Pancreatitis (Antimicrobial) | Right Decisions

Right Decisions
TAM (Treatments and Medicines) NHS Highland
ADULT THERAPEUTIC GUIDELINES
ANTIMICROBIAL GUIDANCE
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Gastro intestinal (Antimicrobial)
Pancreatitis (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.

Drug details

Mild Pancreatitis

Antibiotics should NOT be prescribed.

Severe Acute Necrotising Pancreatitis (greater than 30% necrosis on CT scan)

Refer to Hepatobiliary team.
If patient deteriorates, consider antibiotic treatment as per intra-abdominal sepsis guidance.
Seek advice from ID/Microbiology once cultures available or if patient deteriorates whilst on first line therapy.

Established Infected Pancreatic Necrosis/Infected peri or pancreatic collection

Refer to Hepatobiliary team.
Consider drainage.
Seek advice from ID/Microbiology.
Antibiotic management is based on positive cultures from infected drain fluid.

Last reviewed: 28/03/2024

Next review date: 28/03/2027

Author(s): Antimicrobial Management Team.

Version: 2

Approved By: TAM subgroup of ADTC

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

Document Id: AMT122