Mr Anote’s story Part 1

In the hospital setting, antibiotics misuse has been noted as a driver of antibiotic resistance.

Antibiotic misuse includes:

Underuse – An antibiotic is not used when it could improve health.

Unnecessary use – where an antibiotic is not indicated and there is no health benefit for the patient (e.g. treatment of an upper respiratory infection caused by a virus or an antibiotic is not recommended).

Inappropriate use – there is an indication for empirical treatment but choice of antibiotics, timing, dose, route, frequency of administration or duration of treatment is incorrect. For example, choice of an antimicrobial with an unnecessarily broad spectrum or too narrow a spectrum, dose is too high or too low, duration is too long or too short; treatment is not de-escalated or changed when microbiological culture data become available; duration is > 24 hours for surgical prophylaxis, (except in surgical procedures with a long duration).

Now watch this extract from Mr Anote’s story. Looking at this case history there were instances of antibiotic misuse in the tertiary hospital setting.

Can you identify such areas of antibiotic abuse from the video?

Make notes to refer to later.

The transcript for this video is available below.