Skip to 0 minutes and 9 seconds I think we’ve got to move away from this condition of… practices really have got to think about the way they manage and organise themselves around urinary tract infection. It’s common, it’s a big problem for women. And it comes in all shapes and sizes. And it comes from the person who’s so uncomfortable they can’t sit still and they’re in absolute agony, through somebody with relatively mild symptoms who’s perhaps just a little bit worried about a bit of dysuria. And we need to think about where’s it coming from; is it the kidneys, the bladder, or the urethra? How likely is it to be infected? And do we need antibiotics or not? If not, we can try non-steroidal.
Skip to 0 minutes and 53 seconds If it’s antibiotics, Nitrofurantoin will be your first choice, but not to forget the other antibiotics if we’ve got cultures, and to think about also our own personal management and the TARGET website and the audit tools there, and this brilliant leaflet, which I think will help focus the clinician’s and the patient’s mind about what’s really going on; that this is not just one thing, it’s a range of things, and we need different responses. I suppose at the end of the day, we’re trying to make the patients get better quicker. But we’re also trying to manage our prescribing so that we don’t push resistance further than it should be. And those two things in conjunction, I think these tools will help. Yeah.
Skip to 1 minute and 46 seconds I think that it’s such an important thing, because in the past, it was all kind of worrying about the future and societal perspectives. But I think for UTI in particular, getting the prescribing decision right in relation to the likely diagnosis or sight of problem will really help patients get better quicker. And all the downsides of prescribing is located within that patient, because they are going to carry problems if they’re getting unnecessary antibiotics, or, on the other hand, not getting antibiotics when they stand a good chance of benefiting from them.
Summary, Downloadable Action Plan and FAQ's
Well done on reaching the end of Week 2 on prescribing for UTIs. We hope you have enjoyed Week 2 and that you found the discussion with Professor Chris Butler and Dr Mandy Wootton useful.
We hope you now have a firm understanding of why prescribing in Urinary Tract Infections is an important issue to address in primary care and can now introduce the studies that they have been involved with.
In Week 3 we will be assessing the real world need for antibiotics.
If you would like to watch the full video which was included in the PHE TARGET webinar series and includes the live panel discussion and useful links please follow this link to the TARGET webinar.
Use of health behavioural pledges have shown to increase knowledge and influence behaviour. As part of this course we encourage you to create an action plan like the downloadable version that is available as an attachment at the bottom of the page. This form also gives you the opportunity to reflect back on each week of the course as you work through them, making valuable notes for future reference.
Please also find attached some useful frequently asked questions and answers for your reference.
*The leaflet in this video has since been updated and rebranded in line with the Keep Antibiotics Working campaign
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