Photo Source: MART PRODUCTION
Clinicians across New Zealand are now equipped with Te Whata Kura, a new national set of antibiotic prescribing guidelines that launched in November 2024.
The guidelines are developed by the Te Niwha research platform, the guidelines reflect a unified effort to address the growing threat of antibiotic resistance and ensure the responsible use of these vital medications.
Addressing a Global Challenge
Antimicrobial resistance (AMR) is rising as a critical concern for public health worldwide, with the over-prescription and misuse of antibiotics at the core of the problem. New Zealand’s high antibiotic prescription rates and disparities in access, particularly among Māori populations, underscore the need for change.
The Te Whata Kura guidelines are designed to address these issues through standardised, evidence-based prescribing. Dr. Stephen Ritchie, a key researcher from the University of Auckland, pointed to the importance of balance, noting,
“Antibiotics are underused in some patients where they could provide benefit and overused in others who could be harmed by unnecessary treatment.”
Collaborative Development
The creation of Te Whata Kura is the result of a collective effort among experts, clinicians, and community stakeholders, working together to address antibiotic resistance. Drs. Sharon Gardiner and Sarah Metcalf from Te Whatu Ora – Waitaha led the initiative, with input from University of Auckland researchers Drs. Stephen Ritchie and Karen Wright, and GP Dr. Lily Fraser.
The guidelines integrate the latest research and contributions from a range of healthcare professionals, ensuring they are both scientifically robust and feasible for real-world application across diverse healthcare settings.
Key Features of Te Whata Kura
Te Whata Kura provides a repository of knowledge, the web-based platform is set to replace the fragmented prescribing practices previously used across New Zealand’s health sectors.
The platform allows prescribers to easily access best-practice recommendations, including details on the optimal antibiotic, dosage, and management protocols for various conditions.
While guidelines for adults will be open for nationwide feedback in early 2025, those for children are still in development. Dr. Lily Fraser emphasised the need for culturally responsive prescribing, stating,
“It is important antibiotics are prescribed when they are needed to prevent serious infections and disease, as well as not being prescribed when they aren’t needed to prevent antibiotic resistance.”