Principles of Hospital at Home Antibiotic Treatment

  • All doses given are for normal renal function. Do not use Nitrofurantoin if eGFR is < 45; do not use Cotrimoxazole or Trimethoprim if eGFR is < 35
  • Review MHRA Safety Advice when prescribing fluoroquinolones 
  • Always check the BNF for drug interactions before prescribing antibiotics
  • If no agent listed is suitable due to allergy or resistant isolates, discuss with Microbiology
  • Stop Gentamicin after 3 days unless advised by Microbiology. Check culture results when available. Ask daily if hearing or balance are affected

In suspected or confirmed COVID-19 infection, antibiotics should only be given if there is purulent sputum, or clinical evidence of consolidation