NICE Guidance November 2018
There have been two guidelines published in November 2018 by the National Institute for Clinical Excellence which has impact upon primary care.
The Heavy menstrual bleeding guideline has been updated. The guideline was updated to reinstate recommendations on ulipristal acetate (Esmya®) in line with the European Medicines Agency review.
The Urinary tract infection (catheter-associated): antimicrobial prescribing guideline has been published. The guideline sets out an antimicrobial prescribing strategy for catheter-associated urinary tract infection in children, young people and adults.
The following below guidelines have also been released and they aim to provide an antimicrobial prescribing strategy to optimise antibiotic use and reduce antibiotic resistance.
Clinicians should be aware of these guidelines and implement any necessary changes to their practice.
CKS Updates November 2018
During the month of November 2018, the following Clinical Knowledge Summaries were updated:
There have been minor restructures to the topics listed above. Clinicians can use the updated and new information when reviewing patients.
NICE Guidance December 2018
There have been five guidelines published in December 2018 by the National Institute for Clinical Excellence which has impact upon primary care.
The Antenatal care for uncomplicated pregnancies guideline has been updated. A link to the UK CMO’s low risk-drinking guideline has replaced the existing recommendations on alcohol consumption in pregnancy.
The Post-traumatic stress disorder guideline has been published and replaces previous guidance from 2005. The guidance sets out recognising, assessing and treating post-traumatic stress disorder (PTSD) in children, young people and adults.
The Chronic obstructive pulmonary disease in over 16s guideline replaces guidance from June 2010. The guideline sets out diagnosing and managing chronic obstructive pulmonary disease (COPD) in people aged 16 and older, which includes emphysema and chronic bronchitis.
The Chronic obstructive pulmonary disease (acute exacerbation): antimicrobial prescribing guideline has been published. The guideline sets out an antimicrobial prescribing strategy for acute exacerbations of COPD.
The Bronchiectasis (non-cystic fibrosis), acute exacerbation: antimicrobial prescribing guideline has been published. The guideline sets out an antimicrobial prescribing strategy for managing and preventing acute exacerbations of bronchiectasis (non-cystic fibrosis).
Clinicians should be aware of these guidelines and implement any necessary changes to their practice.
CKS Updates December 2018
There were no CKS updates during the month of December 2018.
Useful Resources
New online resource available for adults with Type 1 diabetes
The NHS diabetes programme have developed new content which is accessible on the NHS UK website. This has been developed in collaboration with its partners Diabetes UK and NHS Digital. Further information on how the content can be utilised has been relayed in a letter from Dr Partha Kar, NHS England Deputy Clinical Director Diabetes.
Acute Kidney Injury (AKI)
Resources to support the NHS campaign to improve the care of people at risk of, or with, Acute Kidney Injury can be accessed via the Think Kidneys website.
Practices should ensure patients at risk of AKI are identified and medication reviews are carried out. Advice should be given on measures to help prevent AKI and actions to be taken if they are unwell.
BNF App drug interactions checker
The BNF App is a free drug interaction checker which can be downloaded free of charge on smart phones and tablets via this link. This app should be utilised by all prescribers particularly when prescribing outwith the support of a prescribing support software e.g. during clinical system failure, home visit.
TARGET Antibiotics -Prescribing in Primary Care online CPD course
A new free to access online CPD course starting 28 January 2019 has been produced in collaboration between the British Society of Antimicorbial Chemotherapy and TARGET. The course is aimed at primary care healthcare professionals who are involved in the treatent of common infections. Topics will be released every week for 7 weeks, including:
- Introduction to Antimicrobial Resistance in Primary Care
- Prescribing in Urinary Tract Infections
- Assessing the Need for Antibiotics
- Managing Patient Expectations and Back up/Delayed Prescribing
- Antibiotics for Children
- Common Practice Approach
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