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Repository for discussion of OpenSAFELY codelists
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Delayed prescriptions for antibiotics #123

Open acagreen17 opened 3 years ago

acagreen17 commented 3 years ago

We are looking at the effect of the COVID-19 pandemic on antimicrobial stewardship (AMS), in particular what has been the effect of the pandemic on the prescribing of broad spectrum antibiotics to specific demographic and clinical sub-groups within the population.

In recent years AMS activity has focused on increasing the use of “delayed prescriptions” or "the back-up prescription" where appropriate. Using the TARGET antibiotic toolkit guide to resources (available at the bottom of here we can infer three possible SNOMED codes for this. I have also emailed to ask if they can supply the most up-to-date SNOMED codes which they recommend to use. If anyone knows of any in the meantime, please share.

A draft codelist for delayed prescriptions for antibiotics exists here: https://www.opencodelists.org/builder/2c778793/

richiecroker commented 3 years ago

Hi

Before going too much down this road i'd suggest that we do a quick use count for the codes. Having discussed with GP colleagues, I'm not sure that delayed prescriptions are well coded, and instead is more of a counselling thing. Additionally, in more rural areas, rx are likely to be picked up at the time then advised not to take if neccesary.

Jongmassey commented 3 years ago

That's impression I got re:delayed prescriptions from CARG (at least in Cornwall, anyway)

brianmackenna commented 3 years ago

Codes look good to me - we should use this as draft and include anymore if TARGET respond (and offer them credit as part of codelist if they enhance it).