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Antimicrobial prescribing: NHS Forth Valley
Hospital at Home Guidance
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Respiratory Tract Infection
Hospital-associated LRTI/Pneumonia (recent hospital admission with ≥5 days stay in previous 4 weeks)

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.

Hospital-associated LRTI/Pneumonia (recent hospital admission with ≥5 days stay in previous 4 weeks)

Antimicrobial prescribing: NHS Forth Valley

NHS Forth Valley

First Line

Important: Therapy

Doxycyline 100mg PO 12 hourly

Notes:

If oral route compromised:

Ceftriaxone 2g IV 24 hourly

Second Line

Important: Therapy

Co-trimoxazole 960mg PO 12 hourly

Notes:

If oral route compromised:

Ceftriaxone 2g IV 24 hourly

Severe Infection

Important: Therapy

Ceftriaxone 2g IV 24 hourly

or if penicillin allergy:

Levofloxacin 500mg PO 12 hourly (consider safety issues)

Notes:

Essential to confirm CrCl in this patient group: if CrCl <50ml/min maximum dose of levofloxacin 250mg PO 12 hourly

Important: Notes

NB -BTS Definition of Pneumonia

Cough and at least one other lower respiratory tract symptom AND new focal chest signs on examination AND EITHER sweating, fevers, shivers, aches and pains OR fever > 38°C AND no other explanation for symptoms

Check HEPMA to review recent antibiotic courses that may influence antibiotic choice