Submandibular Space Infections

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Antimicrobial prescribing: NHS Forth Valley
Acute Hospital Guidance
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Oral & Maxillofacial
Submandibular Space Infections

Update your RDS mobile app to v4.7.2 to download toolkits even when website is down.

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. You will see that each toolkit has a small QR code icon in 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 update to the latest release - RDS app version 4.7.1 - to see this improvement.

Updating to this latest version of the RDS app is also strongly recommended to get the full benefits of the new resilience 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.

First Line

Important: Therapy

Co-amoxiclav 1.2g IV 8 hourly

Notes:

ADD Gentamicin IV (as per online calculator) if systemic infection/sepsis evidence on admission or deterioration

Mild Penicillin Allergy (e.g. rash)

Important: Therapy

Ceftriaxone 2g IV 24 hourly AND Metronidazole 400mg PO 8 hourly

Notes:

ADD Gentamicin IV (as per online calculator) if systemic infection/sepsis evidence on admission or deterioration

Severe Penicillin Allergy (i.e. anaphylaxis, angioedema, urticaria, respiratory distress)

Important: Therapy

Vancomycin IV (as per online calculator) AND Gentamicin IV (as per online calculator) AND Metronidazole 400mg PO 8 hourly

Notes:

Important: Notes

Incision & Drainage advised - send pus samples to microbiology.

ADD Fluconazole 400mg PO to empirical regime if yeasts reported on microscopy