Antimicrobial use and misuse at the end of life: a retrospective analysis of a treatment escalation/limitation plan

Background Antimicrobial treatment is common at end of life. A treatment escalation/limitation plan (TELP) offers the opportunity to avoid non-beneficial treatment in critically ill patients. Our aim was to evaluate antimicrobial prescribing in terminally ill patients, and assess whether it was modified using a TELP.

Improving antimicrobial prescribing: implementation of an antimicrobial IV-to-oral switch policy

Antimicrobial stewardship programmes reduce the risk of hospitalassociated 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.