References
Antibiotic prescribing in wound care
Abstract
There is uncertainty on antibiotic prescribing in wound infection; this article, therefore, is aimed at nurse prescribers caring for patients with wounds in primary care and presents up-to-date evidence-based recommendations on managing infection, and appropriate antibiotic prescribing in chronic and acute wounds. In addition, the use of topical antiseptics and antimicrobial wound dressings, which can be used as an adjunct strategy in managing wound infection, will be discussed.
In recent years, there has been a drive to reduce unnecessary antibiotic prescribing, which has contributed to the emergence of bacterial resistance.1 Although progress has been made to address this issue in secondary care, there is still a high rate of antibiotic prescribing in primary care.2,3,4 To counter this, the Department of Health's Advisory Committee on Antimicrobial Resistance and Healthcare Associated Infection (ARHAI) has promoted initiatives such as antimicrobial stewardship in primary care.5 Antimicrobial stewardship comprises ‘coordinated interventions designed to improve and measure the appropriate use of antimicrobials’.6 PHE)7 has produced also issued guidance on appropriate prescribing based on best available evidence, and in August, the National Institute for Health and Care Excellence (NICE)8 released its guidance Antimicrobial stewardship: Systems and processes for effective antimicrobial medicine use (NG15).
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