Stephen Hughes is senior specialist pharmacist, anti-infectives, Chelsea and Westminster NHS Foundation Trust, London.
Healthcare trusts should consider introducing the antibiotic cefepime to their outpatient parenteral antimicrobial therapy services to tackle infections that are becoming resistant to carbapenem antibiotics.
How to improve antifungal stewardshipSubscription
Selecting appropriate antifungal therapies and performing ongoing reviews of these therapies can help support antifungal stewardship efforts and help reduce antifungal resistance.
Gram-positive bacteria are among the most common human pathogens associated with clinical infections, which range from mild skin infections to sepsis. In an era defined by antimicrobial resistance (AMR) and an increasing drive toward delivering patient care via ambulatory pathways, the paradigm for the management of infections is changing. Methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE), the best known cases of Gram-posi