Caesarean Section | Right Decisions

Right Decisions
Antimicrobial prescribing: NHS Forth Valley
Surgical Prophylaxis Guidance
Back
Obstetrics
Caesarean Section

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.

Prophylaxis

Important: Therapy

Co-amoxiclav 1.2g IV

If weight >100kg give additional dose of Amoxicillin 1g IV

(i.e. total dose = 2g Amoxicillin and 200mg clavulanic acid)

Notes:

If BMI >35 continue Co-amoxiclav 625mg PO 8 hourly for 24hr post-op

Prophylaxis - Penicillin Allergy

Important: Therapy

Clindamycin 600mg IV AND Gentamicin IV (refer to Drug Dosing Table)

Weight >80kg: increase Clindamycin dose to 900mg IV

Weight >160kg: increase Clindamycin dose to 1200mg IV

Notes:

If BMI >35 continue Clindamycin 300mg PO 6 hourly for 24hr post-op

Prophylaxis - MRSA Positive Patient

Important: Therapy

ADD Teicoplanin to above prophylaxis (refer to Drug Dosing Table)

Notes:

No additional oral antibiotic required for 24hr post-op

Important: Notes

All antibiotic doses should be given pre-skin incision.

Ensure that appropriate antibiotic re-dosing if >1.5 litre blood loss as per Drug Dosing Table (after fluid replacement)