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://viewer.microguide.global/SCAN/SCAN#content,75f7dfd8-81d2-4683-8e85-1a75bf73c09e |
|
Acute exacerbation of chronic obstructive pulmonary disease (COPD) |
5 days |
https://viewer.microguide.global/SCAN/SCAN#content,7db8c2ab-ec6b-4db5-aaa5-1a663b7c0b6c |
|
Community-acquired pneumonia |
5 days |
https://viewer.microguide.global/SCAN/SCAN#content,40e4d110-2bd3-4c69-8af1-151fbafd8f2b |
|
Otitis media |
5 to 7 days |
https://viewer.microguide.global/SCAN/SCAN#content,d0ef1100-d026-4d52-90ce-4c15c1ee2936 |
|
Bronchiectasis (non-cystic fibrosis) |
7 days |
No SCAN Guidelines for this condition |
|
Catheter-associated urinary tract infections (only if culture results available and susceptible) |
7 days |
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://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. |