P16 UTI Friday: a review of antibiotic prophylaxis in the management of recurrent UTI in primary care

Abstract

Over 90% of these are mislabelled. Labelled penicillin allergy is associated with increased broad-spectrum antibiotic use, increased antibiotic costs, and increased length of admission. A recent meta-analysis of delabelling studies showed that drug provocation test (DPT) is a low-risk procedure in patients with multiple clinical and financial benefits. score was used to identify those suitable for DPT. One delayed reaction was recorded. No anaphyl-axis was recorded. Infectious diseases were the primary specialty for DPT (67%). In total, 78% were carried out on medical patients. ID consult service was responsible for 100% of DPTs in surgical specialties. Seven patients who received DPT had been relabelled penicillin allergic post-DPT. Two were self-reported on presentation to hospital. Five were from physician review of historic documentation in hospital settings. In total, 56% of patients had not had GP documentation regarding allergy status updated. Abstract citation ID: dlad066.020 Background: An appropriate and evidence-based strategy for treating patients with recurrent urinary tract infection (rUTI) is to use low-dose antibiotics as prophylaxis. All antibiotics used for rUTI prophylaxis are associated with problems of resistance and adverse effects. Antimicrobial resistance (AMR) refers to a natural phenomenon in which microorganisms become resistant to antibiotics that were originally effective in killing them. There is an established link between antibiotic use and the emergence of resistant organisms. Current NICE guidelines (NG15, NG112) state that patients on antibiotic prophylaxis for rUTI should have a clinical review within 6 months to assess success from the prophylactic regimen. At this review, consideration should be given to discontinuing the antibiotic and the promotion of self-care measures in its place. This project aims to assess current practice in relation to rUTI management in primary care and identify opportunities for improved antimicrobial stewardship.