Latest update from the GM CHC BRiT care pathway

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Posted on the 6th July 2017

The GM Connected Health Cities care pathway project ‘Building Rapid Interventions to reduce antimicrobial resisTance and over-prescribing of antibiotics’ (BRIT) held it stakeholder engagement meeting on 25th May 2017. Representatives from the NHS, Public Health England and Nice met with researchers from The University of Manchester to discuss the development of the project so far.

The BRIT project hopes to tackle the public health crisis caused by bacteria becoming more resistant to antibiotics and as a result becoming less effective.

Data were presented by Professor Tjeerd van Staa, Dr Miguel Belmonte and Dr Victoria Palin using the national clinical practice research datalink (CPRD) database.

The analysis has shown that antibiotics have been commonly prescribed for symptoms that are typically caused by viral infections, such as cough/colds, sore throats and URTI’s. Although patient characteristics accounted for some of the variability in antibiotic

prescribing, there was a huge variability in prescribing at the practice level, for example:

Some practices were prescribing antibiotics to patients with a cold just 10% of the time, whilst other practices were prescribing antibiotics 80% of the time.

The BRIT project team aim to uncover which patient and practice characteristics are driving antibiotic prescriptions and their relative importance. In addition they will discover why prescription trends exhibit different behaviour along the 15 years of our sample.

  • More education for GPs, pharmacists, and patients as to the effects of over prescribing
  • Increasing laboratory tests in decision making
  • Delayed antibiotic prescribing (This occurs when a GP prescribes antibiotics only to be taken is symptoms worsen).

To read the full report from the Stakeholder engagement meeting, please click here.

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