Pharmacist Antimicrobial Stewardship (PAMS) Network

Pharmacist Antimicrobial Stewardship (PAMS) Network

Pharmacist Antimicrobial Stewardship (PAMS) Network

PAMS-net- a network to support pharmacists from across all settings in delivering antimicrobial stewardship (AMS) in our day-to-day roles.

Some tips for managing respiratory tract infections this autumn - winter:


  • Self-limiting & viral illnesses in children: The return of children to schools, pre-schools and crèches will bring an inevitable increase in respiratory illnesses, the majority of which are viral and self-limiting.  Child specific guidance has been added to in relation to acute cough, bronchiolitis and otitis media. For each of these conditions in the majority of children, no antibiotics are indicated and parents are encouraged to utilise self-care and conservative management.  The HSE's dedicated website is a really useful resource to direct patients and parents to avail of this self-care advice.


  • Reduced antibiotic course durations: A reminder that as of last year for the following conditions: sinusitis, pharyngitis/sore throat, acute bronchitis/cough, infective exacerbation of COPD and community acquired pneumonia in adults & children, the guidance was updated, so that if antibiotics are warranted, the recommended duration of therapy is 5 days.


  • Influenza: While Australia has had higher notifications of influenza this season, caution is advised as their testing and surveillance systems have changed over recent years and may not be comparable to previous flu seasons.  Consider influenza as part of your differential diagnosis when patients present with a respiratory illness.
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