Right Decisions
Antimicrobial prescribing: NHS Forth Valley
Paediatric Antibiotic Guidance - Hospital
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Musculoskeletal Infections
Acute Osteomyelitis / Septic Arthritis / Discitis

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.

Acute Osteomyelitis / Septic Arthritis / Discitis

Antimicrobial prescribing: NHS Forth Valley

NHS Forth Valley

Micro Organisms

Staph. aureus, Streptococcal Spp., gram negative organisms incl Pseudomonas spp.

First Line

Important: Therapy

Flucloxacillin IV + Gentamicin IV

Septic arthritis - treat for 4-6 weeks

Osteomyelitis - treat for 6 weeks

Notes:

Second line: mild intolerance or mild skin reaction

Important: Therapy

Cefotaxime IV or ceftriaxone IV + gentamicin IV

Septic arthritis - treat for 4-6 weeks

Osteomyelitis - treat for 6 weeks

Notes:

Anaphylaxis (including severe skin reactions) to penicillin / cephalosporins or MRSA suspected - (Penicillin allergy)

Important: Therapy

Vaoncomycin IV + Gentamicin IV

Septic arthritis - treat for 4-6 weeks

Osteomyelitis - treat for 6 weeks

Notes:

Important: Notes

Pseudomonas likely in feet infections and sickle cell anaemia at any age

Review antibiotic choice once sensitivities available

IV therapy is usually continued for up to 14 days before IV to oral switch - discuss with microbiology / orthopaedics / paediatrics