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Antimicrobial prescribing: NHS Fife
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Hospital at Home Empirical Guidelines
Principles of Hospital at Home Antibiotic Treatment

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Principles of Hospital at Home Antibiotic Treatment

Antimicrobial prescribing: NHS Fife

NHS Fife

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