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    Delayed prescribing of antibiotics for self-limiting respiratory tract infections in an urgent care out of hours setting

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    Authors
    Mortimore, Gerri cc
    Holroyd, Justine
    Affiliation
    University of Derby
    Urgent Care South Derbyshire
    Issue Date
    2020-03-02
    
    Metadata
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    Abstract
    Long-term overuse of antibiotics and inappropriate prescribing has led to widespread development of antimicrobial resistance. The Department of Health and Social Care recently published a five-year national action plan to reduce antimicrobial resistance, with the aim of reducing inappropriate antibiotic prescribing. This is mirrored in the NHS Long Term Plan, which aims to reduce unintentional exposure through a combination of antibiotic stewardship and leadership at all levels. An acute respiratory tract infection is one of the most common presentations in primary care, with 16.7% of all prescriptions issued attributed to it. Therefore, out-of-hours prescribers contribute significantly to general antibiotic consumption. This article analyses the practice of delayed prescribing of antibiotics for the treatment of self-limiting respiratory tract infections in an out-of-hours service. The advantages and disadvantages associated with delayed prescribing, to safely treat patients whilst facilitating the reduction of antimicrobial resistance, are discussed. In addition, recommendations for future practice are offered. This article also focuses on the development of an advanced nurse practitioner, reflecting on the four pillars of advanced practice, which underpin advanced clinical practice and associated competencies.
    Citation
    Mortimore, G., and Holroyd, J. (2020). 'Delayed prescribing of antibiotics for self-limiting respiratory tract infections in an urgent care out of hours setting'. Journal of Prescribing Practice, 2(3), pp. 1-6.
    Publisher
    MA Healthcare
    Journal
    Journal of Prescribing Practice
    URI
    http://hdl.handle.net/10545/624592
    DOI
    10.12968/jprp.2020.2.3.130
    Additional Links
    https://www.magonlinelibrary.com/loi/jprp
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.12968/jprp.2020.2.3.130
    Scopus Count
    Collections
    School of Nursing and Professional Practice

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