Antimicrobial stewardship

Question 1

When do we prescribe antibiotics?

Answer 1

1. To treat suspected infection
2. Prophylaxis
3. Reasons other than infection

Question 2

Definition of MDR bacteria?

Answer 2

Bacteria that are simultaneously resistant to 3 or more classes of antibiotics.

Question 3

Examples of MDR GP Cocci?

Answer 3

1. MRSA
2. VRE
3. Penicillin resistant Strep pneumoniae

Question 4

Examples of MDR GN Cocci?

Answer 4

1. Klebsiella pneumoniae
2. E. coli
   These are ESBL and Carbapenamase producers. So are resistant to B-Lactams and Carbapenems.

Question 5

What does antibiotics stewardship mean?

Answer 5

Being thoughtful when regarding the use of antibiotics.

1. Right antimicrobial
2. Right dose, duration, and route for the condition
3. Minimise adverse consequence
4. Only for bacterial infections, not for viral
5. Preventing infections by promoting immunisation and adhering to adequate infection prevention and control guidelines

Question 6

General principles when prescribing antibiotics?

Answer 6

CAPPA