endstream endobj startxref Adults first choice: doxycycline 200mg on day 1, then 100mg OD - 5 days. Absolute comparisons cannot be drawn between audits due to differences in methodology but there appeared to be an overall reduction in patients at risk of harm due to an increase in the numbers of patients protected against Meningitis ACWY and B.Stakeholder engagement was achieved at various levelsNottinghamshire Antimicrobial Prescribing Guidelines for Primary CareDirector, Trent Medicines Information Service & UK Drugs in Lactation Advisory ServiceIf you need to know more you can ask one of our experts for help.Find all our resources on COVID-19 here and filter by your area of interest.
6 Antibiotic guidelines for SKIN AND SOFT TISSUE INFECTIONS CLINICAL CONDITION USEFUL INFORMATION RECOMMENDATION ALTERNATIVE (suitable in serious penicillin allergy DURATION Infected Leg Ulcers insufficiency. Potential system failures have been identified and thus systems and processes improved safeguarding both current and future asplenic and hyposplenic patients.Furthermore links have been established with the local secondary care trust to improve communication and promote the use of standardised documentation.Children and adults with asplenia or splenic dysfunction may have an increased risk of infection and a sub-optimal response to routine vaccination. Individual patient circumstances and local resistance patterns may alter treatment choices. As a result there has been a significant reduction in the number of patients at risk of harm.In addition GP practices have been encouraged and supported to review their existing systems for managing this cohort of patients. Additional vaccinations and long term antibiotic prophylaxis are therefore advised for these patients. 3 Foreword These guidelines are intended to provide … Following the death of a young asplenic patient in 2016 our project involves the identification and review of asplenic or hyposplenic patients in primary care, to minimise their risk of serious infection and death.
One CCG also audited whether prophylactic antibiotics were prescribed in this group of patients and the findings highlighted that this area should be a focus for further work as many high risk patients were not prescribed or compliant with long term antibiotics.As a result of the initial audit the following actions were agreed and undertaken:The re-audit reviewed a total of 460 patients across the three CCGs. Community Antibiotic guidelines authorised for use in Coastal West Sussex by: Coastal West Sussex Area Prescribing Committee (APC): November 27th 2013 Review date: December 2014 Feedback Please email any relevant feedback/comments to the CWS CCG Medicines Management team inbox cwsccg.medicinesmanagement@nhs.net . This led to the creation of a robust audit pack and a scheduled re-audit.The project aims to ensure that asplenic or splenic dysfunction patients are identified and clinically managed in primary care in line with recommendations made by Public Health England, to minimise their risk of avoidable harm from overwhelming infection, acute illness and potential hospital admissions. %PDF-1.5 %���� Heavier shading indicates greater network coverageLearn more about the RMOCs, view recommendations and resources, and raise a topic. In addition to the audit, GP practices should be encouraged and supported to review and improve their existing systems to identify potential system failures, reducing the risk of potential harm to current as well as future asplenic or hyposplenic patients.The initial phase of the project was achieved by undertaking an audit to check the vaccination status for all asplenic patients and those diagnosed with splenic dysfunction. The vaccination schedule recommended by Public Health England, based on the information in ‘the Green Book’,1 is complex and immunisation can take place in either primary or secondary care, or both, further increasing the risk of incomplete or incorrect vaccination occurring. 92 0 obj <> endobj 144 0 obj <>stream 111 0 obj <>/Filter/FlateDecode/ID[<515514AB14FCDD47ADE65EC4B71847E6><9CC6A3246E15904A889F3122EAD3DE9E>]/Index[92 53]/Info 91 0 R/Length 101/Prev 446676/Root 93 0 R/Size 145/Type/XRef/W[1 3 1]>>stream h�b``d``�f```�y�01G�� 30�Ҭ�q�h/y����I�1�a�Z�o���8��X= ��f��ɂ�����Ƴ�7�Z� � ��J Multi-resistant Lower Urinary Tract Infection (UTI) Guidance in Primary Care.
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