Public Health England (PHE) is urging veterinary surgeons, nurses, other healthcare professional and the public to become Antibiotic Guardians by visiting antibioticguardian.com and making a pledge to use antibiotics carefully, to help make sure they work now and in the future.Public Health England (PHE) is urging veterinary surgeons, nurses, other healthcare professionals and the public to become Antibiotic Guardians by visiting antibioticguardian.com and pledging to make better use of antibiotics, to help make sure they work now and in the future.

The website first asks users to choose whether they would like to make a pledge as a member of the public or as a healthcare professional or leader.

Those who pledge as a Healthcare Professional > Veterinary Practitioner can select one of the following pledges:

  • If there is a need to prescribe antibiotics I will use narrow spectrum drugs wherever possible
  • I will display posters and reading material in my waiting room to help public understanding on antimicrobial resistance
  • I will ensure that there are effective cleaning and disinfection protocols in place to minimise the spread of bacteria between patients within the veterinary practice premises
  • When dispensing antibiotics I will explain the importance of following the labelling instructions and giving the full course
  • If a treatment does not appear to work, I will advise a different course of action and report the treatment failure to the Veterinary Medicines Directorate (VMD)

Those who pledge as a member of the public can elect to do so as an adult, a family member, a pet owner or a farmer.

The available pledges change according to category and those who respond will be asked if PHE can follow-up to confirm they did keep their pledge.

The campaign forms part of activities that support European Antibiotic Awareness Day (EAAD). Dr Diane Ashiru-Oredope, Lead for EAAD 2014 at Public Health England, said: "Everybody can help to tackle antibiotic resistance and we really urge people to help us do this. There is a lot to be done but we can start by making inroads into inappropriate prescribing.

"There are 2 elements to this. One is that we need patients to not always expect to receive an antibiotic for those self-limiting illnesses which are typically caused by viruses. This generally includes those where the symptoms include coughs, runny noses, muscle aches and fever. And the other is for GPs not to feel pressurised into prescribing antibiotics when they aren't really necessary.

"Community pharmacists and their teams also have a key role and should be seen as the first port of call for many winter illnesses caused by viruses. They can also help to manage patients' expectations by explaining the normal duration of these symptoms, what warning signs to look out for and providing effective over the counter treatments that will help relieve the symptoms.

Nicholas Brown, President at the British Society for Antimicrobial Chemotherapy (BSAC), said: "Recently published research in BSAC's Journal, Journal of Antimicrobial Chemotherapy, confirms that despite government recommendations to reduce prescribing for viral illnesses there are still many GPs who do this. Of course GPs don't want their patients to feel unwell but there are many medicines which are available over-the-counter which can really help to reduce symptoms and make people feel better.

"We want to encourage everyone to self-treat as much as possible when it is safe and appropriate to do so. By using antibiotics only when they are needed we can all help to make sure that we keep our antibiotics working for everyone in the future.

"Antibiotic resistance is one the biggest threats to public health and PHE is delivering 4 key aspects of the 5-year UK strategy to help combat antibiotic resistance. These are improving infection prevention and control practices to reduce the number of infections in patients; optimising prescribing practice, improving professional education, training and public engagement and enabling better access to and use of surveillance data."

Children learn lots of important lessons about life, sickness and death from animals and veterinary practitioners. There seems to be an important role here for the profession to educate adult animal owners why antibiotics need to be used carefully both in pets and in humans.

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