GPhC tips for infectious

Question 1

Recommendations

Answer 1

Learn:
MOAs

Management of common infections (UTI, pneumonia, Cellulitis, MRSA, C.diff, Mastitis, TB, Meningitis, RTI)

• Know which antibiotic to give/Allergies/Interactions

Monitoring

Counselling

Question 2

Common tested areas by GPhC

Answer 2

Sepsis

BNF updates

Doses

Side effects

Causative organisms

Interactions

Rashes

Cautionary labels

Narrow therapeutic drugs

Audits (National audits)

Question 3

Intro

Answer 3

B4 choosing antibiotic consider:
- PT (M/F, age, allergy etc)
- Causative organism
- Risk of resistance with repeated course (more risk of treatment failure) [Ideally use short period with lower dose]

Question 4

Pt Factors

Answer 4

Allergy status

Renal and hepatic function

Susceptibility to infection (immunocompromised)

Ability to tolerate drugs by mouth

Severity of illness

Ethnic origin

Age, Other meds, Female,

Pregnant, Breastfeeding

Take oral contraceptive?

Question 5

Rational for prescribing

Answer 5

B4 starting:
- Viral? - NO ANTIBITOICS
- Samples - AVOID blind treatment
- Knowledge of prevalent organism (narrow vs broad spec?) - Narrow preferred ideally but in practise broad spec used
- Dose adjustments (Weight, Renal impairment etc)
- Route of admin. AVOID painful IM in child
- Duration of treatment - Prolong use = more Resistance risk