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Antimicrobial prescribing: NHS Grampian, Orkney & Shetland
Primary Care Guidance
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Community Acquired Pneumonia - Treatment in the Community

Update your RDS mobile app to v4.7.1 to download toolkits even when website is down,

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.

Community Acquired Pneumonia - Treatment in the Community

Antimicrobial prescribing: NHS Grampian, Orkney & Shetland

NICE - Pneumonia (community-acquired) - antimicrobial prescribing summary

NICE - Pneumonia in Adults

COVID-19 NHS Inform

NICE - COVID-19 rapid guideline: managing COVID-19

Start antibiotics immediately.

Use CRB65 score to assess severity.

Each CRB65 parameter scores 1:

Confusion (AMT≤8); Respiratory rate ≥30/min; BP systolic <90 or diastolic ≤60; Age ≥65;

If no response in 48 hours consider admission.

If CRB 65 = 1 or 2 consider need for hospital admission. If at home, clinically assess need for dual therapy for atypicals.

Drug details

If CRB65=0

Amoxicillin

500mg 3 x daily

5 days

Alternative treatment

If CRB65=0

Doxycycline

(not suitable for those under 12 years)

200mg on Day 1

then 100mg daily

5 days

OR

If CRB65 = 0

Clarithromycin

500mg 2 x daily

5 days

If CRB65=1 or 2 & AT HOME - clinically assess need for dual therapy for atypicals:

Amoxicillin

500mg 3 x daily

5 days

AND (if dual therapy for atypicals required)

Clarithromycin

500mg 2 x daily

5 days

Alternative treatment

If CRB65=1 or 2 & AT HOME

Doxycycline alone

(not suitable for those under 12 years)

200mg on Day 1

then 100mg once daily

5 days