Skin and soft tissue infections

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.

Cellulitis / soft tissue infection

If no features of systemic infection or osteomyelitis and infection is localised, PO can be used

ORAL

FLUCLOXACILLIN 1g QDS

If true penicillin allergy:

CLARITHROMYCIN 500mg BD

If MRSA suspected or known

DOXYCYCYLINE 200mg OD (check isolate is sensitive)

INTRAVENOUS

TEICOPLANIN See separate guidance for 3-times weekly administration

Alternative

CEFTRIAXONE 2g OD (do not use if MRSA suspected or known)

Duration 7 days

Therapeutic drug monitoring of teicoplanin is not required for short courses. If > 7 days treatment planned seek Microbiology advice.

Diabetic foot infectionSee NHS Fife Diabetic Foot Infection guidance