Important: Therapy
Flucloxacillin 1g PO 6 hourly
(or Flucloxacillin 2g IV 6 hourly if failure already on PO)
AND
Metronidazole 400mg PO 8 hourly
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.
CLINICAL FEATURES OF MODERATE DIABETIC FOOT INFECTION
Flucloxacillin 1g PO 6 hourly
(or Flucloxacillin 2g IV 6 hourly if failure already on PO)
AND
Metronidazole 400mg PO 8 hourly
Clindamycin 600mg PO 8 hourly (has good anaerobic cover)
or if felt IV required:
Vancomycin IV (as per online calculator)
AND
Metronidazole 400mg PO 8 hourly or 500mg IV 8 hourly
Co-amoxiclav 625mg PO 8 hourly
(or Co-amoxiclav 1.2g IV 8 hourly if failure on PO)
Clindamycin 600mg PO 8 hourly
or if felt IV required:
Vancomycin IV (as per online calculator)
AND
Metronidazole 400mg PO 8 hourly or 500mg IV 8 hourly
Review antibiotic sensitivities prior to prescribing:
Vancomycin IV (as per online calculator)
or
Co-trimoxazole 960mg PO or IV 12 hourly
or
Clindamycin 600mg IV 6 hourly
TREATMENT DURATION:
7 days total antibiotic (including IV and oral) May need up to 14 days if slow clinical response
If osteomyelitis diagnosed will usually require 4-6 weeks antibiotic therapy