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Current Trust-Wide Antibiotic Guidelines

      

Restricted list

(here)
  (intranet only) List of restricted antibiotics and allowed indications.
 

Antibiotic costs chart

(here) (intranet only)
  (intranet only)  Information on the current costs of antimicrobials (IV and PO) and how they compare.
 

IV to Oral Antibiotics Switch guideline

(here)
  These guidelines include advice monitoring patients on IV antibiotics for the opportunity to convert them to oral therapy.  It also outlines conditions where extended IV courses are required.
 

Antibiotic Stop/Review Date and Indication Policy

(here)
  This policy applies to all antimicrobials prescribed within medicine from 13th December.
 

Community acquired pneumonia in Adults

(here)
  These guidelines include advice on severity assessment (CURB-65) and treatment of community acquired pneumonia (with or with-out aspiration).
 

Hospital Acquired Lower Respiratory Tract Infection (LRTI) in Adults

(here)
  These guidelines include advice on treating various hospital acquired LRTIs including non-pneumonic LRTI, pneumonia (with or with-out aspiration) and ventilator associated pneumonia.

 

 

Empirical Treatment of Sepsis in Adults (Includes Vancomycin and Gentamicin monitoring)

(here)
  These guidelines include advice on treating sepsis relating to cellulitis, abdominal infection, urosepsis, bone and joint, endocarditis, IV cannulae and when the origin is unknown.  There is also advice regarding the MRSA and the use and monitoring of vancomycin and once-daily gentamicin.

 

 

Dipstick diagnosis of UTI- Quick reference guide

(here)
 

Advice on the use of dipstick urinalysis when diagnosing UTI

 

 

Nottingham Hospitals Guide for Antibiotic Use in Adult Patients

(here)
  These guidelines include advice on general principles of antibiotic use and rational antibiotic choices for treating common conditions when the patient is not septic.

 

 

Community Acquired Bacterial Meningitis In Adults

(here)
  These guidelines have been produced in conjunction with Infectious Diseases/Microbiology Services with whom management should be discussed. They are intended to provide general advice on antibiotic treatment of community acquired meningitis in adults but treatment should be modified as appropriate for individual patients. These guidelines are not to be used for patients with post-operative meningitis
 

Antibiotic Doses in Renal Impairment For Adults

(here)
   

Antibiotic Guideline for Acute Pelvic Inflammatory Disease

(here)
  These guidelines include the treatment of pelvic inflammatory disease, uncomplicated Chlamydial and uncomplicated Gonococcal infection. They also contain guidance  for the antibiotic prophylaxis of pregnancy terminations .
 

Antibiotic Guidelines for Adult Patients with Spontaneous Bacterial Peritonitis or Liver Cirrhosis with Upper Gastrointestinal Bleed.

(here)
  These guidelines include the necessary investigations required for patients where Spontaneous Bacterial Peritonitis is a differential. It contains the recommended antibiotics for its treatment and secondary prophylaxis. Also included are recommendation for the use of antibiotics as prophylaxis in patients with liver cirrhosis and present with an upper GI bleed.
 
Gastrointestinal Endoscopy Guidelines in Adults (here)
 

 

 
Management of Clostridium Difficile Diarrhoea in Adults (here)
  Includes advice on diagnosis, initial treatment and for reviewing treatment
 
Therapeutic Drug Monitoring (here)
  Includes advice on when to take antibiotic assay levels, also includes advice on assaying other commonly monitored drugs.
 
Antibiotic Prescribing Policy for Diabetic Foot Disease in Secondary Care (here)
  Advice on the diagnosis and treatment of diabetic foot infections
 
Management of Asplenic patients (here)
  Includes advice on elective and emergency splenectomy. Immunisation, prophylactic antibiotics and FAQs.
 

Link to full Antibiotics Website 

Page last edited: 05/10/2009

Caution; the antibiotic doses recommended on this website are intended for adult patients with normal renal and liver function unless otherwise stated. Dosing advice for patients with renal impairment is available here.

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