Scarlet Fever (GAS) | Right Decisions

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Antimicrobial prescribing: NHS Forth Valley
Primary Care Guidance
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UPPER RESPIRATORY TRACT INFECTIONS
Scarlet Fever (GAS)

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.

Scarlet fever (GAS)

PHE Scarlet Fever

Prompt treatment with appropriate antibiotics significantly reduces the risk of complications. Observe immunocompromised individuals (diabetes; women in the puerperal period; chickenpox) as they are at increased risk of developing invasive infection

Drug details

Phenoxymethylpenicillin

500mg QDS

Child

1 to 11 months: 62.5mg QDS or 125mg BD

1 to 5 years: 125mg QDS or 250mg BD

6 to 11 years: 250mg QDS or 500mg BD

12 to 17 years: 500mg QDS or 1000mg BD

10 days

Penicillin allergy: Clarithromycin

500mg BD

Child

1 month to 11 years:

Under 8 kg - 7.5mg/kg BD

8 to 11 kg - 62.5mg BD

12 to 19 kg: 125mg BD

20 to 29 kg - 187.5mg BD

30 to 40 kg - 250mg BD

12 to 17 years: 250mg to 500mg BD

5 days

OR: Azithromycin

500mg OD

Child

6 months to 17 years: 10 mg/kg OD (max. per dose 500 mg)

6 months to 17 years (weight 15-25kg): 200 mg OD

6 months to 17 years (weight 26–35 kg): 300 mg OD

6 months to 17 years (weight 36–45 kg): 400 mg OD

6 months to 17 years (weight ≥46 kg): 500 mg OD

5 days