Antimicrobial Stewardship

Question 1

What is antimicrobial (antibiotic) stewardship? [1]

Answer 1

systematic approach to safe and effective use of antibiotics to optimise outcome, minimise harm and preserve future therapies

Question 2

How is antimicrobial stewardship achieved? [5]

Answer 2

1. Monitoring/surveillance
2. Guidelines/protocols
3. Specific restrictions (reporting/Abx)
4. Specific interventions
5. Multidisciplinary working

Question 3

What are the typical signs and symptoms of infection?

1. systemic signs/symptoms? [5]
2. localised signs/symptoms? [6]

Answer 3

1. Symptoms/signs of infection
   
   • Fever
   • Sweats
   • Rigors
   • Shivers and shakes
2. Localising symptoms/signs
   
   • Dysuria and frequency
   • Dyspnoea,
   • Cough + green/brown sputum,
   • Crepitations
   • Erythema, heat, swelling
   • Sore throat with exudate and adenopathy