For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews
Bacteria producing beta-lactamase and carbapenemase on the rise in NZ
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Bacteria producing beta-lactamase and carbapenemase on the rise in NZ
Wednesday 28 February 2018, 12:00 AM

In India and parts of South-East Asia, 20 to 80 per cent of E. coli isolates are multidrug-resistant strains
Travel in the last six months and failure of empiric treatment are two important red flags for sending a urine sample to the laboratory for culture for antibiotic-resistant strains
A 35-year-old woman presents to her GP with a three-day history of dysuria, frequency and suprapubic discomfort. Two days prior to presentation she
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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References
Arcilla MS, van Hattem JM, Haverkate MR et al. Import and spread of extended-spectrum beta-lactamase-producing Enterobacteriaceae by international travellers (COMBAT study): a prospective, multicentre cohort study. Lancet Infect Dis 2017;17:78–85.