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.
Gentamicin IV (as per online calculator) AND Amoxicillin 1g IV 8 hourly AND Metronidazole 500mg IV 8 hourly
- if Staphylococcal infection suspected (eg IVDU) ADD Flucloxacillin 2g IV 6 hourly
- If concerns regarding nephrotoxicity e.g. acute kidney injury - replace Gentamicin with Temocillin IV as per High Dose Antibiotic Therapy guidance
- Metronidazole should be prescribed PO after initial IV dose if oral route appropriate as highly bioavailable.
Vancomycin IV (as per online calculator) AND Gentamicin IV (as per online calculator) AND Metronidazole 500mg IV 8 hourly
- If concerns regarding nephrotoxicity e.g. acute kidney injury - replace Gentamicin with Aztreonam IV dosed per Renal Drug Database
- Metronidazole should be prescribed PO after initial IV dose if oral route appropriate as highly bioavailable.
Send blood cultures and other relevant samples
Check previous / recent microbiology results for guidance
Check previous MRSA status
Treatment duration: Guided by source of infection after investigation and clinical response. Refer to appropriate header in guidance.
If there is treatment failure/relapse check microbiology results, seek senior clinical review +/- discuss with Microbiology consultant.
Antimicrobial prescribing: NHS Forth Valley