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.
Exceptions: this guidance does not cover ventilator-associated pneumonia or Wards 116 and 118 at RIE, Ward 20 at WGH and ITU at SJH.
Diagnosis
New lung infiltrates on chest X-ray PLUS evidence of infection
Severity assessment
CURB65 score (see Community acquired pneumonia) can be used to assess severity.
CURB65 < 3 = low severity. CURB65 > 3 = high severity
Chest X-ray PLUS in high severity disease:
Treat as community acquired pneumonia
Low severity
Recommended total duration: 5 days
Doxycycline 200mg on day one then 100mg daily orally
High severity
Recommended total duration: 5 days
Amoxicillin 1g every 8 hours IV
PLUS
Gentamicin IV (use online NHS Lothian calculator on AMT intranet page for dosing)
Penicillin Allergy OR Previous MRSA
Vancomycin IV (use NHS Lothian calculator on AMT intranet page)
PLUS
Gentamicin IV (use NHS Lothian calculator on AMT intranet page)
Doxycycline 200mg on first day and then 100mg daily orally
Alternative recommendation
Co-trimoxazole 960mg every 12 hours orally
Reassess daily and discuss with Microbiology if failing to respond after 48-72 hours.
Likely organisms: S.pneumoniae (50% HAP), S.aureus, Coliforms, viruses, occasionally Pseudomonas spp..
If patient has been given a course of doxycycline in the past 30 days consider alternative treatments.
Antimicrobial prescribing: NHS Lothian