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Infectious diseases clinic

Antimicrobial stewardship in the community: understanding the data

KIRSTY BUISING, ARJUN RAJKHOWA, DANIELLE MAZZA, LESLEY HAWES

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© JARUN011/STOCK.ADOBE.COM
© JARUN011/STOCK.ADOBE.COM

Abstract

Australia has a higher per-capita consumption of antibiotics than Canada and many European countries and a higher average consumption than the OECD average. About 80% of antibiotic prescribing takes place in the community. Better data on antimicrobial prescribing behaviour might help identify opportunities for improved antimicrobial stewardship.

Article Extract

Case scenario

Xanthe, aged 55 years, presents to her GP as she has had a cough and has been feeling unwell for a few days. She also has a runny nose. The GP examines her, excludes pneumonia and diagnoses rhinitis and acute bronchitis. Xanthe does not smoke and is otherwise well. She reports that when she had bronchitis last winter, she was given amoxicillin, but was still coughing a few days later and was switched to amoxicillin-clavulanic acid. She recovered over the next week. This illness is like the previous one and she would like antibiotics again.

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© JARUN011/STOCK.ADOBE.COM
© JARUN011/STOCK.ADOBE.COM