Right Decisions
Antimicrobial prescribing: NHS Forth Valley
Paediatric Antibiotic Guidance - Hospital
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Gastro-Intestinal and Intra-Abdominal Infections
C difficile Infection (Antibiotic Associated Colitis)

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.

C difficile Infection (Antibiotic Associated Colitis)

Antimicrobial prescribing: NHS Forth Valley

NHS Forth Valley

Micro Organisms

C difficile

Mild / Non - Severe

Important: Therapy

Metronidazole PO for 10 days

or

Vancomycin PO for 10 days

Notes:

Maintain accurate stool chart

Severe

Important: Therapy

Vancomycin PO for 10 days

Add IV metronidazole if ileus or hypotension

CONSIDER URGENT SURGICAL REVIEW

Notes:

Maintain accurate stool chart

Consider systemic antibiotics (Vancomycin IV + gentamicin IV + metronidazole IV) if severe colonic inflammation in addition to above therapy

Important: Notes

Observe bowel movements, symptoms, (WCC and hypotension) and fluid balance. If symptoms continue to worsen, refer to gastroenterology / surgery, and discuss with microbiology.

Ensure infection control measures are in place including stool chart - do no wait for confirmation of diagnosis

Send stool sample

Stop and (non-Clostridium difficile) antimicrobial treatment in patients with CDI if possible

Stop any antimotility agents, laxatives and gastric acid suppressants if possible

Rehydrate patient

Assess symptoms and severity of disease on a daily basis