

Achieving Value and Sustainability in Prescribing:

1. Items of low and limited clinical value
2. Cost Effective use of Blood Glucose Monitoring and Insulin Pen Needles
3. Effective use of antimicrobials

@scottishgovernment.bsky.social
#PharmSky #MedSky

www.gov.scot/publications...

This chart compares the global average amounts of antibiotics used for different livestock animals in 2020. Antibiotic use is measured in milligrams per kilogram of animal product. Sheep have the highest usage at 243 mg, followed by pigs at 173 mg, cattle at 60 mg, and chickens at 35 mg. The note clarifies that the data excludes certain antimicrobial substances like ionophores, which are considered veterinary medicines and not classified as "medically important" antibiotics. The source of the data is from research published in 2023.

Large amounts of antibiotics are used in livestock, and overuse is a risk for antibiotic resistance.

But there are ways to reduce this — and several countries have shown how.

This #AMR thing gets scarier by the day!

Ceftazidime-avibactam /aztreonam resistance in a NDM producing E coli! 😱 #IDSky #ClinMicro

Great to see The Hindu newspaper reporting on antimicrobial use in agriculture in India, and consequences of driving AMR from a #onehealth perspective.

We estimated that in 2050, there will be 1·91 million (95% UI [1·56–2·26]) annual deaths attributable to AMR globally and 8·22 million (6·85–9·65) annual deaths associated with AMR

To save you time, I have distilled this down to the one (probably only) sentence that will be cited ad nauseum (until the next update of course).

www.thelancet.com/journals/lan...

#AMR #IDSky #MicroSky

Thank you so much for donating on 25-Nov. Your donation has now been issued to the Royal Victoria Infirmary, Newcastle. Every donation counts. #203 #givebloodsavelives

Well done to Shazia Nazir from Leeds Teaching Hospitals Pharmacy Infection Team for winning best poster for her technician led IVOS ward rounds at the @bsacandjac.bsky.social #infection2024 conference.

@bsacandjac.bsky.social #GAMSAS is a global #antimicrobialstewardship accreditation system AMS-accredit.com #infection2024

A great 1st day of #amr innovation at @bsacandjac.bsky.social #infection2024

#antibioticguardian awards close on 10th January - see QR code. #infection2024 @dianeashiru.bsky.social @bsacandjac.bsky.social

#antifungalstewardship survey results shared showing some improvement since 2016 at #infection2024 @bsacandjac.bsky.social

Some great work being shared by #leedshospitals #pharmacy #infection team on technician led #IVOS switch and sharing #AMR at an Infection summit #infection2024 @bsacandjac.bsky.social @ukcpa.bsky.social

The ESCMID Global 2024 abstract book has just been published in CMI Communications. This supplement contains all accepted abstracts, abstracts that were presented in oral sessions and abstracts of posters that were uploaded to the congress repository.
ow.ly/5aIb50Tgkhb
#ESCMIDGlobal #CMIComms

PUBLISHED: The 2023-24 English surveillance programme for antimicrobial utilisation and resistance (#ESPAUR) report www.gov.uk/government/p...

Register to find out more about the findings in the report at the webinar we are hosting on 20th November: antibioticguardian.com/Meetings/esp...

Surveillance of bloodstream infections in critical care units, England: May 2016 to March 2024 report

The UKHSA report on ICU BSI is out and well worth a read. I know very little about the epi of ICU infections and so won't provide much commentary.

#bsi #hcai #icu #epidemiology

www.gov.uk/government/s...

English surveillance programme for antimicrobial utilisation and resistance (ESPAUR) report The ESPAUR report includes national data on antimicrobial prescribing and resistance, antimicrobial stewardship implementation, and awareness activities.

The UKHSA ESPAUR report is out today. It's a massive report on the use of antimicrobials in England and the epidemiology of antimicrobial resistance.
Bonus data: also includes preliminary results of the #hcai point prevalence survey.
www.gov.uk/government/p...

1. One Health, One Team Going Macro on Micro · Episode

As its #WAAW next week I thought I would share some episodes of Going Macro on Micro I was involved with that talk about the importance of #onehealth

Three episodes currently dropped, three more to come

open.spotify.com/episode/00MJ...

A ghost IV bag with a no symbol over the top, and several pill shapes dressed as ghostbusters The title text says "If they're eating food and clinically good, who you gonna call? Oral dose forms!"

Another cracker of an #AMR cartoon, this time from the National Centre of Antimicrobial Stewardship

Only 27 days until #WAAW - are you getting ready?

Hopefully DURATION study will eventually inform on whether we may be able to go even lower than 7 days....

(not comparing like with like, i know, as this study inclusion is pyelo, irrespective of bacteraemia) #UTISky #IDSky

www.phctrials.ox.ac.uk/recruiting-t...

Hey welcome!
I'm making an #AMR starter pack - am adding to it as people turn up!
go.bsky.app/KkZfvrh

And there's an AMR feed you can follow also bsky.app/profile/did:...