Philip Howard
LightNews LightNews
banner
philiphowardamr.bsky.social
Philip Howard
@philiphowardamr.bsky.social
450 followers 190 following 7 posts
@AntibioticLeeds on X. AMR Pharmacist. North-East and Yorkshire Regional AMS Lead NHS England. Visiting Prof Leeds University. AMR Sustainability Lead BSAC. Seaside living, Cold water swimming, Bonsai, Allotment, Rugby, Craft ale enthusiast
Posts Replies Media Videos
Reposted by Philip Howard
biainfection.bsky.social

We are working with other UK infection societies to reduce the carbon footprint of infection services including antibiotic use, the lab and IPC. Join the sustainable IPC discussion at our new forum.

networks.sustainablehealthcare.org.uk/infection-pr...
About Infection, Prevention & Control Sustainability Network | Sustainable Healthcare Networks HubUser menuClose search windowSearchClose search windowEvent:  Sustainable IPC workshop at FISTopic:  Gl...
networks.sustainablehealthcare.org.uk
November 12, 2024 at 11:13 AM
Reposted by Philip Howard
trubianojason.bsky.social
My Top 5 Antibiotic Allergy Papers - #5
▶️Gadde et al. JAMA 1993; 270 (20)
▶️ A paper before its time. Skin testing for #penicillinallergy in patients with ID indication!
▶️ 7.1% + ; PPL & MDM utilisation; safety (1/128+ required adrenaline); Allergy LOSS WITH TIME.
jamanetwork.com/journals/jam...
Clinical Experience With Penicillin Skin Testing in a Large Inner-City STD Clinic
Objective.  —To establish (1) the prevalence of positive penicillin skin tests among outpatients with well-defined but variable history of penicillin allergy and (2) the reproducibility, safety, a...
jamanetwork.com
November 12, 2024 at 3:52 AM
Reposted by Philip Howard
antimicrobial.bsky.social
This article discusses reducing antibiotic use in livestock to combat AMR, highlighting successful European practices that improve farming without harming productivity.

ourworldindata.org/antibiotics-...
Large amounts of antibiotics are used in livestock, but several countries have shown this doesn’t have to be the case
Overuse is a risk for antibiotic resistance, but there are ways to reduce it.
ourworldindata.org
December 9, 2024 at 7:51 AM
Reposted by Philip Howard
euanreid.pharmsky.app
Achieving Value and Sustainability in Prescribing:

1. Items of low and limited clinical value
2. Cost Effective use of Blood Glucose Monitoring and Insulin Pen Needles
3. Effective use of antimicrobials

@scottishgovernment.bsky.social
#PharmSky #MedSky

www.gov.scot/publications...
There is variation in prescribing of medicines across NHS Scotland. This can include items that may have low or limited effectiveness, safety concerns, or provide low value for money for NHS Scotland, where there are more cost-effective items available. This can also include instances of antibiotics being prescribed unnecessarily or for longer than the recommended duration, increasing antimicrobial resistance. This guidance aims to promote the effective use of medicines and minimise unwarranted variation in prescribing practice across NHS Scotland. It supports the principles of Realistic Medicine through shared decision-making, encouraging medication review, and ensuring medicines are prescribed appropriately.
December 9, 2024 at 9:20 AM
Reposted by Philip Howard
ourworldindata.org
Large amounts of antibiotics are used in livestock, and overuse is a risk for antibiotic resistance.

But there are ways to reduce this — and several countries have shown how.
This chart compares the global average amounts of antibiotics used for different livestock animals in 2020. Antibiotic use is measured in milligrams per kilogram of animal product. Sheep have the highest usage at 243 mg, followed by pigs at 173 mg, cattle at 60 mg, and chickens at 35 mg. The note clarifies that the data excludes certain antimicrobial substances like ionophores, which are considered veterinary medicines and not classified as "medically important" antibiotics. The source of the data is from research published in 2023.
December 9, 2024 at 11:43 AM
Reposted by Philip Howard
gpollara.bsky.social
This #AMR thing gets scarier by the day!

Ceftazidime-avibactam /aztreonam resistance in a NDM producing E coli! 😱 #IDSky #ClinMicro
jac-amr.bsky.social JAC-AMR @jac-amr.bsky.social · Dec 9
A liver transplant recipient developed ST361 NDM-5-producing E. coli bacteraemia with ATM/AVI & FDC resistance
High-level resistance was selected after CZA/ATM therapy & was mediated by baseline PBP3 mutations
New PBP3 & CMY-145 mutations emerged during therapy
https://doi.org/10.1093/jacamr/dlae141
doi.org
December 9, 2024 at 9:14 PM
Reposted by Philip Howard
bethmills.bsky.social
Great to see The Hindu newspaper reporting on antimicrobial use in agriculture in India, and consequences of driving AMR from a #onehealth perspective.
December 10, 2024 at 3:21 AM
Reposted by Philip Howard
onisillos.bsky.social
To save you time, I have distilled this down to the one (probably only) sentence that will be cited ad nauseum (until the next update of course).

www.thelancet.com/journals/lan...

#AMR #IDSky #MicroSky
We estimated that in 2050, there will be 1·91 million (95% UI [1·56–2·26]) annual deaths attributable to AMR globally and 8·22 million (6·85–9·65) annual deaths associated with AMR
September 17, 2024 at 7:32 AM
philiphowardamr.bsky.social
Thank you so much for donating on 25-Nov. Your donation has now been issued to the Royal Victoria Infirmary, Newcastle. Every donation counts. #203 #givebloodsavelives
December 5, 2024 at 11:03 PM
philiphowardamr.bsky.social
Well done to Shazia Nazir from Leeds Teaching Hospitals Pharmacy Infection Team for winning best poster for her technician led IVOS ward rounds at the @bsacandjac.bsky.social #infection2024 conference.
December 5, 2024 at 6:18 PM
philiphowardamr.bsky.social
@bsacandjac.bsky.social #GAMSAS is a global #antimicrobialstewardship accreditation system AMS-accredit.com #infection2024
December 5, 2024 at 9:18 AM
philiphowardamr.bsky.social
A great 1st day of #amr innovation at @bsacandjac.bsky.social #infection2024
December 4, 2024 at 6:10 PM
philiphowardamr.bsky.social
#antibioticguardian awards close on 10th January - see QR code. #infection2024 @dianeashiru.bsky.social @bsacandjac.bsky.social
December 4, 2024 at 4:55 PM
philiphowardamr.bsky.social
#antifungalstewardship survey results shared showing some improvement since 2016 at #infection2024 @bsacandjac.bsky.social
December 4, 2024 at 1:21 PM
philiphowardamr.bsky.social
Some great work being shared by #leedshospitals #pharmacy #infection team on technician led #IVOS switch and sharing #AMR at an Infection summit #infection2024 @bsacandjac.bsky.social @ukcpa.bsky.social
December 4, 2024 at 12:24 PM
Reposted by Philip Howard
cmicomms.bsky.social
The ESCMID Global 2024 abstract book has just been published in CMI Communications. This supplement contains all accepted abstracts, abstracts that were presented in oral sessions and abstracts of posters that were uploaded to the congress repository.
ow.ly/5aIb50Tgkhb
#ESCMIDGlobal #CMIComms
September 6, 2024 at 2:38 PM
Reposted by Philip Howard
dianeashiru.bsky.social
PUBLISHED: The 2023-24 English surveillance programme for antimicrobial utilisation and resistance (#ESPAUR) report www.gov.uk/government/p...

Register to find out more about the findings in the report at the webinar we are hosting on 20th November: antibioticguardian.com/Meetings/esp...
November 14, 2024 at 5:52 PM
Reposted by Philip Howard
simonthelwall.bsky.social
The UKHSA report on ICU BSI is out and well worth a read. I know very little about the epi of ICU infections and so won't provide much commentary.

#bsi #hcai #icu #epidemiology

www.gov.uk/government/s...
Surveillance of bloodstream infections in critical care units, England: May 2016 to March 2024 report
www.gov.uk
November 6, 2024 at 5:27 PM
Reposted by Philip Howard
simonthelwall.bsky.social
The UKHSA ESPAUR report is out today. It's a massive report on the use of antimicrobials in England and the epidemiology of antimicrobial resistance.
Bonus data: also includes preliminary results of the #hcai point prevalence survey.
www.gov.uk/government/p...
English surveillance programme for antimicrobial utilisation and resistance (ESPAUR) report
The ESPAUR report includes national data on antimicrobial prescribing and resistance, antimicrobial stewardship implementation, and awareness activities.
www.gov.uk
November 14, 2024 at 6:20 PM
Reposted by Philip Howard
girlymicro.bsky.social
As its #WAAW next week I thought I would share some episodes of Going Macro on Micro I was involved with that talk about the importance of #onehealth

Three episodes currently dropped, three more to come

open.spotify.com/episode/00MJ...
1. One Health, One Team
Going Macro on Micro · Episode
open.spotify.com
November 12, 2024 at 7:26 AM
Reposted by Philip Howard
catanita.bsky.social
Another cracker of an #AMR cartoon, this time from the National Centre of Antimicrobial Stewardship

Only 27 days until #WAAW - are you getting ready?
A ghost IV bag with a no symbol over the top, and several pill shapes dressed as ghostbusters The title text says "If they're eating food and clinically good, who you gonna call? Oral dose forms!"
October 23, 2024 at 4:55 AM
Reposted by Philip Howard
gpollara.bsky.social
Hopefully DURATION study will eventually inform on whether we may be able to go even lower than 7 days....

(not comparing like with like, i know, as this study inclusion is pyelo, irrespective of bacteraemia) #UTISky #IDSky

www.phctrials.ox.ac.uk/recruiting-t...
November 16, 2024 at 4:38 PM
Reposted by Philip Howard
catanita.bsky.social
Hey welcome!
I'm making an #AMR starter pack - am adding to it as people turn up!
go.bsky.app/KkZfvrh

And there's an AMR feed you can follow also bsky.app/profile/did:...
October 17, 2024 at 10:13 PM