ABSTRACT
The emergence of new multi-resistant infections, extended-spectrum beta-lactamases and carbapenemase-producing Enterobacteriaceae, to antibiotics is cause for considerable concern, as difficult-to-treat infections have the potential to put significant strain on the healthcare system. Carbapenem antibiotics, such as imipenem and meropenem, have a broad spectrum of activity and are used for the treatment of severe hospital-associated infections and polymicrobial infections. Antimicrobial stewardship aims to reduce inappropriate antibiotic prescribing, therefore reducing the risks of antibiotic-resistant infection and improving outcomes for patients. Nurses working in primary care and community are well placed to educate patients about alternatives to antibiotics because nurses were seen as key practitioners, as they spent more time with patients than other healthcare workers. C-reactive protein was used as a supplementary test and resulted in fewer antibiotics being prescribed. Tests such as these could be useful in reducing the rate of antibiotic prescribing through clinical presentation alone.
