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Document the antimicrobial plan on the medication chart as per this example:
Annotate the medication chart should with the following information:
Note: For prescribing in children, please refer to the Lady Cilento Children's Hospital (LCCH) antimicrobial formulary.
For other antimicrobials, see the complete antimicrobial formulary (XLS, 71.5 KB) spreadsheet.
The antimicrobial restriction policy is a core component of the antimicrobial stewardship program. Restriction of third generation cephalosporin prescribing in the mid-90s was the major factor that led to the control of multi-drug resistant Klebsiella species at PAH.
The Metro South Health Prescribing Policy (PDF, 80.17 KB) outlines the standards to be followed when prescribing medicines, including antimicrobials, to patients within the Metro South Hospital and Health Service.
Antimicrobials should be prescribed according to the Metro South Health Antimicrobial Prescribing Guidelines and Restriction Formulary which are generally based on Therapeutic Guidelines: Antibiotic and comply with the Queensland Health List of Approved Medicines (LAM).
The Metro South Health antimicrobial formulary is divided into three levels of access:
Use of a restricted antimicrobial in Metro South can be authorised by the clinicians listed below. Your usual point of contact with the Infectious Diseases Unit should be consulted in the first instance (e.g. ID registrar consulting to your unit).
All other antimicrobials not listed require approval before use unless specific arrangements have been made with your department. Contact Infectious Diseases or check the complete antimicrobial formulary (XLS, 71.5 KB). Consult your ward or unit Clinical Pharmacist for further assistance with this policy or email Antibiotics_PAH@health.qld.gov.au.
Units are encouraged to develop protocols in consultation with Infectious Diseases when a restricted agent needs to be prescribed on a regular basis.
Authorising Infectious Diseases Physicians and Microbiologists: