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of Medicine and Dentistry. It also found that dentists were significantly over-represented at all stages of the fitness to practise process compared to other registrant groups. Dentists coming on to the register having qualified in an EEA country were more likely to be involved in a FtP case, but those coming onto the register by taking the Overseas Registration Exam were less likely to be involved compared to their UK-qualified counterparts. The odds of having been involved in an FtP case were 22 per cent higher for dental professionals identifying as ‘Asian’ or ‘Other’ compared to those identifying as ‘White’, but the researchers are careful to note that there are significant gaps in this data as it was provided on a voluntary basis. The GDC commented that the report


reveals important insights into the types of FtP cases and the dental professionals involved but it is “just one source of information in a complex landscape, and is not, on its own, able to establish the factors that are causing these findings”. “We will be working closely with our partners to help us understand why we are seeing particular trends in the case data.” Access the analysis at www.gdc-uk.org/ about/what-we-do/research


Antibiotic resistance common in UTIs


ONE in three urinary tract infection (UTI) samples showed resistance to the antibiotic trimethoprim in a recent analysis. More than one million UTI samples were analysed in NHS laboratories across England in 2016 as part of the English Surveillance Programme for Antimicrobial Utilisation and Resistance (ESPAUR) report and antimicrobial resistance was found to be common. Resistance to trimethoprim was found in 34 per cent of the samples analysed compared to 29.1 per cent in 2015. Trimethoprim was once the first choice treatment for UTIs before PHE recommended switching to the antibiotic nitrofurantoin. The ESPAUR report found that only 3 per cent of the UTI samples showed resistance to nitrofurantoin. NICE recently launched a suite of new guidelines – Management of Common Infections (MoCI) – providing evidence- based advice on how common infections can be managed with the purpose of tackling antibiotic resistance. UTIs are one of the common infections the NICE MoCI committee has pledged to look into. Professor Gillian Leng, deputy chief


executive at NICE, said: “Making sure that we use these medicines properly, only when they are really needed, is vital. And our guidance is here to help healthcare professionals navigate these sometimes difficult decisions.”


Early cancer diagnosis avoids chemotherapy


CANCER patients diagnosed at stage 1 are five times more likely to have surgical treatment and possibly avoid the need for chemotherapy than those diagnosed at stage 4, according to new figures. Cancer Research UK and Public Health England (PHE) examined data from about half a million NHS patients with 22 different cancer types in England between 2013 and 2014 to determine how many patients received surgery, chemotherapy and radiotherapy, alone or in combination, as compared with their cancer stage. The figures showed that 70 per cent of cancer patients diagnosed at stage 1 had


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DEMENTIA-FRIENDLY DENTISTRY New guidelines have been published to help dentists provide better care for patients with dementia. Dementia-friendly dentistry from the Faculty of General Dental Practice UK (FGDP (UK)) advises dentists on how to adapt their management and clinical decision making for such patients. Free copies are being sent out to FGDP (UK) members and those joining by the end of 2017. Hard copies are available for £25 on their website.


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ORGAN DONATION CONSULTATION Plans for an organ donation opt-out system in England are to be put out to consultation by the government. It will outline ways to increase organ donation rates and propose assumed consent unless an individual opts out. There is a severe shortage of suitable organs, with around 6,500 people currently on transplant waiting lists. Full details of the consultation will be released soon.


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surgery to remove their tumour but this fell to 13 per cent of those diagnosed at stage 4. Chemotherapy was the treatment choice in 12 per cent of patients at stage 1 and this rose to 39 per cent of those diagnosed at stage 4. Professor Mick Peake, a lead clinician in


the study, based at Public Health England, said: “Doctors want to offer patients the best possible treatment. For some cancers, like leukaemia and lymphoma, that’s chemotherapy. But in most cases the earlier cancer is diagnosed the more likely it is to be effectively treated by surgery, and that means chemotherapy isn’t always necessary. “In general, the treatment of cancers at an


early stage also reduces the risk of long-term side effects which can affect patients’ quality of life.” Access the full study at www.tinyurl.com/


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DRAFT GUIDELINES ON LYME DISEASE New guidelines from NICE advise that a patient presenting with a tick bite and a characteristic circular rash (erythema migrans) should be diagnosed and treated for Lyme disease with antibiotics. The draft guidance outlines when to diagnose without the need for tests and when to investigate further. It states that doctors should not diagnose Lyme disease simply if a person has been bitten by a tick but exhibits no other symptoms. The proposed guidance is expected by be published in April 2018.


MDDUS INSIGHT / 7


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