Necrotising Fasciitis | Right Decisions

Right Decisions
Antimicrobial prescribing: NHS Forth Valley
Acute Hospital Guidance
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Skin and Skin Structure
Necrotising Fasciitis

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.

First Line

Important: Therapy

Benzylpenicillin 2.4 g IV 6 hourly AND Flucloxacillin 2g IV 6 hourly AND Clindamycin 1.2g IV 6 hourly AND Metronidazole 500mg IV 8 hourly AND Gentamicin IV (as per online calculator)

Notes:

Penicillin Allergy (or MRSA positive)

Important: Therapy

Vancomycin IV (as per online calculator) AND Clindamycin 1.2g IV 6 hourly AND Metronidazole 500mg IV 8 hourly AND Gentamicin IV (as per online calculator)

Notes:

Important: Notes

Characterised by pain disproportionate to clinical findings, rapidly spreading infection, dusky skin

SEEK URGENT SURGICAL REVIEW

Second line treatment based on advice from microbiology.

If evidence of toxic shock - consider IVIG