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We have a weekly MDT C.diff ward round Walsall Healthcare, with the Microbiologist, AMS Pharmacist and IPC Nurse joining, we take a holistic approach looking at 💊 managing concomitant infections 💊 medication 💊 nutrition and hydration 💊 IPC precautions #WAAW

At the end of #WAAW we were joined by Lisa Carroll and @IPC_Amy reviewing every patient on an antibiotic on Ward 9&10 on “time out” ward round, we ✅ reviewed cultures and sensitivities ✅ checked it’s the right antibiotic ✅ IV to PO switch ✅ stopped and escalated abx

A highly valuable intervention which also included prompting TWOC & promoting indwelling device care. At the end of #WAAW I pledge that Infection Prevention & Control WHT will be regularly present at antibiotic time outs as part of the MDT, actively influencing #IPC in person centred care

Every 2 months we audit antibiotic prescriptions (300+ charts audited in Oct) 🙌 87% of antimicrobials were prescribed according to MicroGuide 🎉93% had a stop/review date 👏 95% had an indication Big thank you to the teams Walsall Healthcare for being so engaged in AMS!

We really enjoyed our Pharmacy training session yesterday! We went through cases on common infections and we were really impressed with the knowledge. Well done #teampharmacy Walsall Healthcare Karamjit Badyal Kitty Dhingra

A great week of infection consults done ✅ 🟢 managing measles 🟢 Hep A + enteric fever co-infection 🟢 paediatric SAb with multifocal arthritis 🟢 dalbavancin for staphylococcal IE 🟢 workup for PUO 🟢 recurrent GNB-bacteraemia 🟢 facet joint SA AMS team WHT, Infection Prevention & Control WHT.

Is IV Clarithromycin better than oral? A question asked while on micro rounds, a great chance to dispel a myth: 💊It is highly lipophilic resulting in excellent tissue penetration irrespective of route 💊It has 20 x greater concn in pulmonary epithelial tissues than in serum

Takahiro Matsuo (Taka), MD Clinical Infectious Diseases Mayo Clinic Infectious Diseases Great study - confirms our practice... we aim to start RIF for all (sensitive) staphylococcal PJI asap after debridement. Our choice companion drug is DOXY! Aiden J Plant AMS team WHT

We ask that every patient Walsall Healthcare is asked about their penicillin allergies and are assigned a PEN-FAST score so we can open up the best antibiotic treatment options Aiden J Plant Kiran Bhatt #antimicrobialstewardship

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We have been teaming up with our brilliant Infection Prevention & Control WHT team this morning to discuss urine dipsticks and catheter care for our new QI project, we’re looking forward to making some exciting quality interventions 🤩🤩 Jossy Ashlin Karamjit Badyal Kitty Dhingra Walsall Healthcare

We are looking forward to talking about PEN-FAST at our induction talk tomorrow, it’s so important that every patient Walsall Healthcare self reporting a penicillin allergy should have a PEN-FAST score so we can open up treatment options #penicillinallergy

Our AMS team have a weekly journal club 📚🧐, this week we discussed how to use vaginal probiotics to prevent UTI #AMS

Another week of crazy interesting infection consults 🧐 - neurologically focused 🧠 ✅ post neurosurg meningitis ✅ VP shunt ventriculitis ✅ Bickerstaff’s encephalitis post-Campy ✅ Hep E induced polyradiculopathy AMS team WHT Kiran Bhatt Kitty Dhingra Karamjit Badyal

We have had an amazing week Walsall Healthcare promoting #WAAW2024, thanks Kitty Dhingra for organising a fantastic stand and Infection Prevention & Control WHT for support