Latest Guideline updates:
31/10/23 - Bronchiectasis (expanded table of antibiotics added)
28/09/23 - Acute Otitis Media (Otigo ear drops added)
28/09/23 - Acute Otitis Externa (refreshed with links to main ENT section)
MHRA advice: Flouroquinolone antibiotics: must now only be prescribed when other commonly recommended antibiotics are inappropriate.  Updated safety advice is available here including a patient information leaflet.  Side effects may be disabling, long-lasting and sometimes irreversible.  Systems affected include musculoskeletal (tendonitis/rupture), neurological (muscle weakness), sensory (peripheral neuropathy) and psychiatric (tiredness, anxiety, depression and suicidal thoughts).  Fluoroquinolones should not be prescribed for self-limiting or mild to moderate infections or non-bacterial (chronic) prostatitis.

How to access antimicrobial advice: see here.

Further information regarding COVID-19: see here.

Access the NHS Highland and Western Isles Antimicrobial website and mobile app for the:

  • Gentamicin calculator
  • Vancomycin calculators Not for use in patients on dialysis - Refer to Renal Unit Guidance.
  • UTI decision aid
  • QI audit function