NICE will not update guidance on Antimicrobial stewardship: systems and processes for effective antimicrobial medicine use (2015) NICE guideline NG15

 NICE (National Institute for Health and Care Excellence)  check their guidelines regularly to ensure they remain up to date. They have decided not to update the guideline on antimicrobial stewardship at this time. NICE based the decision on surveillance 2 years after the publication of NICE’s guideline on antimicrobial stewardship (NICE guideline NG15) in 2015. 

Reason for the decision

Assessing the evidence

For this guideline,  NICE checked any policy or other guidance documents that had been issued or updated since NICE guideline NG15 was published. They also checked any Cochrane reviews related to the guideline – this included any updates to the 4 Cochrane reviews used to inform the recommendations during development of the guideline, as well as any new Cochrane reviews published since October 2014 when the original search took place.  In addition, NICE also  checked for any relevant National Institute for Health Research (NIHR) Signals. Each piece of evidence was checked against the guideline recommendations to assess any potential impact.

The policy, Cochrane reviews and NIHR Signals NICE examined did not indicate a need to update the guideline, therefore we did not undertake a formal evidence review. Furthermore, members of the original guideline committee were in agreement that there had been no substantial changes to the evidence base that would affect the guideline at this point .

NICE also checked for any relevant ongoing studies, and the impact of any publications arising from these in future will be monitored.

Overall decision 

 After considering the evidence described above as well as the views of topic experts and stakeholders, NICE  proposes  to not update this guideline.

See how NICE made the decision for further information

 

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Progress report on the UK 5 year antimicrobial resistance strategy

The third annual progress report on the UK 5 year antimicrobial resistance (AMR) strategy, including future plans | Department of Health

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The third annual progress report describes the activities and achievements in the third year of implementation of the UK 5 year antimicrobial resistance (AMR) strategy 2013 to 2018, including significant international achievements.

The UK AMR strategy represents an ambitious programme to slow the development and spread of AMR, taking a ‘One Health’ approach spanning people, animals, agriculture and the wider environment.

The report sets out progress made in 2016, and notes that for the remaining 2 years of the strategy, the programme will focus on delivery of the government’s ambitions set out in response to the review on AMR led by Lord O’Neill. These include ambitions to halve certain types of infection and the inappropriate use of antibiotics.

Full report: UK 5 Year Antimicrobial Resistance (AMR) Strategy 2013-2018. Annual progress report, 2016

 

Preventing infections and reducing AMR

This professional resource outlines the importance of infection prevention and control and how it can contribute to reducing antimicrobial resistance (AMR) | Public Health England

Every infection prevented reduces the need for and use of antimicrobials, which in turn lessens the potential for development of resistance. In the UK, the current rising threat from drug resistant organisms is from Gram-negative bacteria. Infections caused by Gram-negative organisms are increasing. This professional resource outlines the importance of infection prevention and control and how it can contribute to reducing antimicrobial resistance.

Full detail at Public Health England

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Image source: http://www.gov.uk

 

Vaccine update: October 2017

This vaccine update provides immunisation practitioners with the latest developments in vaccines, vaccination policies and procedures.

The vaccine update October edition 271 features:

  • influenza vaccination and patients on therapy for HIV infection (highly active anti-retroviral therapy – HAART)
  • survey for GPs about diagnosis and management of blood-borne viruses (BBV) among migrants
  • call for GP or school practice improvement
  • vaccine coverage for pertussis vaccination programme for pregnant women: update to June 2017
  • latest infant Meningitis B and school leaver MenACWY vaccine coverage estimates published
  • latest UK vaccine coverage figures for children aged up to 5 published
  • interpretation of vaccine storage requirements
  • The Vaccination of individuals with uncertain or incomplete vaccination status has been updated
  • flu vaccine information and availability for the children’s national flu vaccination programme 2017 to 2018
  • eligibility of children for flu vaccines
  • giving a second dose of LAIV
  • influenza Vaccines for the 2017 to 2018 influenza season
  • Hexavalent vaccine (Infanrix hexa®)
  • ordering for Infanrix hexa® (DTaP/IPV/Hib/HepB) is open on ImmForm
  • change to InterVax BCG vaccine ordering restrictions
  • to be aware of vaccine pack changes
  • change to Rotarix presentation
  • shortage of pneumococcal polysaccharide 23-valent vaccine (PPV23)
  • vaccine supply for non-routine programmes
  • historical vaccine development and introduction of routine vaccine programmes in the UK

Full update available at Public Health England

Antibiotic awareness resources

Public Health England have published a series of antibiotic awareness resources to support the Antibiotic Guardian campaign and local initiatives.

Antibiotic awareness: toolkit for healthcare professionals in England
Guidance to help the NHS, local authorities and others support European Antibiotic Awareness Day and the Antibiotic Guardian campaign, to encourage responsible use of antibiotics.

Antibiotic awareness: quizzes and crosswords
Quizzes and crosswords about antibiotic resistance for the public, healthcare prescribers and pharmacists.

Antibiotics: secondary care prescriber’s checklist
Prescribers in secondary healthcare can use this checklist to help make decisions about prescribing antibiotics.

Antibiotic awareness: posters and leaflets
Posters and leaflets (in 11 languages) for the public and healthcare professionals to support antibiotic awareness campaigns in the UK.

PHE have also produced a short video to help explain the issue of antibiotic resistance:

NHS staff who refuse flu vaccine this winter will have to give reasons

NHS staff who refuse to have the flu vaccine this winter will have to give reasons to their employer, as leaders make efforts to improve take-up rates|  BMJ 2017359 

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Image source: Daniel Dionne – Flickr // CC BY-SA 2.0

 NHS leaders are to write to all NHS staff urging them to be vaccinated against flu as soon as possible. The letter will make it clear that staff who refuse the vaccine will have to give reasons to their employing NHS trust, which will then be recorded.

The heads of NHS England, Public Health England, the Department of Health for England, and NHS Improvement said that they were writing to remind staff of their “professional duty to protect their patients.” Trusts are also being urged to make the flu vaccine “readily available” to staff.

Although last year saw record take-up of the vaccine among staff, more than a third of NHS staff members did not take up the offer, with just a fifth being vaccinated in some trusts.

Hospitals and GP surgeries are being warned by NHS England to be prepared for a big increase in cases of flu this winter after a heavy season in the southern hemisphere.

Full story via BMJ 2017359 doi: https://doi.org/10.1136/bmj.j4766