MHRA – Parenteral amphotericin B: fatal overdose risk due to confusion between lipid-based and non-lioid-based formulations KALETRA Capsules Lopinavir 133.3mg Ritonavir 33.3mg Capsules (Kaletra Capsules 133/33.3 are being superseded by Kaletra Tablets 200mg/50mg) : These newer tablets have a few advantages 1) they are dosed twice daily rather than tds 2) may be taken with or without food (rather than must be taken with food) 3) can be stored at room temperature (rather than refridgeration) Although there may be an overlap period, we are expecting to completely move over to Kaletra Tablets All requests through Chief Pharmacist Amantadine, oseltamivir and zanamivir for the treatment of influenza [TA168] Amantadine, oseltamivir (review) and zanamivir for the prophylaxis of influenza [TA158]1. aureus infection of bone or soft tissue 2) Human or animal bites 3) SBE 4) Group B streptococcal prophylaxis in maternity patients 5) Clindamycin is also used in bacterial vaginosis Side-Effects (ie diarrhoea) limit use of this drug Therapeutic drug monitoring required for IV therapy refer to Sa SH microguide CONSULT with MICRO / CLINICAL PHARMACIST in any of the following cases 1) Renal Impairment 2) Abnormal serum levels3)Continued therapy MICRO Approval required RESTRICTED 1st line treatment for toxin positive haematology patients and severe/recurrent cases (on microbiology advice)CDI change of treatment Jan 2017 *NICE Summary – Clostridium difficile infection [ESNM1] Annotations on use of Metronidazole 1) General use anaerobic infections 2) Also used for treatment of necrotising fasciitis, intra-abdominal/biliary sepsis & bacterial vaginosis 3) Use for UNCOMPLICATED Clostridium difficile infection Choice of treatment varies upon severity, use algorithms (I&II) below I Clostridium difficile Treatment Algorithm II Clostridium difficile Bristol Stool Chart 4) Optional agent as part of triple therapy against Helicobacter pylori (omeprazole clarithromycin either metronidazole or amoxicillin) 7 day course Microbiology Policy on Ciprofloxacin Notes on use of Oral Ciprofloxacin 1) Ciprofloxacin should NOT be used for empirical treatment of lower UTI 2) Ciprofloxacin may be used in conjunction with gentamicin for patients allergic to b-lactams to treat the following conditions : UTI, acute prostatitis, gram ve sepsis & neutropenic fever 3) For treatment of Salmonella enteritis, Campylobacter enteritis, bacillary dysentery (Shigella) on MICRO advice AMBISOME RESTRICTED USE (MICRO approval) CSM Warning For serious known/or suspected fungal infections where normal amphoteracin B is not tolerated HAEMOTOLOGY/ ONCOLOGY are exempt from MICRO approval. Anaesthetics | GP Centre Home For patients allergic to penicillin who fall into any of these 4 groups : 1) Staph. The NICE British National Formulary (BNF) and British National Formulary for Children (BNFc) sites are only available to users in the UK, Crown Dependencies and British Overseas Territories. If you believe you are seeing this page in error please contact us.
Au cours de l'été 2016 vous avez reçu des enfants fréquentant les accueils de loisirs de la ville. Après bilan de ceux-ci, je tiens à vous féliciter pour la qualité de vos prestations et pour l'accueil que vous avez réservé à l'équipe d'animation.! For initiation and maintenance prescribing by specialists only. Elbasvir–grazoprevir for treating chronic hepatitis C NICE TA413 Sofosbuvir–velpatasvir for treating chronic hepatitis C NICE TA430 B - Clostridium difficile reduction strategy In an effort to reduce the incidence of Clostridium difficile-assocatied diarrhoea (CDAD) please note that some antibacterials are more likely to generate the problem than others. The antimicrobials in this guidance have been ranked according to risk. Please consider this when prescribing, and use a lower risk antimicrobial where appropriate. C - Upper Respiratory Tract infections Upper Respiratory Tract Infections - management in primary care D - Lower Respiratory Tract infections Lower Respiratory Tract Infections - management in primary care E- Meningitis NICE fever guidelines NICE CG47 Meningitis - management in primary care Prevention of secondary case of meningitis: Only prescribe following advice from on-call Public Health contact via. New Cross Switch board Tel 01902 307999 F- Urinary Tract Infections Urinary Tract Infections - management in primary care Give TARGET UTI leaflet. G- Gastro-intestinal Tract Infections Gastro-intestinal tract infections - management in primary care H- Genital Tract Infections Contact UKTIS for information on foetal risks if patient is pregnant.
Empirical First Line Antibiotic Therapy for Adult Patients Stop and think before you give antibiotics - Is antibiotic therapy required?– Lanarkshire is the highest. Possible adverse effects of antibiotics include diarrhoea and nausea seeking medical help if symptoms worsen at any time, do not improve within 48 hours of.