Equine Health Update EHU Vol 21 Issue 02 | Page 33

CPD Article | EQUINE (Verwilghen 2016) 4. Public Awareness The National Department of Health, Federation of Infectious Diseases Societies of Southern Africa (FIDSSA) and South African Antibiotic Stewardship Programme (SAASP) have initiated a campaign to improve awareness of antibiotic resistance amongst the public and healthcare workers in South Africa. You can help by making a pledge to become an antibiotic guardian and encouraging others to do the same. You can do this at: http://antibioticguardian. com/south-africa/ A brochure to promote public awareness will be disseminated via SAEVA for voluntary distribution to clients. Tweet about it with these twitter handles: #ProtectAntibioticsZA and #AntibioticGuardian. 5. Short-course and De-Escalation Therapy A number of randomised controlled trials have now shown short-course antibiotic therapy to be as effective as traditional longer courses for a number of common bacterial infections in humans. In some cases shorter courses have had better clinical success, decreased adverse events and decreased development of resistance at the site of infection. Similar studies are lacking in equine veterinary medicine and while we should take care in extrapolating these data to equine practice it is likely that shorter courses are also likely to be as effective in many clinical scenarios in equine medicine. It is important to regularly review cases on antibiotics and confirm whether continued antibiotic therapy is necessary. All prescriptions should have a stop/review date. • Volume 21 Issue 2 | May 2019 • 33