Right Decisions
Antimicrobial prescribing: NHS Forth Valley
Paediatric Antibiotic Guidance - Hospital
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Gastro-Intestinal and Intra-Abdominal Infections
Appendicitis, Peritonitis, Post-op appendicectomy infection, Penetrating abdominal wound

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.

Appendicitis, Peritonitis, Post-op appendicectomy infection, Penetrating abdominal wound

Antimicrobial prescribing: NHS Forth Valley

NHS Forth Valley

Micro Organisms

Coliforms

Anaerobes

First Line

Important: Therapy

Amoxicillin IV + gentamicin IV + metronidazole IV for 3-7 days

Switch to co-amoxiclav PO to complete 7 day course when clinically improved

Notes:

Pencillin Allergy

Important: Therapy

Vancomycin IV + gentamicin IV + metronidazole IV for 3-7 days

Switch to oral alternative to complete 7 day course when clinically improved

Notes:

Important: Notes

Send blood for culture - if possible 2 sets and pus from operation

Please note - antibiotic surgical prophylaxis for appendicitis should be single dose at induction, unless already on treatment

Consider tetanus vaccine for penetrating abdominal wound