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TAM (Treatments and Medicines) NHS Highland
ADULT THERAPEUTIC GUIDELINES
ANTIMICROBIAL GUIDANCE
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Systemic (Antimicrobial)
Diagnosis unclear, infection source likely respiratory or urinary-tract (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.

Diagnosis unclear, infection source likely respiratory or urinary-tract (Antimicrobial)

TAM (Treatments and Medicines) NHS Highland

For glossary of terms see Glossary.

Drug details

Mild to moderate infection

See UTI and acute bronchitis/community-acquired pneumonia sections of guidance, choosing the first-line options for each infection. This will result in a combination of two or more antibiotics being prescribed.

Duration - refer to specific guidance

Review within 24 hours to confirm diagnosis, then follow appropriate infection specific recommendations

Severe infection

See hospital-acquired pneumonia as this combination will provide the same cover.

Duration 7 to 14 days

Review within 24 hours to confirm diagnosis, then follow appropriate infection specific recommendations

If sepsis has a cutaneous component or is arising from the skin

Refer to necrotising fasciitis.

Review within 24 hours to confirm diagnosis, then follow appropriate infection specific recommendations

Last reviewed: 23/02/2023

Next review date: 28/02/2026

Author(s): Antimicrobial Management Team.

Approved By: TAM Subgroup of ADTC

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

Document Id: AMT175