World Antimicrobial Awareness Week (WAAW)

Written by AlisonFreemantle on Friday 3rd November 2023

18th – 24th November 2023

HIOW ICB have produced some resources to support World Antimicrobial Awareness Week.

Main Message:

Use the shortest effective course lengths for antibiotics

What is the problem with current courses of antibiotics?

  • Unnecessarily long courses are one of the factors driving antimicrobial resistance and an increased risk of Clostridioides difficile infection in at-risk populations.
  • Antibiotic course durations have often been based on a seemingly arbitrary and weak evidential basis. With antimicrobial resistance recognised as a global threat to public health, reducing course lengths when the evidence demonstrates that this not only does no harm but is potentially safer for the patient.
  • “Each additional day of antibiotic therapy is associated with a 4% increase in risk of side effects and a 3% increase in risk of resistance”.

There are two infographics which may be useful to pharmacies. They show antibiotic durations for common infections (adults) and Five conditions that should be treated for 5 days:

Current guidelines for amoxicillin 500mg capsules

Condition/diagnosis

Course length

NICE Guidance link

SCAN Guidelines link

Acute cough

5 days

https://www.nice.org.uk/guidance/ng120

https://viewer.microguide.global/SCAN/SCAN#content,75f7dfd8-81d2-4683-8e85-1a75bf73c09e

Acute exacerbation of chronic obstructive pulmonary disease (COPD)

5 days

https://www.nice.org.uk/guidance/ng114

https://viewer.microguide.global/SCAN/SCAN#content,7db8c2ab-ec6b-4db5-aaa5-1a663b7c0b6c

Community-acquired pneumonia

5 days

https://www.nice.org.uk/guidance/ng138

https://viewer.microguide.global/SCAN/SCAN#content,40e4d110-2bd3-4c69-8af1-151fbafd8f2b

Otitis media

5 to 7 days

https://www.nice.org.uk/guidance/ng91

https://viewer.microguide.global/SCAN/SCAN#content,d0ef1100-d026-4d52-90ce-4c15c1ee2936

Bronchiectasis

(non-cystic fibrosis)

7 days

https://www.nice.org.uk/guidance/ng117

No SCAN Guidelines for this condition

Catheter-associated urinary tract infections (only if culture results available and susceptible)

7 days

https://www.nice.org.uk/guidance/ng113

https://viewer.microguide.global/SCAN/SCAN#content,9f71d943-7448-4a58-97df-c7f539222072

Lower urinary tract infections

(for pregnant women, only if culture results available and susceptible)

7 days

https://www.nice.org.uk/guidance/ng109

https://viewer.microguide.global/SCAN/SCAN#content,0b64d2d9-324a-4b30-be37-1157d212596b

Inclusion in this table does not infer amoxicillin is first line treatment, please refer to NICE or SCAN for information regarding where amoxicillin treatment is positioned for that infection. Always check the allergy status of patient.