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Chadwick DR, Sutherland RK, Raffe S, Pool E, Beadsworth M. British HIV Association guidelines on the management of opportunistic infection in people living with HIV: the clinical management of gastrointestinal opportunistic infections 2020. HIV Med 2020; 21 Suppl 5:1-19. [PMID: 33271637 DOI: 10.1111/hiv.13004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- D R Chadwick
- Centre for Clinical Infection, James Cook University Hospital, Middlesbrough, UK
| | - R K Sutherland
- Regional Infectious Diseases Unit, NHS Lothian, Edinburgh, UK
| | - S Raffe
- Brighton and Sussex University Hospitals NHS Trust, Brighton, UK
| | - Erm Pool
- Mortimer Market Centre, Central and North West London NHS Foundation Trust, London, UK
| | - Mbj Beadsworth
- Tropical and Infectious Disease Unit, Royal Liverpool University Hospital (Liverpool University Hospitals Foundation Trust), Liverpool, UK
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Sutherland RK, Russell KV, Trivedi PJ, Conlon CP, Smith RW. Elevation of the JVP in constrictive pericarditis. QJM 2015; 108:846. [PMID: 25701494 DOI: 10.1093/qjmed/hcv048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- R K Sutherland
- From the Regional Infectious Diseases Unit, Western General Hospital, Crewe Road South, Edinburgh EH4 2XU, UK,
| | - K V Russell
- Department of Acute General Medicine, Milton Keynes FT Hospital, Standing Way, Eaglestone, Milton Keynes, Buckinghamshire MK6 5LD, UK
| | - P J Trivedi
- Department of Hepatology, University Hospitals Birmingham Edgbaston, Birmingham B15 2TH, UK and
| | - C P Conlon
- Department of Infectious Diseases and Microbiology, Oxford University NHS Trust, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK
| | - R W Smith
- Department of Acute General Medicine, Milton Keynes FT Hospital, Standing Way, Eaglestone, Milton Keynes, Buckinghamshire MK6 5LD, UK
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Sutherland RK, Russell KV, Trivedi PJ, Warren B, Smith RW, Conlon CP. A constricting differential--a case of severe anaemia, weight loss and pericarditis due to Tropheryma whipplei infection. QJM 2014; 107:927-9. [PMID: 22411875 DOI: 10.1093/qjmed/hcs041] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- R K Sutherland
- From the Department of Infectious Diseases and Microbiology and the Department of Pathology, Oxford University NHS Trust, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU and the Department of Acute General Medicine, Milton Keynes FT Hospital, Standing Way, Eaglestone, Milton Keynes, Buckinghamshire MK6 5LD, UK
| | - K V Russell
- From the Department of Infectious Diseases and Microbiology and the Department of Pathology, Oxford University NHS Trust, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU and the Department of Acute General Medicine, Milton Keynes FT Hospital, Standing Way, Eaglestone, Milton Keynes, Buckinghamshire MK6 5LD, UK
| | - P J Trivedi
- From the Department of Infectious Diseases and Microbiology and the Department of Pathology, Oxford University NHS Trust, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU and the Department of Acute General Medicine, Milton Keynes FT Hospital, Standing Way, Eaglestone, Milton Keynes, Buckinghamshire MK6 5LD, UK
| | - B Warren
- From the Department of Infectious Diseases and Microbiology and the Department of Pathology, Oxford University NHS Trust, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU and the Department of Acute General Medicine, Milton Keynes FT Hospital, Standing Way, Eaglestone, Milton Keynes, Buckinghamshire MK6 5LD, UK
| | - R W Smith
- From the Department of Infectious Diseases and Microbiology and the Department of Pathology, Oxford University NHS Trust, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU and the Department of Acute General Medicine, Milton Keynes FT Hospital, Standing Way, Eaglestone, Milton Keynes, Buckinghamshire MK6 5LD, UK
| | - C P Conlon
- From the Department of Infectious Diseases and Microbiology and the Department of Pathology, Oxford University NHS Trust, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU and the Department of Acute General Medicine, Milton Keynes FT Hospital, Standing Way, Eaglestone, Milton Keynes, Buckinghamshire MK6 5LD, UK
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McCallum AD, Sutherland RK, Mackintosh CL. Improving antimicrobial prescribing: implementation of an antimicrobial i.v.-to-oral switch policy. J R Coll Physicians Edinb 2014; 43:294-300. [PMID: 24350310 DOI: 10.4997/jrcpe.2013.403] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Antimicrobial stewardship programmes reduce the risk of hospital associated infections (HAI) and antimicrobial resistance, and include early intravenous-to-oral switch (IVOS) as a key stewardship measure. We audited the number of patients on intravenous antimicrobials suitable for oral switch, assessed whether prescribing guidelines were followed and reviewed prescribing documentation in three clinical areas in the Western General Hospital, Edinburgh, in late 2012. Following this, the first cycle results and local guidelines were presented at a local level and at the hospital grand rounds, posters with recommendations were distributed, joint infection consult and antimicrobial rounds commenced and an alert antimicrobial policy was introduced before re-auditing in early 2013. We demonstrate suboptimal prescribing of intravenous antimicrobials, with 43.9% (43/98) of patients eligible for IVOS at the time of auditing. Only 56.1% (55/98) followed empiric prescribing recommendations. Documentation of antimicrobial prescribing was poor with stop dates recorded in 14.3%, indication on prescription charts in 18.4% and in the notes in 90.8%. The commonest reason for deferring IVOS was deteriorating clinical condition or severe sepsis. Further work to encourage prudent antimicrobial prescribing and earlier consideration of IVOS is required.
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Affiliation(s)
- A D McCallum
- AD McCallum, Regional Infectious Diseases Unit Western General Hospital Crewe Road, Edinburgh EH4 2XU,UK.
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Eyre DW, Mankia KS, Sutherland RK, Turner GD, Conlon C. HIV-associated late seminal vesicle ‘BCGosis’ following intravesical bacille Calmette-Guérin therapy. Journal of Clinical Urology 2013. [DOI: 10.1177/1875974212465571] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- DW Eyre
- Infectious Diseases Unit, Churchill Hospital, Oxford University Hospitals NHS Trust, UK
| | - KS Mankia
- Infectious Diseases Unit, Churchill Hospital, Oxford University Hospitals NHS Trust, UK
| | - RK Sutherland
- Infectious Diseases Unit, Churchill Hospital, Oxford University Hospitals NHS Trust, UK
| | - GD Turner
- Department of Cellular Pathology, John Radcliffe Hospital, UK
| | - C Conlon
- Infectious Diseases Unit, Churchill Hospital, Oxford University Hospitals NHS Trust, UK
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