Preface

Preface J Antimicrob Chemother 2018; 73 Suppl 2: ii1 doi:10.1093/jac/dkx536 It is widely recognized that antibiotic use is a major driver for the of substantial (albeit with large uncertainty) inappropriate antibi- emergence and spread of antibiotic resistance. Hence in recent otic prescribing, indicating there is clear scope for improvement. years, significant attention has been paid to implementing antibi- However, the articles highlight that improvement is not only otic stewardship programmes that aim to optimize antibiotic use required with regard to the quality of antibiotic prescribing, but to improve patient outcomes while at the same time minimizing also in the routine recording of clinical diagnoses to justify deci- toxicity and other adverse events and the selection of antibiotic- sions on whether or not antibiotics are prescribed. Improvements resistant strains of bacteria. In essence this means reducing the in- in routine diagnostic coding would enhance both the quality of sur- appropriate use of antibiotics. However, this is easier said than veillance data on antibiotic prescribing and the associated evi- done, as successful antibiotic stewardship requires a measure of dence base. This would in turn facilitate the rational design of what constitutes inappropriate antibiotic use. In this Supplement a interventions to tackle the threat to public health and healthcare group of researchers from Public Health England, working with col- delivery that is posed by antibiotic resistance. leagues both within and outside the UK, have attempted to quan- tify the extent of inappropriate prescribing in primary care in the Alan P. Johnson UK and to identify contributory factors such as different clinical Russell Lewis syndromes and conditions. A range of methodology was em- Hayley J. Wickens ployed, including analysis of a database of consultations and asso- ciated prescribing in primary care, and formal elicitation and analysis of expert opinion regarding the ‘ideal’ level of antibiotic prescribing for common infections encountered in the community where antibiotic treatment is sometimes, but not always, indi- Transparency declarations cated. Together the five articles presented suggest the existence None to declare. V The Author(s) 2018. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com ii1 Downloaded from https://academic.oup.com/jac/article-abstract/73/suppl_2/i1/4841823 by Ed 'DeepDyve' Gillespie user on 22 March 2018 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Antimicrobial Chemotherapy Oxford University Press

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Publisher
Oxford University Press
Copyright
© The Author(s) 2018. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com
ISSN
0305-7453
eISSN
1460-2091
D.O.I.
10.1093/jac/dkx536
Publisher site
See Article on Publisher Site

Abstract

J Antimicrob Chemother 2018; 73 Suppl 2: ii1 doi:10.1093/jac/dkx536 It is widely recognized that antibiotic use is a major driver for the of substantial (albeit with large uncertainty) inappropriate antibi- emergence and spread of antibiotic resistance. Hence in recent otic prescribing, indicating there is clear scope for improvement. years, significant attention has been paid to implementing antibi- However, the articles highlight that improvement is not only otic stewardship programmes that aim to optimize antibiotic use required with regard to the quality of antibiotic prescribing, but to improve patient outcomes while at the same time minimizing also in the routine recording of clinical diagnoses to justify deci- toxicity and other adverse events and the selection of antibiotic- sions on whether or not antibiotics are prescribed. Improvements resistant strains of bacteria. In essence this means reducing the in- in routine diagnostic coding would enhance both the quality of sur- appropriate use of antibiotics. However, this is easier said than veillance data on antibiotic prescribing and the associated evi- done, as successful antibiotic stewardship requires a measure of dence base. This would in turn facilitate the rational design of what constitutes inappropriate antibiotic use. In this Supplement a interventions to tackle the threat to public health and healthcare group of researchers from Public Health England, working with col- delivery that is posed by antibiotic resistance. leagues both within and outside the UK, have attempted to quan- tify the extent of inappropriate prescribing in primary care in the Alan P. Johnson UK and to identify contributory factors such as different clinical Russell Lewis syndromes and conditions. A range of methodology was em- Hayley J. Wickens ployed, including analysis of a database of consultations and asso- ciated prescribing in primary care, and formal elicitation and analysis of expert opinion regarding the ‘ideal’ level of antibiotic prescribing for common infections encountered in the community where antibiotic treatment is sometimes, but not always, indi- Transparency declarations cated. Together the five articles presented suggest the existence None to declare. V The Author(s) 2018. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com ii1 Downloaded from https://academic.oup.com/jac/article-abstract/73/suppl_2/i1/4841823 by Ed 'DeepDyve' Gillespie user on 22 March 2018

Journal

Journal of Antimicrobial ChemotherapyOxford University Press

Published: Feb 1, 2018

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