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Start Smart Then Focus

The prevalence of antimicrobial resistance has risen alarmingly over the last 40 years, and few truly novel antimicrobials have been developed.  This has led to increased pressure on existing antibiotics and greater challenges in treating patients.  Inappropriate use of antimicrobials increases the risk to patients of colonisation and infection with resistant organisms and subsequent transmission to other patients. 

Antimicrobial stewardship is an important element of the both the UK Five Year Antimicrobial Resistance Strategy and the 2011 Chief Medical Officer’s report.  The aims of such stewardship initiatives are to improve the safety and quality of patient care and to contribute significantly to reductions in the emergence and spread of antimicrobial resistance. These aims are ultimately achieved by improving antimicrobial prescribing through an organised antimicrobial management program.
 
A Start Smart - Then Focus approach is therefore recommended by Public Health England for all antibiotic prescriptions. 

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