Antimicrobial Prescribing Guidelines for Primary Care 2019

TABLE OF CONTENTS PRINCIPLES OF TREATMENT SUMMARY OF UPDATES TO GUIDELINES UPPER RESPIRATORY TRACT INFECTIONS Influenza Pharyngitis / Sore Throat / Tonsillitis Otitis Media Otitis Externa Acute Sinusitis Chronic Bacterial Sinusitis Dental Abscess LOWER RESPIRATORY TRACT INFECTIONS Acute Cough / Bronchitis Acute Exacerbation of COPD Community Acquired Pneumonia Tuberculosis Bronchiectasis Whooping Cough EYE INFECTIONS Conjunctivitis Blepharitis MENINGITIS Meningitis URINARY TRACT INFECTIONS Algorithm for diagnosis of UTI in Adults Lower UTI / Cystitis Complicated UTI UTI in Pregnancy UTI in Children Acute Pyelonephritis in Adults UTI Prophylaxis Guidelines UTI Prophylaxis patient leaflet GASTRO-INTESTINAL TRACT INFECTIONS Oral Candidiasis Eradication of Helicobacter pylori Infectious Diarrhoea Clostridium difficile Acute Diverticulitis Traveller’s Diarrhoea Threadworms Amoebiasis Giardiasis Cryptosporidiosis

Part of the Antimicrobial Prescribing Guidelines for Primary Care. Updated January 2019. Next review: January 2022. 1

GENITAL TRACT INFECTIONS Vaginal Candidiasis Bacterial Vaginosis Neisseria gonorrhoeae Chlamydia trachomatis Trichomoniasis Pelvic Inflammatory Disease Vaginal Discharge in a Child Acute Prostatitis Epididymitis +/- Orchitis SKIN / SOFT TISSUE INFECTIONS Panton-Valentine Leukocidin (PVL) toxin producing S.aureus infection Impetigo Eczema Cellulitis Leg Ulcers and Pressure Sores Diabetic Foot Ulcers Osteomyelitis Human and animal bite Lyme disease Boils Wound Infection MRSA Mastitis and breast abscess Acne Headlice Scabies Crab Lice Dermatophyte Infection of the Proximal Finger or Toe Nail Mould Infections of the Nail Dermatophyte Infection of the Skin Dermatophyte Infection of the Scalp Cutaneous Candidiasis Pityriasis Versicolor Varicella Zoster / Chicken Pox / Herpes Zoster / Shingles Herpes Simplex Virus SPLENECTOMISED PATIENTS AND THOSE WITH AFUNCTIONAL SPLEEN Splenectomised Patients and those with an afunctional Spleen APPENDICES Appendix 1 Prescribing in Pregnancy and Breastfeeding Appendix 2 References and Guidelines Appendix 3 Consultees Appendix 4 Delayed Prescription Service

Authors: Dr Vivienne Weston, Consultant Microbiologist, Nottingham University Hospitals; Dr Amelia Joseph, Consultant Microbiologist, Nottingham University Hospitals; Laura Catt, Prescribing Interface Pharmacist, Mansfield and Ashfield CCG; Irina Varlan, Interface and Formulary Pharmacist, Mansfield and Ashfield CCG and Nottingham University Hospitals. Part of the Antimicrobial Prescribing Guidelines for Primary Care. Updated January 2019. Next review: January 2022. 2

Part of the Antimicrobial Prescribing Guidelines for Primary Care. Updated January 2019. Next review: January 2022. 3