For infections that our bodies are good at fighting off on their own, like coughs, colds, sore throats and flu, I pledge to try treating the symptoms for five days rather than going to the GP For infections that our bodies are good at fighting off on their own, like coughs colds sore throats and flu, I pledge to talk to my pharmacist about how to treat the symptoms first rather than going to the GP It is vital we prevent antibiotics from getting into the environment. I pledge to always take any unused antibiotics to my pharmacy for safe disposal If the NHS offers me a flu vaccination, I pledge to accept If I’m prescribed antibiotics, I will take them exactly as prescribed and never share them with others
When I think my child has a likely respiratory infection, I pledge to talk to my pharmacist about how to treat my child’s symptoms first rather than going to the GP Sing the ABC song when washing our hands with soap and water. Washing hands properly (at least 30 seconds), especially before eating, is the single best way to prevent the spread of infections and keep your family healthy I will visit the ebug website (www.e-bug.eu) with my child(ren) and take one of the antibiotic awareness quizzes together If anyone in my family is prescribed antibiotics, I will ensure they are taken exactly as prescribed and never shared with others If the NHS offers a flu vaccination for individuals in my family, we pledge to accept.
To help reduce the risk of my animal(s) getting an infection which requires antibiotic treatment, I will keep them healthy through exercise, good nutrition, relevant vaccination, suitable accommodation and by having regular veterinary health checks If my vet prescribes antibiotics for my animal(s), I will follow the instructions provided and I will not change the dosage or stop the therapy early If my vet prescribes antibiotics to my animal(s), I will not re-use antibiotics prescribed for an earlier illness or give them to other animals or animal owners and I will dispose of unused or expired products appropriately I will not request antibiotics if my vet has not recommended or prescribed them I will support vets’ efforts to reduce the risk of antimicrobial resistance by better understanding where and when antibiotics are needed e.g. by being familiar with the Protect ME campaign from BEVA
To help reduce the need for antibiotics I will work with my veterinary surgeon to keep an up to date Animal Health Plan. This will include, if necessary, changes to farm practices such as biosecurity If I have a disease on my farm, I will work with my vet to identify the cause and any preventative measures or changes to practice which could stop spread or re-infection, so as to reduce the need for antibiotics in the future If my vet prescribes antibiotics, I will give them in accordance with the instructions provided – e.g. dose, withdrawal period – and make sure that unused or expired products are returned or disposed of correctly and not given to animal(s) for which they have not been prescribed I will keep full record of all medicines purchased and used on my animals – including in-feed and in-water medicines – and engage in any official sector-wide collection of usage data I will annually review and discuss the antibiotic use on my farm with my vet, proactively discuss reduction options, and look for ways of reducing, refining or replacing my use as necessary I will keep my animal(s) healthy through good nutrition and husbandry, relevant vaccination and worming, regular health monitoring or scoring, and by having regular veterinary health checks
When I’m teaching my pupils about science, I will visit the e-Bug website (www.e-Bug.eu) for resources to help develop a lesson plan for my pupils to educate them on antimicrobial resistance As part of my next health-related lecture, I will get my students to complete the Antibiotic Guardian online quiz and encourage them to choose their own pledge and become Antibiotic Guardians. I will encourage my students to impart their knowledge, challenge their peers to take the Antibiotic Guardian quiz online and choose a pledge to become an Antibiotic Guardian. I will visit a local school or college and use the full e-Bug website peer education antibiotic materials to teach junior or senior students about antibiotics and resistance. Available at: http://bit.ly/ebug_peer-edu
To improve detection of infection and antimicrobial resistance determination, I will evaluate at least one diagnostic test used within my laboratory between November and March To promote understanding of antibiotic resistance during world antibiotic awareness week, I will host/co-host an event for patients, public or scientists As part of my contribution to tackle AMR, I will participate in collaborative antibiotic resistance research To contribute to patient care, I will undertake antibiotic resistance testing to the best of my abilities and to the highest quality To increase my understanding of antimicrobial resistance I will attend a conference, lectures or undertake self-led learning between November and March
The next time I see an antibiotic prescribed, I will ask the prescriber about the indication and duration, to understand if this is in accordance to local and national guidelines The next time I see that a recommended infection prevention practice is not being adhered to (e.g. hand hygiene, on-farm biosecurity), I will respectfully challenge my peers and healthcare workers/veterinarians I will use the e-Bug young adult peer education materials on drug-resistant infections, antibiotic use and vaccinations to educate and inform my peers. Available at: http://bit.ly/ebug_peer-edu I will familiarise myself with PROTECT, the British Veterinary Society’s 7-point plan or similar guidance materials and resources regarding prudent use of antimicrobials within the animal sector and discuss them in my classes I will ask my tutors to discuss in class the challenges of responsible use of antibiotics in various animal sectors, including companion animals If I’m prescribed antibiotics, I will take them exactly as prescribed and never share them with others For infections that my body can fight off on its own, like coughs, colds, sore throats and flu, I pledge to talk to my pharmacist about how to treat my symptoms first rather than going to the GP I will wash my hands after sneezing or coughing to reduce transmission of infection and antibiotic resistance To help reduce demand for unnecessary antibiotics, I will display materials from the Keep Antibiotics Working campaign to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet To help reduce demand for unnecessary antibiotics, I will display other locally developed/other materials to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet Recommended CPD on antimicrobial resistance • E-bug peer-education package, to help educate you and give you the tools to teach other students or members of the public
http://bit.ly/e-bug-peer • CPPE Antibacterial resistance open learning package. Available (from 18/11/14) via British Pharmaceutical Students’ Association
http://bit.ly/1EHqHwX • Antibiotic Guardian recommended CPD resources
http://bit.ly/EAAD-AG-CPD
When I see a child with a respiratory tract infection I will share the “When should I worry” booklet with parents/carers. Available at http://www.whenshouldiworry.com/ I will ensure all prescribers in my practice including locums have easy access to the local antibiotic guidance I will adopt the use of delayed/backup prescription for self-limiting respiratory tract infections The next time I intend to prescribe antibiotics for a self-limiting infection to a patient with high expectations of antibiotic treatment, I will use a delayed/backup prescription When I see a patient with a self-limiting respiratory tract infection, I will discuss methods of self-care and safety netting rather than prescribing antibiotics and share the TARGET “Treating your infection” leaflet available at http://www.rcgp.org.uk/clinical-and-research/toolkits/target-antibiotic-toolkit.aspx I will review my practice prescribing against that of the CCG and national averages on fingertips. To help reduce demand for unnecessary antibiotics, I will display materials from the Keep Antibiotics Working campaign to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet To help reduce demand for unnecessary antibiotics, I will display other locally developed/other materials to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet
I will undertake one of the recommended CPD activities on the EAAD resources page during EAAD week If I prescribe an antibiotic then I will document indication, duration and review dates on the drug chart in line with Start Smart then Focus AMS guidance I will review and share my Trusts prescribing data with my colleagues and use this to inform my own prescribing When I prescribe antibiotics for sepsis I will supervise their prompt delivery and review for de-escalation opportunities within 48-72 hours To help reduce demand for unnecessary antibiotics, I will display materials from the Keep Antibiotics Working campaign to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet To help reduce demand for unnecessary antibiotics, I will display other locally developed/other materials to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet
I will create a written action plan for the implementation of antimicrobial stewardship guidance (SSTF or TARGET) within my organisation I will champion Antibiotic Guardian within my organisation by encouraging at least 10 others to pledge I will lead promotional activities for EAAD within my organisation, e.g. by sharing the Antibiotic Guardian quiz, encouraging colleagues to make a pledge and share with their friends and family If I see a prescription made outside of local antimicrobial stewardship guidelines I will challenge it and share the local guidance with the prescriber I will ensure that local protocols for antibiotic therapy in sepsis are readily and reliably accessed by helping with their design and promotion To help reduce demand for unnecessary antibiotics, I will display materials from the Keep Antibiotics Working campaign to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet To help reduce demand for unnecessary antibiotics, I will display other locally developed/other materials to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet
Every time I give antibiotics, I will prompt the prescriber to document their reviewing decision after 48 hours Every time I give a patient antibiotics I will make sure they know why and I will make sure they understand the importance of taking them exactly as prescribed. Every time, I see an antibiotic prescription which has continued beyond seven days without specified duration, I will highlight this to the prescriber or pharmacist I pledge to read and follow the Start Smart then Focus guidance available at: https://www.gov.uk/government/publications/antimicrobial-stewardship-start-smart-then-focus To help reduce demand for unnecessary antibiotics, I will display materials from the Keep Antibiotics Working campaign to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet To help reduce demand for unnecessary antibiotics, I will display other locally developed/other materials to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet
I will check that antibiotic prescriptions comply with local guidance and query those that do not Every time a customer presents with a self-limiting respiratory infection I will use the patient information leaflet to explain the potential duration of illness and how to treat their symptoms available at: http://bit.ly/TARGET_patient_leaflets When handing out a prescription that includes antibiotics, I will inform the patients of dose and duration and to take their antibiotics exactly as prescribed and to return any unused antibiotics to a pharmacy for safe disposal When customers pick up an antibiotic prescription, I will encourage them to take the Antibiotic Guardian quiz online and to choose their own pledge to become Antibiotic Guardians To help reduce demand for unnecessary antibiotics, I will display materials from the Keep Antibiotics Working campaign to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet To help reduce demand for unnecessary antibiotics, I will display other locally developed/other materials to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet
I will consider drainage for dental infections before issuing antibiotics I will discuss with patients/clients the importance of antimicrobial resistance and encourage them to take the Antibiotic Guardian quiz and make a pledge to become Antibiotic Guardians When I see a patient with dental pain, I will discuss methods of controlling symptoms rather than prescribing antibiotics as a first course of action To help reduce demand for unnecessary antibiotics, I will display materials from the Keep Antibiotics Working campaign to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet To help reduce demand for unnecessary antibiotics, I will display other locally developed/other materials to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet
I will encourage clients/patients and colleagues to take the online Antibiotic Guardian quiz and choose their own pledge to become Antibiotic Guardians When I write an antimicrobial prescription I will make sure it’s in line with local guidelines Every time I want to prescribe an antibiotic for a self-limiting infection for a patient with high expectations for antibiotic treatment, I will offer a delayed/backup prescription first I will always record the indication for antibiotic treatment in the patient notes I pledge to assess my prescribing practice against the prescribing competences to identify any development needs. To help reduce demand for unnecessary antibiotics, I will display materials from the Keep Antibiotics Working campaign to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet To help reduce demand for unnecessary antibiotics, I will display other locally developed/other materials to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet
I will ensure clients have and understand all the information they need to administer the antibiotic correctly to their animal(s) per the prescription or instruction as well as understand the importance of following the instructions on the label I will ensure that there are effective and up to date cleaning and disinfection protocols in place to minimise the spread of bacteria between patients within the veterinary practice premises I will promote culture and sensitivity testing before prescribing antibiotics wherever possible and I will report any suspected antibiotics treatment failure to the Marketing Authorisation Holder (MAH) or the Veterinary Medicines Directorate (VMD) If there is a need to prescribe antibiotics I will use narrow spectrum drugs wherever possible I will reduce the reliance on prophylactic use of antibiotics in farm animals by working with farm clients to produce a clear animal health plan which encourages good bio-security and husbandry practices I will maintain awareness of antimicrobial resistance through continuous professional development (CPD) and promote a culture of responsible use of antibiotics at work and within my professional network To help reduce demand for unnecessary antibiotics, I will display materials from the Keep Antibiotics Working campaign to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet To help reduce demand for unnecessary antibiotics, I will display other locally developed/other materials to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet
Between September and March, I will champion active promotional activity for Antibiotic Guardian within my local area or organisation e.g. set up a laptop/tablet for individuals to pledge During November I will visit my local hospital, community pharmacy, general practice surgery or local vet practices to show support for European Antibiotic Awareness Day (18 November) and World Antibiotics Awareness Week I pledge to use local CQUINs to improve antimicrobial stewardship activity within provider organisations I pledge to establish an antimicrobial stewardship programme in line with NICE guidance NG15 I will ensure that the executive team and board are informed about Antimicrobial Stewardship and AMR in my Trust/Health Board through regular reporting and feedback I will familiarise myself with PROTECT, the British Veterinary Society’s 7-point plan or similar guidance materials and resources regarding prudent use of antimicrobials within the animal sector and encourage uptake During the cold and flu season, I will add the Antibiotic Guardian electronic signature to all my emails I will liaise with my stakeholders and promote prudent use of antibiotics in their sector To help reduce demand for unnecessary antibiotics, I will display materials from the Keep Antibiotics Working campaign to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet To help reduce demand for unnecessary antibiotics, I will display other locally developed/other materials to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet
Between September and March, I will champion active promotional activity for Antibiotic Guardian within my local area or organisation e.g. set up a laptop/tablet for individuals to pledge During November I will visit my local hospital, community pharmacy, general practice surgery or local vet practices to show support for European Antibiotic Awareness Day (18 November) and World Antibiotics Awareness Week I pledge to use local CQUINs to improve antimicrobial stewardship activity within provider organisations I pledge to establish an antimicrobial stewardship programme in line with NICE guidance NG15 I will ensure that the executive team and board are informed about Antimicrobial Stewardship and AMR in my Trust/Health Board through regular reporting and feedback I will familiarise myself with PROTECT, the British Veterinary Society’s 7-point plan or similar guidance materials and resources regarding prudent use of antimicrobials within the animal sector and encourage uptake During the cold and flu season, I will add the Antibiotic Guardian electronic signature to all my emails I will liaise with my stakeholders and promote prudent use of antibiotics in their sector To help reduce demand for unnecessary antibiotics, I will display materials from the Keep Antibiotics Working campaign to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet To help reduce demand for unnecessary antibiotics, I will display other locally developed/other materials to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet
When a mother is prescribed antibiotic, I will ensure that she understands why they have been prescribed and to how take them If a mother presents with a self-limiting illness such as a cold, I will ensure she understand that antibiotics are unnecessary and has information on how to treat her symptoms and when to seek further advice When I write an antibiotic prescription, I will make sure that it is in line with local guidelines To help reduce demand for unnecessary antibiotics, I will display materials from the Keep Antibiotics Working campaign to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet To help reduce demand for unnecessary antibiotics, I will display other locally developed/other materials to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet
Between September and November, I will champion/plan key promotional activities for EAAD and first World Antibiotic Awareness Week within my local area or organisation As policy maker... As a prescriber in primary care, When I see a patient with a self-limiting respiratory tract infection, I will discuss methods of self-care and safety netting rather than prescribing antibiotics As a pharmacist... As a prescriber in secondary care... To help reduce demand for unnecessary antibiotics, I will display materials from the Keep Antibiotics Working campaign to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet To help reduce demand for unnecessary antibiotics, I will display other locally developed/other materials to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet To help reduce demand for unnecessary antibiotics we will promote the Keep Antibiotics Working campaign to raise awareness of AMR with our colleagues, patients and customers To help reduce demand for unnecessary antibiotics we will encourage colleagues, patients and customers to choose a pledge and become Antibiotic Guardians
Between September and November, we will champion/plan key promotional activities for EAAD and first World Antibiotic Awareness Week within our local area and to members of our organisation As an organisation, we will work to help develop a national action plan for our country on antimicrobial resistance in line with the global plan In support of the first WAAW, our organisation will share another country’s AMR messages to demonstrate global efforts to reduce AMR As a public health institution, when we release materials on AMR, we will aim to use language which will minimise public misconceptions on drug-resistant infections To help reduce demand for unnecessary antibiotics, I will display materials from the Keep Antibiotics Working campaign to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet To help reduce demand for unnecessary antibiotics, I will display other locally developed/other materials to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet To help reduce demand for unnecessary antibiotics we will promote the Keep Antibiotics Working campaign to raise awareness of AMR with our colleagues, patients and customers To help reduce demand for unnecessary antibiotics we will encourage colleagues, patients and customers to choose a pledge and become Antibiotic Guardians
I will encourage my clients or those I know who farm to adopt practices that improve the health or immunity of their animals and provide improved stewardship of antibiotics. To help reduce the need for antibiotics I will, where appropriate, encourage farmers to work with their veterinary surgeon to keep an up to date Animal Health Plan. This will include, if necessary, changes to farm practices such as biosecurity Where possible I will reinforce the need for the farming industry to reduce, refine and replace antibiotics to secure its positive reputation. Where possible, I will reinforce the importance of reducing, refining and replacing antibiotic use to secure the longer-term viability of the medicines they currently have access to. Where possible, I will reinforce the husbandry, health and financial benefits that can be achieved from reducing, refining and replacing antibiotic use in partnership with the farm vet. To help reduce demand for unnecessary antibiotics, I will display materials from the Keep Antibiotics Working campaign to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet To help reduce demand for unnecessary antibiotics, I will display other locally developed/other materials to raise awareness of AMR. E.g via local stands, social media campaign or handing out information leaflet
