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.
Review severity markers (see Severity of Infection)
Vancomycin 125 mg every 6 hours orally
Duration = 10 days
If oral route not available give via alternative enteral route.
Review and document severity of disease daily.
Diarrhoea can take one to two weeks to resolve and it is not usually possible to determine whether antibiotic treatment is ineffective until day 7.
For patients who fail to improve after 7 days or worsen with oral vancomycin discuss with infection specialist and review options for treatment failure below.
For patients who fail to improve after 7 days or worsen with oral vancomycin discuss with an infection specialist (see How to get advice). Treatment will be dependent on clinical setting/severity of disease.
Antimicrobial recommendations:
Fidaxomicin 200mg every 12 hours orally
Duration = 10 days
OR
Vancomycin 500 mg every 6 hours orally
Duration = 10 days
PLUS
Metronidazole 500mg every 8 hours IV until improving or until 10 days has been completed
Antimicrobial prescribing: NHS Lothian