An audit to review the podiatry supply of flucloxacillin under Prescription Only Medicines exemption (POM-S) in cases of mild infection within Belfast Health and Social Care Trust

Ashling McElvanna, John McCarry, Suzanne Doyle, Jill Cundell, Anne McDaid

Research output: Contribution to journalArticlepeer-review

Abstract

The timely treatment of diabetes foot infections is important to prevent the
rapid progression of infection, hospital admissions and amputation (Lipsky et al, 2020).
Antibiotic therapy is necessary for all diabetes foot infections (NICE, 2019). Podiatrists
with HCPC POM-S annotation can supply flucloxacillin 500mg (one four times a day for
7 days) for mild foot infections (Health and Care Professions Council, 2021). Aim: The aim
of this audit was to review the issue of 500mg of flucloxacillin and assess patient outcomes
within community foot protection teams. Methods: The records of all patients diagnosed
with mild infection according to International Working Group on the Diabetic Foot (Lipsky
et al, 2020) classification, and issued 500mg of flucloxacillin (one four times a day for 7
days), between 23/8/19–11/09/20, by a podiatrist working in a Community Wellbeing and
Treatment Centre within Belfast Health and Social Care Trust were included. All podiatrists
were required to adhere to the Safe Operating Procedure for supply of flucloxacillin to
patients. Data analysis was performed using Microsoft Excel 2016®. Results: A total of
35 patients were supplied 500mg of flucloxacillin (one four times a day for 7 days) by a
community podiatrist during 23/8/19–11/09/20. Twenty one cases of infection completely
resolved and four cases of infection improved. Four patients changed antibiotic after
microbiological/radiological investigations. Two cases of infection deteriorated with
the patient requiring hospital admission, two cases of infection did not improve due to
deteriorating ischaemia and two cases of infection remained static. Conclusions: This
audit has shown the supply of flucloxacillin 500mg (one four times a day for 7 days) by
community podiatrists can improve and resolve mild foot infections. It can also ensure
timely access to antibiotics avoiding delays in therapy. Podiatrists with HCPC POM-S
annotation should utilise supplying for mild foot infection where appropriate.
Original languageEnglish
Pages (from-to)1-5
Number of pages5
JournalThe Diabetic Foot Journal
Volume24
Issue number4
Publication statusPublished - 23 Nov 2021

Keywords

  • Antibiotic
  • POMs
  • foot infection
  • Diabetic foot ulcer
  • Medicines Exemption
  • Mild foot infection
  • Podiatry
  • Prescription only

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