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TAM (Treatments and Medicines) NHS Highland
ADULT THERAPEUTIC GUIDELINES
ANTIMICROBIAL GUIDANCE
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Genital tract (Antimicrobial)
Non-gonococcal urethritis (Antimicrobial)

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.

Non-gonococcal urethritis (Antimicrobial)

TAM (Treatments and Medicines) NHS Highland

Cases of suspected NGU should be tested for Chlamydia, gonorrhoea and Mycoplasma Genitalium.
Full STI screening to also include HIV and syphilis is recommended.
It is recommended that patients with suspected NGU are referred to Sexual Health
Those with recurrent or persistent symptoms should be referred to Sexual Health.

Patient information is available here: www.bashhguidelines.org/media/1040/ngu_pil_digital_2015.pdf.

Drug details

First episode. Test for C. trachomatis and M. genitalium.

Doxycycline 100mg twice daily

7 days

OR Azithromycin 1g stat then 500mg once daily for 2 more doses

3 days (2g) in total

Levofloxacin should only be used if both doxycycline and azithromycin are not suitable.
Seek advice for recurrent or persistent infection.

OR Levofloxacin 500mg once daily (see BNF warnings and MHRA Drug Safety Alert (updated 22 January 2024))

7 days

Last reviewed: 27/02/2023

Next review date: 27/02/2026

Author(s): Antimicrobial Management Team.

Approved By: TAM Subgroup of ADTC

Reviewer name(s): Alison Macdonald, Area Antimicrobial Pharmacist.

Document Id: AMT127