NHS Greater Glasgow & Clyde Area Drug and Therapeutics Committee
Greater Glasgow and Clyde Medicines
Medicines Update Acute

Antibiotic Prescribing in Acute: Key Messages

Duration of antibiotic therapy is poorly recorded and IV to oral switch (IVOST) is delayed:

  • Duration of intravenous (IV) antibiotic therapy is increasing across NHSGGC and recording of antibiotic duration is poor (between 53% and 65% of antibiotic durations are recorded at initiation).
  • IV antibiotics should be reviewed daily and, as a minimum, within 72 hours of initiation (see IVOST guideline).
  • IVOST should be carried out (and vascular devices removed) as soon as possible to reduce the risk of vascular site infections, reduce antibiotic exposure and to optimise discharge planning.
  • Increasing evidence supports shorter duration antibiotic therapy.  Please refer to the NHSGGC Infection Management Guideline for advice on appropriate duration and always record the duration in the 'comments' section of the Kardex on initiation of therapy.

Published August 4th 2016