Aust Prescr
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Review
The 2018 Aged Care National Antimicrobial Prescribing Survey: results show room for improvement.
The annual Aged Care National Antimicrobial Prescribing Survey aims to identify local and national prescribing issues and guide antimicrobial stewardship goals In the 2018 point prevalence survey, medication charts of over 20,000 residents were reviewed from 407 participating facilities across Australia On the day of the survey, almost 10% of residents were prescribed an antimicrobial Nearly two-thirds of recently prescribed antimicrobials were for residents who had no documented signs or symptoms of infection Over a quarter of antimicrobials had been prescribed for longer than six months Incomplete documentation was a prominent barrier to proper review of antimicrobial therapy, with the indication, review date or stop date not documented for many prescriptions Recommendations include using appropriate microbiological testing to guide prescribing, following national antimicrobial prescribing guidelines, documenting the indication for the antimicrobial, and its start, stop and review dates, and monitoring and re-evaluating long-term antimicrobial use
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Any drug or substance with effects on the central nervous system can impair the ability to drive safely When prescribing, consider the effects of each drug on driving as well as the use of other substances. Advise the patient of the risks Opioids, benzodiazepines, anticonvulsants, antipsychotics and sedating antidepressants increase the risk of crashing. Erratic use of sedatives causes a higher level of impairment than stable regimens Patients who have complex medical conditions and take multiple drugs should undergo a fitness-to-drive assessment