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Antimicrobial prescribing: NHS Forth Valley
Acute Hospital Guidance
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Obstetrics
Lower Respiratory Tract Infection in Pregnancy

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.

Lower Respiratory Tract Infection in Pregnancy

Antimicrobial prescribing: NHS Forth Valley

NHS Forth Valley

First Line

Important: Therapy

Amoxicillin 500mg PO 8 hourly

If systemic infection/sepsis:

Co-amoxiclav 1.2g IV 8 hourly AND Erythromycin 500mg PO 6 hourly

Notes:

Penicillin Allergy

Important: Therapy

Erythromycin 500mg PO 6 hourly

If systemic infection/sepsis:

Ceftriaxone 2g IV 24 hourly AND Erythromycin 500mg PO 6 hourly

Notes:

If history of severe penicillin allergy (i.e. anaphylaxis, angioedema, urticaria, respiratory distress) discuss with microbiologist.

Important: Notes

Treatment duration: 5 days

Oral switch guidance

Review culture results first. If no positive microbiology results to guide:

Preferred regime - Co-amoxiclav 625mg PO 8 hourly +/- Erythromycin 500mg PO 6 hourly

Alternative - Cefuroxime 500mg PO 12 hourly +/- Erythromycin 500mg PO 6 hourly