EBN Resources page
Drug and Therapeutics Bulletin (DTB) May, June and July 2011
Do sunscreens have a role in preventing skin cancer?
Solar ultraviolet (UV) radiation is largely responsible for the harmful effects of sun exposure, notably sunburn, photosensitivity and skin cancer. For example, UV radiation is implicated in malignant melanoma, the incidence of which has risen in the UK over the past 30 years. This article assesses whether the sunscreen products commonly used to prevent sunburn have a place in the prevention of skin cancer.
Management of acute infective conjunctivitis
Traditionally, topical antibacterials have been prescribed for people with acute infective conjunctivitis. There is evidence that the use of chloramphenicol for this indication has increased since chloramphenicol eye drops became available over the counter from UK pharmacies. This article reviews the evidence on the efficacy of antibacterials in acute infective conjunctivitis and offers advice for prescribers and community pharmacists on managing patients with this self-limiting condition.
Systemic lupus erythematosus – an update
Systemic lupus erythematosus (SLE) is a complex multisystem autoimmune disease with a relapsing and remitting course. Mortalities for people with SLE have improved over the years. This article updates a previous DTB review on the management of SLE and discusses recent developments, including the use of biological agents.
SIGN Apps for iPhone and iPad
■ Non-pharmaceutical management of depression.
■ Diagnosis and pharmacological management of Parkinson's disease.
SIGN 101: management of asthma
Updates to the British Guideline on the Management of Asthma are now available on the SIGN and British Thoracic Society (BTS) (http://www.brit-thoracic.org.uk) websites. Produced jointly by SIGN and the BTS since 2003, sections of the guideline are updated annually. The 2011 revisions include updates to monitoring asthma and pharmacological management and a new section on asthma in adolescents.
SIGN has launched an android version (free of charge) of its successful iPhone application, which has now been downloaded more than 19 000 times.
Complications of pregnancy in primary care: in association with National Institute for Health and Clinical Excellence
Guide for practitioners on the role of primary care in managing pregnant patients, including how to conduct preconception counselling, and advising patients with complex social needs, chronic diseases, such as hypertension or diabetes, and lifestyle problems, such as smoking and obesity, before, during and after pregnancy. Knowledge can be tested with multiple choice questions.
Feverish illness in young children: in association with National Institute for Health and Clinical Excellence
This module raises awareness of recent evidence regarding the management of children with feverish illness and enables practitioners to challenge misconceptions about implementation of guidance on feverish illness. Includes video interviews with a general practitioner and the mother of a child who had a fever. Includes multiple choice questions.
Increasing the uptake of HIV testing – issues for primary care and non-specialists: in association with National Institute for Health and Clinical Excellence
Helps practitioners to identify which populations should be offered HIV testing and feel confident that they know how and why to raise the question within routine clinical appointments or admissions. Encourages practitioners to recognise the competencies required for effective offering and conducting of an HIV test and to be able to confidently signpost and manage those patients who may refuse an HIV test or those who test negative but still have ongoing risks in relation to HIV. Includes video content interviews with an expert and a patient who had an HIV test. Includes multiple choice questions.