Despite limited indications, amoxicillin + clavulanic acid remains the second most used antibiotic in Aotearoa after amoxicillin. Inappropriate use of antibiotics may stem partly from meeting patient expectations for treatment. Read our case study to find out more.
Episode Five: Antimicrobial stewardship and UTI
Episode five of Legendary Conversations focuses on the appropriate use of antibiotics for uncomplicated urinary tract infection. Lauren Smith, senior practice fellow at the University of Otago School of Pharmacy, uses a case study to discuss the current recommendations for UTI treatment.
Note: This educational resource is not intended as a treatment guide; any clinical decisions regarding treatment remain the responsibility of the clinician.
Additional resources
Click the links below for more information on antimicrobal stewardship:
- Spotlight on nitrofurantoin. Medsafe Prescriber Update, March 2020, Vol 41(1).
- Alternative to prophylactic antibiotics for the treatment of recurrent urinary tract infections in women: multicentre, open label, randomised, non-inferiority trial. (The ALTAR trial). BMJ 2022;376:e068229. Published 09 March 2022.
More He Ako Hiringa antimicrobial stewardship resources can be found here.
Content updates
5 June 2023: Podcast recording updated. In the case introduction, Angie's age has been changed (from 54y to 48y) so she fits within the uncomplicated UTI definition (was unlikely to be premenopausal at age 54y).
Acknowledgements
Lauren Smith is a senior practice fellow at the School of Pharmacy at the University of Otago. She is a member of the New Zealand Antimicrobial Stewardship and Infection Pharmacist Expert Group, also known as NAMSIPEG, with a special interest in antibiotic stewardship.
Professional college endorsements
This activity has been endorsed by The Royal New Zealand College of General Practitioners (RNZCGP) and has been approved for up to 0.25 CME credits for continuing professional development purposes (1 credit per learning hour). To claim your CPD credits, log in to your Te Whanake dashboard and record these activities under the appropriate learning category.
This activity has been endorsed by the PSNZ as suitable for inclusion in a pharmacist’s CE records for CPD purposes.
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