Diabetic Foot Infections - Mild | Right Decisions

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Antimicrobial prescribing: NHS Forth Valley
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Diabetic Foot Infections
Diabetic Foot Infections - Mild

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.

Micro Organisms

CLINICAL FEATURES of MILD DIABETIC FOOT INFECTION:

Two or more features of inflammation: Swelling/Induration, Erythema, Pain, Warmth, Pus, or
Any cellulitis <2cm around the wound confined to skin and subcutaneous tissue, and
No evidence of systemic infection

Antibiotic Naive

Important: Therapy

Flucloxacillin 1g PO 6 hourly

Notes:

Antibiotic Naive - Penicillin Allergy

Important: Therapy

Doxycycline 100mg PO 12 hourly

Notes:

Non-Antibiotics Naive

Important: Therapy

Doxycycline 100mg PO 12 hourly

or

Clindamycin 450mg PO 8 hourly

Notes:

MRSA

Important: Therapy

Review antibiotic sensitivities prior to prescribing:

Doxycycline 100mg PO 12 hourly

or

Co-trimoxazole 960mg PO 12 hourly

or

Clindamycin 450mg PO 8 hourly

Notes:

Important: Notes

TREATMENT DURATION:

7 days. If clinical response but not fully resolved after 7 days, give further 7 day course.