Antibiotic guidelines survey

RE: Antibiotic guidelines survey

Clive Ansell — Wed, 26 Jan 2022 14:35:51 GMT

[quote userid="6550" url="~/001/veterinary-clinical/small-animal/medicine/f/discussions/30158/antibiotic-guidelines-survey/235404#235404"]We used quite a lot of amoxycare and now have to use the human generic[/quote]

Are the licenced Amoxybactin and Amoxycare not avaialble?

RE: Antibiotic guidelines survey

Bob Russell — Wed, 26 Jan 2022 10:16:13 GMT

We used quite a lot of amoxycare and now have to use the human generic. I have noticed no obvious differences between response. Poorly draining wounds are likely to get amox/clav. Now a days we do consider whether antibiotics are actually needed!

RE: Antibiotic guidelines survey

Clive Ansell — Tue, 25 Jan 2022 11:42:58 GMT

[quote userid="16543" url="~/001/veterinary-clinical/small-animal/medicine/f/discussions/30158/antibiotic-guidelines-survey/235388#235388"]Currently 98% of amoxicillin used in the UK is combined with clavulanic acid!![/quote]

I haven't worked in a practice in years that stocks Amoxicillin or Ampicillin.

I thought there was now a small animal licenced Amoxicillin too?

RE: Antibiotic guidelines survey

Clive Ansell — Tue, 25 Jan 2022 11:39:04 GMT

I'll do it later today

RE: Antibiotic guidelines survey

Ian Battersby — Tue, 25 Jan 2022 11:38:29 GMT

Can i echo Fergus on filling the questionnaire if you have time . It took me less than 5mins and i think helps us all get the resources we need on this area !

RE: Antibiotic guidelines survey

Fergus Allerton — Tue, 25 Jan 2022 11:38:10 GMT

Veterinary

RE: Antibiotic guidelines survey

Clive Ansell — Tue, 25 Jan 2022 11:37:19 GMT

[quote userid="16543" url="~/001/veterinary-clinical/small-animal/medicine/f/discussions/30158/antibiotic-guidelines-survey/235388#235388"] Currently 98% of amoxicillin used in the UK is combined with clavulanic acid!![/quote]

Just in the veterinary field, or of all Amoxicillin used in both human and veterinary ?

RE: Antibiotic guidelines survey

Fergus Allerton — Tue, 25 Jan 2022 10:00:42 GMT

Narrow spectrum is certainly preferred. Given the more recent EMA classification (with amoxicillin-clavulanate in a higher tier than amoxicillin), I would anticipate that there will be a move to encourage use of narrow spectrum options wherever possible. Currently 98% of amoxicillin used in the UK is combined with clavulanic acid!!

We do have a current project - SOS UTI that uses amoxicillin-clavulanate for management of UTIs in dogs (trying to establish the shortest effective duration). Please get involved to help us answer this question before we all move over to using amoxicillin instead!!

See: www.samsoc.org/.../sos-uti-study

RE: Antibiotic guidelines survey

Jill Butterworth — Sun, 23 Jan 2022 21:52:00 GMT

So you are officially dinovets now!!

RE: Antibiotic guidelines survey

Clive Ansell — Sun, 23 Jan 2022 18:39:46 GMT

[quote userid="8958" url="~/001/veterinary-clinical/small-animal/medicine/f/discussions/30158/antibiotic-guidelines-survey/235357#235357"]

Odd isn't it?

Ampicillin 50mg are great, they are tiny, great for cats

[/quote]

Certainly gets me thinking at times; how far have we really come? genuine question.

My first job in 1996, it was a thermometer, a stethoscope, a big pot of preds (pre Atopic, pre Apoquel, pre cytopoint, pre anything else really), and another of ampicillin, and off you go - not forgetting a thorough clinical examination of course - there was no gold standard mantra BS, and no cascade nonsense - funnily enough most things did ok and got better without £100's or even £1000's of tests and investigations.

RE: Antibiotic guidelines survey

Neil Wheadon — Sun, 23 Jan 2022 16:25:45 GMT

[quote userid="5012" url="~/001/veterinary-clinical/small-animal/medicine/f/discussions/30158/antibiotic-guidelines-survey/235356#235356"]I like amoxycillin first line, but most practices don't stock it.[/quote]

Odd isn't it?

Ampicillin 50mg are great, they are tiny, great for cats

Neil

RE: Antibiotic guidelines survey

Clive Ansell — Sun, 23 Jan 2022 16:15:04 GMT

[quote userid="8958" url="~/001/veterinary-clinical/small-animal/medicine/f/discussions/30158/antibiotic-guidelines-survey/235353#235353"]

Whwn I first qualified in 1990, I dispensed narrow spectrum antbiotics, Amoxycillin, Amoypen, Oxytet, Potentiated sulphomides etc

Today these drugs simply aren't in practices. The default is Synulox/Noroclav or Rilexine/Ceporex or Convenia. These used to be used as a 'special'

[/quote]

Many of the instances were we would have prescribed narrower spectrum antibiotics; dental disease (Antirobe, Clindamycin, was promoted for this) , GI upsets (Kaobiotic), Kennel cough (Oxytet), I now don't prescribe antibiotics at all.

I like amoxycillin first line, but most practices don't stock it. Almost never use Convenia or Cephalexine, and I honestly cannot remember the last time I prescribed a fluoroquinolone systemically.

I use more Metronidazole than I once did for GI cases that are very ill or pyrexic, have severe haemorragic diarrhoea, or haven't responded to more conservative treatment.

RE: Antibiotic guidelines survey

Neil Wheadon — Sun, 23 Jan 2022 15:16:29 GMT

Also done

One observation and I'm going to sound like a dinovet

Whwn I first qualified in 1990, I dispensed narrow spectrum antbiotics, Amoxycillin, Amoypen, Oxytet, Potentiated sulphomides etc

Today these drugs simply aren't in practices. The default is Synulox/Noroclav or Rilexine/Ceporex or Convenia. These used to be used as a 'special'

Why is that?

Neil

RE: Antibiotic guidelines survey

KathW — Sat, 22 Jan 2022 12:24:45 GMT

Bump - and done.

RE: Antibiotic guidelines survey

Fergus Allerton — Wed, 19 Jan 2022 11:02:10 GMT

Thank you both!!!

RE: Antibiotic guidelines survey

Joyce Whitehead — Tue, 18 Jan 2022 20:18:27 GMT

And by me.

RE: Antibiotic guidelines survey

Clive Ansell — Tue, 18 Jan 2022 19:51:39 GMT

Done