Skip to 0 minutes and 9 seconds Now something that I wanted to talk about was this interactive leaflet that Public Health England is developing. And I’ve found this quite useful as a clinician, because what it does is, it allows you to work with the patient in the consultation to try and focus down which part of the urinary tract the main problem is. And if it’s in the kidneys, there’d be certain type of symptoms; the bladder, these would predominate, urethra, these would predominate. And then it leads you very briefly on one page through those symptoms into prescribing strategies based on the most likely site of the problem. And crucially, it gives the patient some red flags or warnings about what symptoms should trigger reconsultation.
Skip to 1 minute and 3 seconds Because if we are going to prescribe fewer antibiotics, we really have to be much better at safety netting. Yes. Because of what you said earlier about increasing incidence of septicaemia… Of course. …from E. coli. And then there’s also some nice prevention stuff here as well. So that leaflet could really be helpful. So, Mandy, there’s audits that people can do to see how they’re getting on with this. Yes, there are. So GPs can do an audit on what antibiotics they’ve been prescribing. They have really good audit tools that you can use on the TARGET website, Royal College of GPs. And these will help you look at how you prescribe and what you’ve been prescribing.
Skip to 1 minute and 50 seconds And that will give you a good overview of what you’ve been doing. Another website you can go to is the Fingertips website. And this will actually show you prescribing data per GP practice. So anyone can look at that whether you’re from their practice or not? Yeah. So you can look at what’s going on in your area. And you can look at what’s going on in other areas. Now later on this year, very exciting, they are actually going to have resistance rates for particular areas as well. So you can spy on your mate’s prescribing and on their resistance. If you’d like to, yes. The important thing, I guess, is to know what you’re doing yourself.
Skip to 2 minutes and 27 seconds Interestingly, we did some work in Wales, which actually linked prescribing at a practice level to resistance at a practice level. And in the seven year study, we found that those practices that reduced overall antibiotic prescribing the most also started to submit samples for a urine culture that had fewer resistant bugs. So there is a kind of link. There’s a real big link, yes. Between what happens locally. So GPs are in the driving seat of this problem and its solution. And these websites are becoming, or will become, quite important in the future. I think GPs, they don’t get enough information on things like prescribing and things like resistance rates. They sort of see that as a hospital problem.
Skip to 3 minutes and 18 seconds And now, of course, prescribing in general is becoming more important to get right. That’s right. And there are all kinds of incentives and disincentives around it. So that audit tool on the TARGET website will also help you audit not only your antibiotics, but also investigations and so forth and when and when not to investigate.
Discussion on Data Sources
Watch the video to hear about useful resources developed by Public Health England to aid the treatment pathway for patients experiencing the symptoms of UTI.
Please note that the leaflet Professor Chris Butler is holding in this video is not actually the most recent version of the document. For your reference, the most up to date version is attached to the ‘Useful UTI Resources’ article in this section.
There is also a discussion of data sources that you can use to audit your own practice in terms of treatment trends and emerging resistance.
The next section will explore these resources in more detail and provide links to download.
*The leaflet in this video has since been updated and rebranded in line with the Keep Antibiotics Working campaign
© BSAC & PHE TARGET