Hepatitis C: you can’t treat it if you don’t test for it

Approximately half of people with hepatitis C virus (HCV) infection...

August 2017

Antibiotics: choices for common infections

The following information is a consensus guide. It is intended...

July 2017

The bpacnz antibiotic guide: 2017 edition

The 2017 edition of the bpacnz antibiotics guide; Antibiotics:...

July 2017

Topical antibiotics for skin infections: should they be prescribed at all?

Clinical indications for the use of topical antibiotics are continuing...

February 2017

Topical antibiotics for skin infections: when are they appropriate?

In the community, many patients have skin and soft tissue infections...

February 2017

Treatment of hepatitis C (HCV) has changed

Three new oral medicine regimens for the treatment of hepatitis...

September 2016

Rosacea: seeing red in primary care

Rosacea is an inflammatory facial skin disease that can cause...

May 2016

Travel consultation essentials: for departures and arrivals

Travel consultations involve assessing the risks that may occur...

December 2015

An update on the use of nitrofurantoin in patients with renal impairment

The Medicines and Healthcare products Regulatory Agency (MHRA)...

October 2015

The New Zealand Laboratory Schedule and Test Guidelines: Immunology Tests

Over the last few editions of Best Tests we have outlined the...

July 2015

Should I prescribe a topical antiseptic cream instead of a topical antibiotic for minor skin infections?

Increasing rates of resistance to topical antibiotics continues...

June 2015

The role of prophylactic antibiotics for preventing infective endocarditis in people undergoing dental or other minor procedures

Infective endocarditis is a relatively rare infection of the...

June 2015

Debate: Do you prescribe antibiotics for respiratory tract infections? An everyday conundrum in general practice

Appropriate prescribing of antibiotics for patients with respiratory...

June 2015

Delayed antibiotic prescriptions for respiratory tract infections: does the strategy work?

Delayed antibiotic prescribing, also known as a “back pocket...

June 2015

Cellulitis: skin deep and spreading across New Zealand

Adults and children with uncomplicated cellulitis can usually...

June 2015

Is point-of-care CRP testing useful in guiding antibiotic prescribing in patients with respiratory tract infections?

Point-of-care CRP testing may help primary care clinicians to...

June 2015

The Year in Review - What did we learn in 2014?

In 2014 we published over 60 medical education articles in Best...

February 2015

Tinea pedis: not just the curse of the athlete

Tinea pedis is a common fungal foot infection that is often...

December 2014

Plantar warts: a persistently perplexing problem

Plantar warts, also known as plantar verrucae, are manifestations...

December 2014

Exposure to body fluids: keeping the primary healthcare team safe

Providing a safe working environment involves both minimising...

November 2014

Topical antibiotics: very few indications for use

Topical antibiotics in general have been excessively used in...

October 2014

Vulvovaginal health in post-menopausal women

Age-related changes in women can result in an increased occurrence...

September 2014

Measles: what to be aware of during an outbreak

The current measles outbreak in New Zealand highlights the importance...

September 2014

News Updates

Reminder: Most broad-spectrum antibiotics do not interact with...

June 2014

Rising antimicrobial resistance

Associate Professor Mark Thomas from the University of Auckland,...

June 2014

Rural infections series: Rural round up

In the final instalment of the rural series we present a round-up...

May 2014

The New Zealand Laboratory Schedule and Test Guidelines: Microbiological and Serological Tests

In October, 2013, the New Zealand Laboratory Test Schedule was...

May 2014

The changing face of Helicobacter pylori testing

There is ongoing debate in the literature about which is the...

May 2014

Upfront: Azithromycin: use it wisely

Growing use of azithromycin in New Zealand means that we are...

April 2014

Pertussis immunisation in pregnancy

New Zealand is slowly emerging from its most recent outbreak...

April 2014

Meningococcal disease: Always consider in a patient with flu-like illness

Patients with meningococcal disease can initially present with...

March 2014

The diagnosis and management of herpes zoster and its complications

Herpes zoster (shingles) is a self-limiting condition caused...

March 2014

Seasonal influenza vaccination: 2014 update

The vaccine for the 2014 influenza season is now available....

March 2014

Rural infections series: Investigating and managing people with diarrhoea

Campylobacter, Salmonella, Cryptosporidium and Giardia cause...

February 2014

The year that was: Key messages from Best Practice Journal 2013

2013 began with publication of the 50th issue of Best Practice...

February 2014

Rural infections series: Leptospirosis

This article is the first in a series addressing the diagnosis...

November 2013

Appropriate use of amoxicillin clavulanate

Amoxicillin clavulanate is a broad spectrum antibiotic which...

August 2013

Causes, complications and treatment of a red eye

Most cases of “red eye” seen in general practice are likely...

August 2013

Upfront: Antimicrobial Resistance in New Zealand: What is my role in primary care?

This month marks the launch of our 2013 revised edition of “Antibiotic...

August 2013

Antibiotics Guide

Tip: Bookmark this page or add to your home screen on your smartphone...

July 2013

Upfront: Is the cupboard bare? The threat of antimicrobial resistance

Antimicrobial resistance is one of the greatest threats to health...

June 2013

Microbiological assessment of infected wounds: when to take a swab and how to interpret the results

Identifying and managing infection in wounds is an important...

June 2013

Interpreting urine dipstick tests in adults: a reference guide for primary care

A urine dipstick positive for haematuria or proteinuria is a...

June 2013

A “how-to guide” for a sexual health check-up

Good sexual health is about achieving both physical and psychological...

April 2013

Cold season in primary care

Every year New Zealanders spend significant amounts of money...

April 2013

Managing acne in primary care

Acne is a common dermatological condition that affects most...

March 2013

Norovirus: Sydney 2012

In late 2012, there was a global increase in norovirus notifications,...

March 2013

Pertussis: halting the epidemic by protecting infants

Infants who have not yet completed the National Immunisation...

March 2013

The 2013 influenza season: new strains, new vaccines

The dominant influenza virus to circulate in New Zealand this...

March 2013

Appropriate use of sulfonamides

What are sulfonamides and how do they work? | Prescribing co-trimoxazole...

December 2012

News and updates: Update on azithromycin

Update on azithromycin: new prescriber information and ava...

November 2012

Laboratory investigation of infectious diarrhoea

This report discussus how testing behaviour in New Zealand has...

October 2012

Appropriate use of tetracyclines

What are tetracyclines and how do they work? | Which infections...

October 2012

Sick and tired of being tired and sick: laboratory investigation of glandular fever

Glandular fever (infectious mononucleosis) is a common, potentially...

October 2012

Bronchiectasis: rates still increasing among Pacific peoples

Bronchiectasis is a lung disease characterised by irreversible...

September 2012

Bronchiolitis in infants

Bronchiolitis is the most common lower respiratory tract infection...

September 2012

Otitis media: a common childhood illness

It has been suggested that otitis media is an unavoidable illness...

September 2012

Pertussis: an avoidable epidemic

This article is out of date. Please see: Pertussis: halting...

August 2012

Managing skin infections in Māori and Pacific families

Compared to other developed countries, New Zealand has one of...

August 2012

The management of community acquired pneumonia

Pneumonia is a significant cause of hospitalisation and mortality...

August 2012

Syphilis: testing for “the great imitator”

Over one hundred people per year in New Zealand are diagnosed...

June 2012

The appropriate use of macrolides

Macrolides are a class of antibiotic that includes erythromycin,...

May 2012

Managing urinary tract infections in children

Although relatively uncommon in children, urinary tract infection...

May 2012

Appropriate use of metronidazole

How does metronidazole work? | Which infections should metronidazole...

April 2012

Seasonal influenza vaccinations: the 2012 edition

The 2012 seasonal influenza vaccine contains the same strains...

April 2012

Looking back, looking forward: key messages 2005 – 2011

This report highlights four key prescribing and laboratory testing...

March 2012

Providing medical advice to travellers

New Zealanders love to travel. It is important that travellers...

December 2011

Vulvovaginal health in premenopausal women

Symptoms relating to the vulvovaginal area such as abnormal...

December 2011

Appropriate use of amoxicillin clavulanate

Amoxicillin clavulanate is an important and effective medicine...

September 2011

Rheumatic fever in Māori: what can we do better?

In New Zealand, acute rheumatic fever is now almost exclusively...

August 2011

News in brief: Dabigatran; Antibiotics and COC; Prescription kitchen

Dabigatran to be listed | Most broad spectrum antibiotics do...

June 2011

Norfloxacin Prescribing Update

Looks at Norfloxacin prescribing for urinary tract infecti...

May 2011

Quinolone antibiotics - limit use

Quinolones are associated with increasing antimicrobial resistance....

April 2011

Managing urinary tract infections in pregnancy

Urinary tract infections (UTIs) occur commonly during pregnancy....

April 2011

Pneumococcal vaccine for adults: Pneumovax23

Invasive pneumococcal disease caused by Streptococcus pneumoniae...

April 2011

Seasonal influenza vaccination: changes for 2011

The seasonal influenza vaccine for 2011 protects against the...

April 2011

Should I still use both CRP and ESR when investigating temporal arteritis?

CRP alone is the best test for temporal arteritis. This...

March 2011

Collecting specimens for the investigation of fungal infections

Fungal infections of the skin, nails and hair are caused by...

March 2011

Upfront: Antimicrobial resistance - the way forward

In this final article in the series on antimicrobial resistance,...

February 2011

Antimicrobial resistance: where are we now?

This article reviews the data currently available, which enables...

December 2010

Close contact infectious diseases: an increasing concern for Pacific peoples

Pacific peoples have poorer health status than other New Zealanders,...

November 2010

Skin infections in Pacific peoples

Serious skin infections such as cellulitis, abscesses and impetigo...

November 2010

The burden of bronchiectasis in Pacific peoples

In most developed countries the incidence of bronchiectasis...

November 2010

Rheumatic fever - the neglected disease

New Zealand continues to have high rates of rheumatic fever,...

November 2010

ANTIMICROBIALS how should they be used in primary care?

Ideally antibiotics should be reserved for the treatment of...

October 2010

Upfront: Resistance to antimicrobials - an increasing problem in our community

The threat of multiple drug resistant organisms in New Zealand....

August 2010

Cough in children

Children who cough are frequently seen in general practice....

July 2010

Do cough and cold medicines work in children?

The short answer is no. There is little evidence that cough...

July 2010

Identifying the risk of serious illness in children with fever

A “traffic light” approach to assessing the risk...

July 2010

Quinolone prescribing

Data report on quinolone prescribing, national data only.

July 2010

Investigating the Gut: Helicobacter pylori

The choice of test for initial testing for H. pylori, is determined...

March 2010

Testing for enteric pathogens: Follow up report

This web version is a sample only, all data below the national...

March 2010

Non-occupational exposure to Human Immunodeficiency Virus

Rates of HIV infection are increasing in New Zealand, especially...

December 2009

Assessment and management of infectious gastroenteritis

Every year around 200,000 New Zealanders acquire a food associated...

December 2009

Report: CRP ESR & Thyroid function testing

Sample data report on laboratory testing of CRP, ESR, TSH and...

October 2009

Hepatitis

A guide focusing on some of the situations GPs face in day-to-day...

July 2009

Diagnosing and managing influenza

In healthy people influenza is usually self-limiting and uncomplicated...

June 2009

Fluoroquinolone-associated tendon disorders

The use of oral fluoroquinolones is associated with increased...

June 2009

How to treat acne

Acne is a common skin condition that affects most people at...

April 2009

Bronchiolitis update

Bronchiolitis is the most common lower respiratory tract infection...

April 2009

Influenza vaccine

Influenza is a highly infectious acute respiratory disease....

April 2009

STI Handbook

A collection of articles from the STI campaign

April 2009

Treatment of sexually transmitted and other genital infections

A summary of pharmacological treatment and management of common...

April 2009

Testing for STIs - four case scenarios

A series of four case studies that illustrate the importance...

March 2009

Sexually transmitted infections - what testing is needed and when?

This article provides an overview of some infections affecting...

March 2009

Sexually transmitted infections in New Zealand

Chlamydia remains the most commonly diagnosed STI in New Zealand,...

February 2009

Scabies - diagnosis and management

Scabies manifests as an itchy skin rash, as a result of an allergic...

February 2009

Management of fungal nail infections

Fungal nail infection (onychomycosis) accounts for around 50%...

February 2009

Management of impetigo

Impetigo is a highly contagious, bacterial infection of the...

February 2009

Mastitis and sore nipples while breastfeeding

The management of two conditions that commonly, but unnecessarily,...

December 2008

Acute monoarthritis: differentiating between crystals sepsis and trauma

Acute monoarthritis is characterised by pain and swelling of...

November 2008

Why we still need to think of rheumatic fever

Māori living in the upper North Island have one of the...

May 2008

Making sense of testing for enteric pathogens

Reminder of the key points to consider when requesting faecal...

March 2008

Snippets: NSAIDs dextropropoxyphene and antibiotic resistance

Drug information of topical interest

February 2008

Laboratory Investigation of Infectious Diarrhoea

January 2008

Dear Dave

Does the "seven day rule" still apply with the concomitant...

September 2007

Upfront: The Augmentin-free office

Practical advice on reducing the use of augmentin

August 2007

Upfront: Infectious disease patterns a major concern

An Interview with Professor Diana Lennon on infectious disease...

May 2007

Winter Ills

Bronchiolitis | Cough in children | Fever in children | Acute...

May 2007

Remembering respiratory infections

Revisits the main points of our respiratory infections campaign...

May 2007

CRP vs ESR: Reminder

A summary of the key messages from this campaign and changes...

May 2007

Syphilis

Resurgence of syphilis in NZ? Syphilis had been considered a...

March 2007

UTI best tests

Laboratory investigations of UTI tests plus:
• Fasting vs Post...

September 2006

Rational use of Antibiotics in Respiratory Tract Infections

This resource outlines the principles of rational antibiotic...

August 2006

Laboratory investigation of UTI

This resource focuses on the diagnosis of infection in the urinary...

July 2006

UTIs: Laboratory investigations

This resource focuses on the diagnosis of infection in the urinary...

June 2006

Best Tests: Chlamydia

Iron vs Ferritin tests plus:
• Chlamydia update
• Is this woman...

March 2006

Best Tests: CRP vs ESR

CRP vs ESR Plus:
• Drug tests for drink spiking
• Cervical smear...

September 2005

CRP vs ESR Assessing and measuring the inflammatory response

Discussion of the use of CRP and ESR as tests of the inflammatory...

July 2005

Appropriate use of cephalosporins

There are very few indications for the use of cephalosporins...

December 2011

Made with by the bpacnz team