{"id":1696,"date":"2023-08-18T20:53:00","date_gmt":"2023-08-18T19:53:00","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/cirg\/?p=1696"},"modified":"2025-03-02T00:02:56","modified_gmt":"2025-03-02T00:02:56","slug":"amp-uti-reflections","status":"publish","type":"post","link":"https:\/\/apps.nhslothian.scot\/cirg\/amp-uti-reflections\/","title":{"rendered":"AMP UTI Reflections"},"content":{"rendered":"<style>.kb-row-layout-id1696_a3ce4a-6a > .kt-row-column-wrap{align-content:center;}:where(.kb-row-layout-id1696_a3ce4a-6a > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:center;}.kb-row-layout-id1696_a3ce4a-6a > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:1520px;padding-top:60px;padding-right:60px;padding-bottom:100px;padding-left:60px;min-height:450px;grid-template-columns:repeat(2, minmax(0, 1fr));}.kb-row-layout-id1696_a3ce4a-6a > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id1696_a3ce4a-6a > .kt-row-column-wrap{row-gap:var(--global-kb-gap-md, 2rem);padding-bottom:130px;grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id1696_a3ce4a-6a > .kt-row-column-wrap{row-gap:var(--global-kb-gap-md, 2rem);padding-right:15px;padding-bottom:150px;padding-left:15px;grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id1696_a3ce4a-6a alignfull has-dark-accent-background-color kt-row-has-bg fullstretch wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-row-layout-equal kt-tab-layout-row kt-mobile-layout-row kt-row-valign-middle kb-theme-content-width\">\n<style>.kadence-column1696_d6088e-be > .kt-inside-inner-col{display:flex;}.kadence-column1696_d6088e-be > .kt-inside-inner-col,.kadence-column1696_d6088e-be > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1696_d6088e-be > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1696_d6088e-be > .kt-inside-inner-col{flex-direction:column;justify-content:center;align-items:center;}.kadence-column1696_d6088e-be > .kt-inside-inner-col > .kb-image-is-ratio-size{align-self:stretch;}.kadence-column1696_d6088e-be > .kt-inside-inner-col > .wp-block-kadence-advancedgallery{align-self:stretch;}.kadence-column1696_d6088e-be > .kt-inside-inner-col > .aligncenter{width:100%;}.kt-row-column-wrap > .kadence-column1696_d6088e-be{align-self:center;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1696_d6088e-be{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1696_d6088e-be > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.kadence-column1696_d6088e-be > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1696_d6088e-be{position:relative;}@media all and (max-width: 1024px){.kt-row-column-wrap > .kadence-column1696_d6088e-be{align-self:center;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1696_d6088e-be{align-self:auto;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1696_d6088e-be > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 1024px){.kadence-column1696_d6088e-be > .kt-inside-inner-col{flex-direction:column;justify-content:center;align-items:center;}}@media all and (max-width: 767px){.kt-row-column-wrap > .kadence-column1696_d6088e-be{align-self:center;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1696_d6088e-be{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1696_d6088e-be > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.kadence-column1696_d6088e-be > .kt-inside-inner-col{flex-direction:column;justify-content:center;align-items:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1696_d6088e-be\"><div class=\"kt-inside-inner-col\"><figure class=\"wp-block-post-featured-image\"><img loading=\"lazy\" decoding=\"async\" width=\"880\" height=\"660\" src=\"https:\/\/apps.nhslothian.scot\/cirg\/wp-content\/uploads\/sites\/5\/2025\/02\/CIRG-Post-Logo.png\" class=\"attachment-post-thumbnail size-post-thumbnail wp-post-image default-featured-img\" alt=\"CIRG Post Logo\" style=\"border-radius:12px;object-fit:cover;\" srcset=\"https:\/\/apps.nhslothian.scot\/cirg\/wp-content\/uploads\/sites\/5\/2025\/02\/CIRG-Post-Logo.png 880w, https:\/\/apps.nhslothian.scot\/cirg\/wp-content\/uploads\/sites\/5\/2025\/02\/CIRG-Post-Logo-300x225.png 300w, https:\/\/apps.nhslothian.scot\/cirg\/wp-content\/uploads\/sites\/5\/2025\/02\/CIRG-Post-Logo-768x576.png 768w\" sizes=\"auto, (max-width: 880px) 100vw, 880px\" \/><\/figure><\/div><\/div>\n\n\n<style>.kadence-column1696_cedeb2-85 > .kt-inside-inner-col{display:flex;}.kadence-column1696_cedeb2-85 > .kt-inside-inner-col,.kadence-column1696_cedeb2-85 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1696_cedeb2-85 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1696_cedeb2-85 > .kt-inside-inner-col{flex-direction:column;justify-content:center;align-items:center;}.kadence-column1696_cedeb2-85 > .kt-inside-inner-col > .kb-image-is-ratio-size{align-self:stretch;}.kadence-column1696_cedeb2-85 > .kt-inside-inner-col > .wp-block-kadence-advancedgallery{align-self:stretch;}.kadence-column1696_cedeb2-85 > .kt-inside-inner-col > .aligncenter{width:100%;}.kt-row-column-wrap > .kadence-column1696_cedeb2-85{align-self:center;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1696_cedeb2-85{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1696_cedeb2-85 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.kadence-column1696_cedeb2-85 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1696_cedeb2-85{position:relative;}@media all and (max-width: 1024px){.kt-row-column-wrap > .kadence-column1696_cedeb2-85{align-self:center;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1696_cedeb2-85{align-self:auto;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1696_cedeb2-85 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 1024px){.kadence-column1696_cedeb2-85 > .kt-inside-inner-col{flex-direction:column;justify-content:center;align-items:center;}}@media all and (max-width: 767px){.kt-row-column-wrap > .kadence-column1696_cedeb2-85{align-self:center;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1696_cedeb2-85{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1696_cedeb2-85 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.kadence-column1696_cedeb2-85 > .kt-inside-inner-col{flex-direction:column;justify-content:center;align-items:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1696_cedeb2-85\"><div class=\"kt-inside-inner-col\"><h1 style=\"margin-right:30px;margin-left:30px;\" class=\"has-text-align-center has-link-color alignwide wp-elements-fcb699291ef6430427119bc2d1307555 wp-block-post-title has-text-color has-standard-white-color\">AMP UTI Reflections<\/h1>\n\n<div class=\"has-text-align-center has-link-color cirg-screen-excerpt wp-elements-a8508ab0214aaef08ded30a066c8b76c wp-block-post-excerpt has-text-color has-standard-white-color\"><p class=\"wp-block-post-excerpt__excerpt\">Carol Phllips&#8217; reflection and overvew of their attendence at the BSAC UTI Conference <\/p><\/div>\n\n<div style=\"font-style:normal;font-weight:700;text-transform:uppercase; border-radius:50px; padding-top:9px;padding-bottom:9px;padding-left:20px;padding-right:20px;\" class=\"has-text-align-center has-link-color cirg-news-page-date wp-elements-a1f8281b758fa992bda8a3d771af56d2 wp-block-post-date has-text-color has-standard-white-color has-background has-accent-plum-background-color\"><time datetime=\"2023-08-18T20:53:00+01:00\">18 August 2023<\/time><\/div><\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id1696_162e77-2d > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id1696_162e77-2d > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id1696_162e77-2d > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:1280px;margin-left:auto;margin-right:auto;padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id1696_162e77-2d > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id1696_162e77-2d > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id1696_162e77-2d > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id1696_162e77-2d alignnone cirg-news-wrapper wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column1696_3d0fee-53 > .kt-inside-inner-col{display:flex;}.kadence-column1696_3d0fee-53 > .kt-inside-inner-col{padding-top:35px;padding-right:30px;padding-bottom:40px;padding-left:30px;}.kadence-column1696_3d0fee-53 > .kt-inside-inner-col,.kadence-column1696_3d0fee-53 > .kt-inside-inner-col:before{border-top-left-radius:10px;border-top-right-radius:10px;border-bottom-right-radius:10px;border-bottom-left-radius:10px;}.kadence-column1696_3d0fee-53 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1696_3d0fee-53 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.kadence-column1696_3d0fee-53 > .kt-inside-inner-col > .aligncenter{width:100%;}.kt-row-column-wrap > .kadence-column1696_3d0fee-53{align-self:center;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1696_3d0fee-53{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1696_3d0fee-53 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.kadence-column1696_3d0fee-53 > .kt-inside-inner-col{background-color:#ffffff;}.kadence-column1696_3d0fee-53 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1696_3d0fee-53{position:relative;}.kadence-column1696_3d0fee-53, .kt-inside-inner-col > .kadence-column1696_3d0fee-53:not(.specificity){margin-top:-70px;margin-bottom:15px;}@media all and (max-width: 1024px){.kt-row-column-wrap > .kadence-column1696_3d0fee-53{align-self:center;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1696_3d0fee-53{align-self:auto;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1696_3d0fee-53 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 1024px){.kadence-column1696_3d0fee-53 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kt-row-column-wrap > .kadence-column1696_3d0fee-53{align-self:center;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1696_3d0fee-53{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column1696_3d0fee-53 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.kadence-column1696_3d0fee-53 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1696_3d0fee-53\"><div class=\"kt-inside-inner-col\">\n<p>Carol summarises her time at the BSAC below:<\/p>\n\n\n\n<p><strong>BSAC meeting \u2013 The challenge of urinary tract infections<br>14<sup>th<\/sup>\u00a0June \u2013 RCP London<\/strong><\/p>\n\n\n\n<p>This BSAC meeting was convened recognising that UTI are a leading cause of bacterial bloodstream infections, but they remain a chronically neglected area of infectious diseases.<\/p>\n\n\n\n<p>Dr Angela Huttner gave an excellent opening presentation which provided overview of what came in the rest of the meeting \u2013 being entitled Urinary Tract infection: from intellectual dead end to exciting new frontier.<\/p>\n\n\n\n<p>Some of her reflections were:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u201cEveryone gets a UTI \u2013 if haven\u2019t then you just haven\u2019t lived long enough!\u201d<\/li>\n\n\n\n<li>\u201cPatients, their doctors and the whole system contribute to AMR in UTI\u201d<\/li>\n\n\n\n<li>\u201cUTI is a diagnostic puzzle; we don\u2019t know how to do it properly yet.\u201d<\/li>\n<\/ul>\n\n\n\n<p>The program was broad and in the second session contributions came from outside of infectious diseases with UTI challenges from the perspective of the urology surgeon, in pregnancy, in paediatrics and in renal transplants.<\/p>\n\n\n\n<p>New frontiers and clinical practice was the next session. This covered why some UTI are so hard to diagnose and treat, introducing intracellular immunity and bacterial reservoirs of the bladder epithelium. Evidence for nitrofurantoin in current guidance and a novel approach to addressing biofilms was introduced.&nbsp;&nbsp;Then came a successful primary care audit with review of antibiotic prophylaxis in primary care, followed by research on effects of antibiotic selection on collateral susceptibility and evolution of uropathogenic&nbsp;&nbsp;E.coli.<\/p>\n\n\n\n<p>Keynote presentations reviewed the evidence base for shortening treatment durations for UTI and considered the role of the multibiome in recurrent UTI.<\/p>\n\n\n\n<p>The final session considered alternative approaches to antibiotic therapy for UTI, in the form of oral vaccines, intravesical and phage therapies.<\/p>\n\n\n\n<p>I thoroughly enjoyed the entire meeting.&nbsp;&nbsp;This was the first face to face meeting for most of us in a few years.&nbsp;&nbsp;The program and the speakers were excellent, the day provided plenty of opportunities to network and additionally I became aware of people\/ centres undertaking research of particular interest to myself.<\/p>\n\n\n\n<p>Many of the sessions recognised successes with multidisciplinary team approaches to management of recurrent urinary which is of interest as Lothian adopted this model in 2019 and we continue to develop the service; with urology, ID, pharmacy, nurse and physiotherapy input to complex patients.<\/p>\n\n\n\n<p>My poster highlighted the numbers of patients in primary care prescribed a long-term antibiotic (co-amoxiclav), most were no longer under the specialists that initiated treatment.&nbsp;&nbsp;The majority of were for urinary indications.&nbsp;&nbsp;&nbsp;This supports the need for antimicrobial stewardship pharmacists with a primary care focus and local overview, who through access to prescribing data, monitoring of trends, can identify potential interventions to improve stewardship.&nbsp;&nbsp;This aligned with the presentation by Avril Tucker and the approaches taken in Wales to review prescribing of antibiotic prophylaxis for UTI.&nbsp;&nbsp;I had the opportunity to discuss this with her as i am about to implement this locally.<\/p>\n\n\n\n<p>I am grateful to CIRG for the funding to enable me to attend this meeting.<\/p>\n\n\n\n<p><strong>Congratulations again to Carol and all her work.<\/strong><\/p>\n\n\n<style>.wp-block-kadence-spacer.kt-block-spacer-1696_2e808b-5f .kt-block-spacer{height:80px;}.wp-block-kadence-spacer.kt-block-spacer-1696_2e808b-5f .kt-divider{border-top-width:3px;height:1px;border-top-color:#F59F68;width:100%;border-top-style:solid;}<\/style>\n<div class=\"wp-block-kadence-spacer aligncenter kt-block-spacer-1696_2e808b-5f\"><div class=\"kt-block-spacer kt-block-spacer-halign-center\"><hr class=\"kt-divider\"\/><\/div><\/div>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-a89b3969 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-icon__arrow-right\"><a class=\"wp-block-button__link wp-element-button\" href=\"\/cirg\/news\">SEE All News &amp; Events<span class=\"wp-block-button__link-icon\" aria-hidden=\"true\"><svg viewBox='0 0 16 11' xmlns='http:\/\/www.w3.org\/2000\/svg'><polygon points='0 4.7 13.1180124 4.7 9.44099379 1 10.4347826 0 16 5.5 10.4347826 11 9.44099379 10 13.1180124 6.3 0 6.3'><\/polygon><\/svg><\/span><\/a><\/div>\n<\/div>\n<\/div><\/div>\n\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Carol Phllips&#8217; reflection and overvew of their attendence at the BSAC UTI Conference<\/p>\n","protected":false},"author":3,"featured_media":1081,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[15],"class_list":["post-1696","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"rttpg_featured_image_url":{"full":["https:\/\/apps.nhslothian.scot\/cirg\/wp-content\/uploads\/sites\/5\/2025\/02\/CIRG-Post-Logo.png",880,660,false],"landscape":["https:\/\/apps.nhslothian.scot\/cirg\/wp-content\/uploads\/sites\/5\/2025\/02\/CIRG-Post-Logo.png",880,660,false],"portraits":["https:\/\/apps.nhslothian.scot\/cirg\/wp-content\/uploads\/sites\/5\/2025\/02\/CIRG-Post-Logo.png",880,660,false],"thumbnail":["https:\/\/apps.nhslothian.scot\/cirg\/wp-content\/uploads\/sites\/5\/2025\/02\/CIRG-Post-Logo-150x150.png",150,150,true],"medium":["https:\/\/apps.nhslothian.scot\/cirg\/wp-content\/uploads\/sites\/5\/2025\/02\/CIRG-Post-Logo-300x225.png",300,225,true],"large":["https:\/\/apps.nhslothian.scot\/cirg\/wp-content\/uploads\/sites\/5\/2025\/02\/CIRG-Post-Logo.png",880,660,false],"1536x1536":["https:\/\/apps.nhslothian.scot\/cirg\/wp-content\/uploads\/sites\/5\/2025\/02\/CIRG-Post-Logo.png",880,660,false],"2048x2048":["https:\/\/apps.nhslothian.scot\/cirg\/wp-content\/uploads\/sites\/5\/2025\/02\/CIRG-Post-Logo.png",880,660,false],"post_slider_thumbnail":["https:\/\/apps.nhslothian.scot\/cirg\/wp-content\/uploads\/sites\/5\/2025\/02\/CIRG-Post-Logo.png",880,660,false]},"rttpg_author":{"display_name":"st3vi3b0y","author_link":"https:\/\/apps.nhslothian.scot\/cirg\/author\/stephenharris\/"},"rttpg_comment":0,"rttpg_category":"<a href=\"https:\/\/apps.nhslothian.scot\/cirg\/category\/news\/\" rel=\"category tag\">News and Events<\/a>","rttpg_excerpt":"Carol Phllips' reflection and overvew of their attendence at the BSAC UTI Conference","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/cirg\/wp-json\/wp\/v2\/posts\/1696","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/cirg\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/cirg\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/cirg\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/cirg\/wp-json\/wp\/v2\/comments?post=1696"}],"version-history":[{"count":1,"href":"https:\/\/apps.nhslothian.scot\/cirg\/wp-json\/wp\/v2\/posts\/1696\/revisions"}],"predecessor-version":[{"id":1697,"href":"https:\/\/apps.nhslothian.scot\/cirg\/wp-json\/wp\/v2\/posts\/1696\/revisions\/1697"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/cirg\/wp-json\/wp\/v2\/media\/1081"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/cirg\/wp-json\/wp\/v2\/media?parent=1696"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/cirg\/wp-json\/wp\/v2\/categories?post=1696"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}