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Antimicrobial prescribing: NHS Forth Valley
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Acute Hospital Guidance
Protected Antibiotics - Permitted Indications

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.

Protected Antibiotics - Permitted Indications

Antimicrobial prescribing: NHS Forth Valley

NHS Forth Valley

These antibiotics should ONLY be used for the indications listed below.

ALL OTHER USE MUST BE ON ADVICE OF CONSULTANT MICROBIOLOGIST / INFECTIOUS DISEASE CONSULTANT

Ceftazidime

Febrile neutropenia (haematology and oncology patients only)
Exacerbations of bronchiectasis or cystic fibrosis (if Pseudomonas colonisation/infection and penicillin allergy)

Ceftriaxone

Only on advice of consultant clinician (except in meningitis) or Microbiology or ID consultant
Meningitis

Clindamycin

Group A Streptococcal sepsis/toxic shock
Suspected or confirmed necrotising fasciitis
Soft tissue infections in penicillin allergic patients only when benefits outweigh risk and no other option available

Levofloxacin

As indicated in guideline in patients with true penicillin allergy
Strong clinical suspicion of Legionella infection

Linezolid

Only on advice of Microbiology or ID consultant

Meropenem - This may only be prescribed after consultation with senior member of clinical team

Exacerbation of bronchiectasis/cystic fibrosis if colonisation/infection with resistant Gram negative organisms including Pseudomonas
Febrile neutropenia (haematology/oncology patients)
Infections with multi resistant Gram negative bacilli as indicated by sensitivity report on culture
Severe sepsis unresponsive to Piperacillin/Tazobactam and Gentamicin

Teicoplanin

Vancomycin intolerance
Surgical prophylaxis (following guideline)
Out-patient and/or home parenteral antibiotic therapy (e.g. OPAT)

Temocillin

As indicated in the guidelines or after discussion with Microbiology consultant

Tigecycline

Only on advice of Microbiology or ID consultant